Medical Bill Processor

<p><strong>Personal, compassionate service is what we'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></p>

West Trenton, NJ

NJM Insurance Group

<strong>Insurance is our business. Service is our passion. That's what sets us apart in an industry whose most important job is to be there for people when they need us most. Our commitment to customer satisfaction is repeatedly recognized by leading, independent consumer publications, which rate us as providing among the best service in the country. Founded by customers for customers, at our core, we&rsquo;re simply people devoted to helping people.<br /><br />The last thing you need after you file a claim is a long wait for answers. Rest assured in knowing that NJM is repeatedly recognized for outstanding claim satisfaction in leading consumer surveys, the results of which are based entirely on customer feedback. We also performed well in a consumer report from the New Jersey Department of Banking and Insurance.<br /></strong>

keywords: the role,diversity,audit,medical,communication,analysis,skills,experience,education


Overview: Our West Trenton MSA Medical Bill Processing Department is in search of a Bill Processor to review assigned billing statements on a daily basis.<br /><br /> <p>&nbsp;</p>
Responsibilities: <ul> <li>Accurately enter appropriate CPT (Current Procedural Terminology) and billing details into the Medical Billing Payment Program.</li> <li>Verify correct payee and provider information and ensure that all hospital bills that meet audit criteria are routed immediately for audit purposes.</li> <li>Communicate with claims personnel relating to complex issue regarding fee schedules, PPO (Preferred Provider Organization) and other technical matters.&nbsp; Resolve errors as needed.</li> <li>Process and audit bills, research claim history for duplicate entry, enter payment through data entry procedures, send to PPO.</li> <li>Review and assist with all questions from MSAQC (Medical Service Administration Quality Control)&nbsp; regarding payments and review and assist with all void issues.</li> <li>Assist other team members in processing medical payments.</li> <li>Address appeal issues and respond appropriately.</li> </ul>
Requirements: <ul> <li>A medical background with billing/coding experience or education</li> <li>Excellent verbal and written communication skills</li> <li>Strong organizational skills</li> <li>Solid math skills</li> <li>Ability to multitask</li> <li>Computer knowledge and strong data entry skills</li> <li>High School Diploma or GED</li> </ul>