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

<p><strong>Come Grow With Us</strong></p> <p>For more than a century, NJM has insured generations of customers and we are growing.&nbsp; Not only are we known for providing value-based insurance solutions and extraordinary customer service, NJM employees are there for our policyholders when they need us the most.&nbsp; If you are looking to be part of something special and make a difference each day, we invite you to come grow with us.&nbsp; There&rsquo;s never been a better time to join the NJM family.&nbsp;</p> <p>&nbsp;</p> <p>This isn&rsquo;t just insurance.&nbsp; <strong>It&rsquo;s NJM<em>.&nbsp; </em></strong></p> https://www.njm.com/

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

Full-Time

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>