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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 West Trenton 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.)

Salary Range: $41,529 - $48,000. Salary is commensurate with experience and credentials.

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

Team members receive a competitive Total Rewards package, including but not limited to a 401(k) with employer match up to 8% and additional service-based contributions, Health, Dental, and Vision insurance, Life and Disability coverage, generous PTO, Paid Sick Leave, and paid parental leave in addition to state-mandated leave. Employees may also be eligible for discretionary bonuses.

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.