New Jersey Manufacturers Insurance Company has an opening for a Coding & Reimbursement Specialist in its Medical Claim Services Department. The location for this position will be based in West Trenton. The department is seeking an individual that can be a team player while accurately and efficiently auditing medical bills by applying the correct medical, coding, and regulatory guidelines.
Hours: Monday to Friday from 8AM to 4:15PM
Hybrid opportunity once training is complete
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 and clearly apply regulatory, coding, and medical guidelines, as well as company policies and procedures to audited bills.
Bill negotiation.
Provide concise and clear instructions for bill processing. For those procedures requiring audit reports, cite relevant resources, when appropriate.
Conduct ongoing review and/or audit of bills as needed for appeals, demands for arbitration, and suit. Provide concise and clear audit reports, including rationale for denials and/or reductions, citing relevant resources and supplying supporting documentation, when necessary.
Keep abreast of industry trends and requirements that impact the auditing process. Research new procedures and technology and provide feedback to team and management on implications.
Recommend value-add strategies for addressing new trends and services.
Report on tasks, audit volume, output, savings, etc., as needed and required by supervisor and/or management.
Complete continuing education credits needed to maintain certification(s).
Required Qualifications: Knowledge, skills & abilities, experience, minimum & desired education, certification and/or license requirements.
High School Diploma or GED
Knowledge of Excel, Word and Outlook
Strong communication and writing skills
Accuracy and attention to detail
Knowledge of PIP, Workers Compensation, and/or Medicare coding regulations and guidelines
Preferred Qualifications:
Knowledge of Mitchell DecisionPoint and/or Guidewire Claim Center
Certified Professional Coder (CPC) designation
Bachelor’s Degree preferred
Compensation: Salary is commensurate with experience and credentials.
Pay Range: $58,737-$74,031Eligible 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
- Knowledge of Microsoft Excel, Word, and Outlook
- Strong communication and writing skills
- Accuracy and attention to detail
- Knowledge of PIP, Workers Compensation, and/or Medicare coding regulations and guidelines
- Knowledge of Mitchell DecisionPoint and/or Guidewire Claim Center
- Certified Professional Coder designation
- Bachelor's degree
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.
