Bill Processor

<strong>Personal, compassionate service is what we&rsquo;re known for at NJM. We seek the best and brightest to help our customers when they need us most. As part of the NJM team, you'll not only enjoy some of the best benefits in the industry, you'll also be joining a company that's committed to professional development, diversity and innovative thinking.</strong><br /><br /><strong>What is it like to work at NJM?&nbsp; Click <a href=";feature=emb_logo" target="_blank" title="Video" rel="noopener noreferrer">here</a> to see!<br /><br />If you don't see the position you are looking for, apply <a href="" target="_blank" title="Introduce Yourself" rel="noopener noreferrer">here</a>.<br /></strong>


NJM Insurance

<p><strong>This isn&rsquo;t just insurance.&nbsp; It&rsquo;s NJM.</strong></p> <p>When you join the NJM family, you&rsquo;ll work with talented people who care about doing the right thing by our policyholders as well as each other. You&rsquo;ll be part of a financially strong and stable company that has flourished on relationships, integrity and service for more than a century. NJM is a special place where you can propel your career, help others and make friends &ndash; all at the same time.&nbsp;</p> <p>NJM is proud to offer our employees continuous learning options, outstanding benefits, access to wellness programs, and a wide range of opportunities to give back to the communities we are privileged to serve.&nbsp;</p> <p>Leading, independent consumer publications repeatedly recognize our commitment to customer and claims satisfaction. In addition, NJM has been named to the Forbes list of the Best Employers in New Jersey three years in a row, based on feedback directly from our employees.</p>

keywords: position summary,financial,process,qualifications,skills

Full time

Overview: <p>Are you looking for a career where you can make a difference for others? Are you searching for a company that offers <em><u>you</u></em> more? Come talk to NJM Insurance, a 2021 Forbes Best Employers in NJ Recipient for the 3rd year in a row! Consider joining our award-winning team in West Trenton! We are currently recruiting for individuals to work in our Medical Bill Processing Department.</p> <p>&nbsp;</p> <p><strong>NJM Offers:<br /><br /></strong></p> <p>&nbsp;&nbsp; <a href="" target="_blank" rel="noopener noreferrer">Outstanding Benefits</a>:</p> <ul> <li>Potential to bonus</li> <li>401K match up to 8% of salary monthly</li> <li>Medical Insurance</li> <li>Dental Insurance</li> <li>Flexible Spending Account</li> <li>Discounts on auto insurance</li> <li>Tuition reimbursement</li> <li>Annual bonus opportunity worth up to 7.5% of your base compensation</li> <li>Onsite Wellness Center</li> <li>Additional company discounts for items like travel, service, car rental and more.</li> <li>Stable Company: <ul> <li>A+ Rated by AM Best for Financial Strength</li> <li>2021 Forbes list of the Best Employers in NJ for the third consecutive year</li> </ul> </li> </ul> <p><strong>&nbsp;</strong></p>
Responsibilities: <ul> <li>Audit and process medical bills within statutory timeframes, by following medical coding guidelines and department policies and procedures.</li> <li>Verify correct payee and provider information and ensure that all bills that meet audit criteria are routed immediately for audit purposes.</li> <li>Communicate with claims personnel relating to complex issues regarding authorizations, pre-certifications and compensability.</li> <li>Apply state fee schedules when appropriate.</li> <li>Review and respond to MSA QC (Quality Control) issues including current billing questions, retroactive billing concerns, stops and reimbursement requests.</li> <li>Research and respond by telephone/email to provider inquiries regarding billing issues in a timely manner.</li> </ul>
Requirements: <ul> <li>A medical background with billing/coding experience or education is required.</li> <li>Knowledge of CPT (Current Procedural Terminology) and ICD-10 codes required.</li> <li>Multi-state knowledge for Workers&rsquo; Compensation and/or Personal Auto (PIP) a plus.</li> <li>Strong communication skills, including writing, speaking and active listening.</li> <li>Ability to learn quickly, work in fast paced environment and adapt to change.</li> <li>Organization, time management and prioritization abilities.</li> <li>Strong interpersonal and customer service skills.</li> <li>Ability to balance priorities by responding to customer concerns while performing thorough investigations of all issues encountered.</li> <li>Multi-tasking, problem-solving and decision-making abilities.</li> <li>Effective computer skills and ability to work in multiple systems.</li> <li>Ability to work independently.</li> <li>High School Diploma or GED required.</li> </ul> <p>&nbsp;</p> <p>Legal Disclaimer: NJM is proud to be an equal opportunity employer. We are committed to attracting, retaining and promoting a diverse and inclusive workforce that is fully representative of the diversity that exists in the communities in which we do business.</p>