Bill Processing Administrator

Job Description

Job Description

Billing Processing Administrator

We are growing! Claims Resolution Corporation, Inc., located in Egg Harbor Township, New Jersey, is a full-service, multi-line claims management provider, including Workers’ Compensation, General Liability, Auto Liability, Professional, and Property claims administration services. Our client-focused, ethical, and relationship-based team members are the heart of our vision to be the  best third-party administrator (TPA ). If you are eager to collaborate within a diverse team, embrace challenges, and continue to develop your skills, then Claims Resolution Corporation, Inc. may be the place for you. We offer a career-oriented environment that values your contributions and encourages you to grow.

Position Summary: We are seeking a detail-oriented and dependable Medical Bill Processor to join our team. In this role, you will be responsible for reviewing and processing medical bills related to workers’ compensation claims. You will ensure accurate claim matching, direct bills to the appropriate PPO networks for repricing, and provide general administrative support to the office. This is a great opportunity for someone who thrives in a structured environment and enjoys working with data and documentation.

Key Responsibilities:

• Open and date-stamp incoming mail containing medical bills.
• Accurately match and apply workers’ compensation claim numbers to medical bills.
• Scan and upload medical bills into the claims management system for adjuster review.
• Route clean medical bills through online portals to the appropriate PPO network for repricing.
• Enter and track medical bill data using Excel and internal systems.
• Generate Explanation of Benefits (EOB) and Explanation of Review (EOR) documents as needed.
• Maintain thorough documentation of all activities within the claims management system.

Qualifications & Competencies:

• Ability to work independently and collaboratively in a team environment.
• Energetic, inquisitive, and eager to learn.
• Proficient in using the internet and Microsoft Office Suite (Word, Excel, Outlook, Teams).
• Strong attention to detail and commitment to high-quality work.
• Excellent organizational and problem-solving skills.
• Professional and friendly communication skills, both written and verbal.
• Ability to multitask and meet tight deadlines.
• Strong customer service orientation

Physical Requirements:

• Prolonged periods of sitting and working at a computer.

Claims Resolution Corporation, Inc. is an Equal Opportunity Employer, providing employment opportunities to all qualified individuals regardless of race, creed, color, sex, sexual orientation, religion, national origin, age, disability, or any other basis prohibited by law.

This job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.