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.
Our MCS (Medical Claims Services) 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. Reporting to a Supervisor in Medical Claim Services Bill Processing, the Bill Processor (BP) is responsible and accountable for the timely audit and processing of medical bills. Timely and accurate processing is vital to ensuring that medical bills meet all regulatory timeframes.
Schedule: Monday-Friday, specific hours are subject to selected start times between 8:00am-9:00am pending supervisory approval.
Essential Duties and Responsibilities: Essential functions of this job are listed below in order of priority. Reasonable accommodations may be made to enable individuals to perform the essential duties. Regular and predictable onsite attendance is an essential function of the job.
- Accurately audit and process standard medical bills for routine procedures within statutory timeframes, by following medical coding guidelines and department policies and procedures
- Verify correct payee and provider information and ensure 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
- Demonstrate working knowledge of the available computer systems (imaging, bill processing, claims) to insure prompt and accurate bill processing.
- Research and respond by telephone/email to provider inquiries regarding billing issues in a timely manner
Required Qualifications: Knowledge, skills & abilities, experience, minimum & desired education, certification and/or license requirements.
- High School Diploma or GED required
- Associate Degree and/or coding certification, preferred
- 1-2 years of insurance and/or medical office experience, preferred
- 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
- Knowledge of CPT (Current Procedural Terminology) and ICD-10 codes a plus
- Multi-state knowledge for Workers’ Compensation and/or Personal Auto (PIP) a plus
- Multi-tasking, problem-solving and decision-making abilities
- Effective computer skills and ability to work in multiple systems
- Ability to work independently
Compensation: Salary is commensurate with experience and credentials.
Pay Range: $42,577-$49,488Eligible full-time employees 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.
Skills Required
- High School Diploma or GED
- Associate Degree and/or coding certification
- 1-2 years of insurance and/or medical office experience
- Strong written, verbal, and active listening communication skills
- Ability to learn quickly, work in a fast-paced environment, and adapt to change
- Organization, time management, and prioritization abilities
- Strong interpersonal and customer service skills
- Ability to balance customer concerns with thorough issue investigations
- Knowledge of CPT and ICD-10 codes
- Multi-state knowledge of Workers’ Compensation and/or Personal Auto PIP
- Multitasking, problem-solving, and decision-making abilities
- Effective computer skills and ability to work in multiple systems
- Ability to work independently
NJM Insurance Group Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about NJM Insurance Group and has not been reviewed or approved by NJM Insurance Group.
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Retirement Support — Retirement benefits include a 401(k) match with additional company contributions, materially boosting total compensation. This component is presented as a core element of the total rewards offering.
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Healthcare Strength — Health coverage offers multiple medical plan options plus dental and vision, complemented by company-paid basic life insurance and disability protection. Wellness resources and assistance programs further support overall health needs.
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Leave & Time Off Breadth — Time off includes a first-year PTO allotment paired with paid/floating holidays and state-based paid sick leave. Paid parental leave references and adoption assistance indicate breadth for various family situations.
NJM Insurance Group Insights
What We Do
NJM is among the Mid-Atlantic's leading property and casualty insurers. Founded in 1913, NJM's mission is to provide value-based insurance solutions to its policyholders with the highest levels of service, integrity, and financial stewardship. The Company operates in a mutual fashion for the exclusive benefit of its policyholders. Headquartered in West Trenton, NJ, with offices in Hammonton and Parsippany, NJM employs nearly 2,500 workers. - 2019-2023 Forbes Best In-state Employer (Ranked #11 out of 89 NJ employers in 2023) - 2018, 2019, 2020, 2021, certified by J.D. Power for providing "An Outstanding Auto Claims Experience" for personal lines customers* - 2018, 2019, & 2020 Clearsurance Customers’ Choice Top Ranked Insurance Companies - 2021 American Heart Association Gold Level Workplace Health Achievement - 2020 American Heart Association Silver Level Workplace Health Achievement - 2019 Forbes Best Mid-size Employers in the country *J.D. Power Auto Claims Certification Program℠ recognition is based on successful completion of an audit, exceeding a customer experience benchmark through a survey of recent claims servicing interactions, and a Financial Strength rating. For more information, visit jdpower.com.
