- Trenton, New Jersey, United States
- On-site
- Full-time · Entry
The Billing Processor is responsible and accountable to review assigned billing statements on a daily basis, following medical coding guidelines and department policies.
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
Requirements
- High School Diploma
- GED
- Nice to have: Multi-state knowledge for Workers’ Compensation
- Nice to have: Multi-state knowledge for Personal Auto (PIP)