Are you looking for a career where you can make a difference for others? Are you searching for a company that offers you 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.

　　NJM Offers

　　· Outstanding Benefits (https://www.njm.com/about/careers/employee-benefits) :

　　Potential to bonus

　　401K match up to 8% of salary monthly

　　Medical Insurance

　　Dental Insurance

　　Flexible Spending Account

　　Discounts on auto insurance

　　Tuition reimbursement

　　Annual bonus opportunity worth up to 7.5% of your base compensation

　　Onsite Wellness Center

　　Additional company discounts for items like travel, service, car rental and more.

　　Stable Company:

　　A+ Rated by AM Best for Financial Strength

　　2021 Forbes list of the Best Employers in NJ for the third consecutive year

　　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.

　　REQUIREMENTS

　　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.

　　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.

　　This isn’t just insurance. It’s NJM. When you join the NJM family, you’ll work with talented people who care about doing the right thing by our policyholders as well as each other. You’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 – all at the same time.

　　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.

　　We have been named a Forbes America's Best-in-State Employer for four consecutive years.

　　Come join us! It’s time for you to make a difference alongside our remarkable team.