What are the responsibilities and job description for the BILL PROCESSOR position at NJM Insurance Group?
There's never been a better time to join NJM! With a nationally ranked reputation for outstanding customer service and a history that spans more than a century, NJM is a leading provider of worker's compensation, automobile and homeowners insurance in New Jersey.
Become a member of our team and you'll be part of a company who operates for the sole benefit of its policyholders and is committed to maintaining the highest levels of service. Team members are offered a competitive compensation package and benefits including : a 401k plan, health coverage, a generous paid time off plan, and much more!
Our Hammonton MSA (Medical Services Administration) Medical Bill Processing Department has an opening for a Bill Processor and is seeking a candidate who has excellent communication skills as well as strong organizational and time management skills.
Schedule : Monday-Friday, specific hours are subject to selected start times between 8 : 00am-9 : 00am pending supervisory approval. (Potential for hybrid schedule once fully trained.)
Job Responsibilities
- Audit and process medical bills within statutory timeframes, by following medical coding guidelines and department policies and procedures
- Verify correct payee and provider information and ensure that all bills that meet audit criteria are routed immediately for audit purposes.
- Communicate with claims personnel relating to complex issues regarding authorizations, pre-certifications and compensability.
- Apply state fee schedules when appropriate
- Review and respond to MSA QC (Quality Control) issues including current billing questions, retroactive billing concerns, stops and reimbursement requests.
- Research and respond by telephone / email to provider inquiries regarding billing issues in a timely manner
Required Qualifications and Experience
Salary Range : $41,529 - $48,000. Salary is commensurate with experience and credentials.
Benefits Offered :
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.
Salary : $41,529 - $48,000
