Bill Processor

Our West Trenton Medical Services Administration team is in search of a Billing Processor. Reporting to the designated supervisor, the Billing Processor is responsible and accountable to review assigned billing statements on a daily basis.  This exciting opportunity is great for someone who is highly organized and enjoys working in a fast-paced environment.

This role can report to either our West Trenton or Hammonton office.

Six months training will be provided. Once complete the role will offer a Hybrid schedule of 2 days in the office and 3 days at home.

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

• 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

• A medical background with billing/coding experience or education is required

• Knowledge of CPT (Current Procedural Terminology) and ICD-10 codes required

• Multi-state knowledge for Workers’ Compensation and/or Personal Auto (PIP) a plus

• Strong communication skills, including writing, speaking and active listening

• Ability to learn quickly, work in fast paced environment and adapt to change

• Organization, time management and prioritization abilities

• Strong interpersonal and customer service skills

• Ability to balance priorities by responding to customer concerns while performing thorough investigations of all issues encountered

• Multi-tasking, problem-solving and decision-making abilities

• Effective computer skills and ability to work in multiple systems

• Ability to work independently

• High School Diploma or GED required

Salary: $36,000 to $40,000 commiserate with experience, credentials and licensure.

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.