Worker's Comp. No Fault & PIP Collector

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Worker's Comp. No Fault & PIP Collector Clifton, NJ, US Responsibilities Performs billing functions to review and take necessary actions to resolve billing errors, ensuring clean claim submission. Knowledge of insurance billing in the following areas: Worker’s Comp and Motor Vehicle Claims in NJ and NY. Work directly with third‑party payers, internal and external customers, and other contract clients toward effective and efficient collection results on accounts assigned by management in accordance with departmental policy and procedures. Ability to work well independently and communicate efficiently and respectfully with patients and insurance representatives. Must have experience with Worker’s Comp and No Fault PIP in New York and New Jersey billing and reimbursement regulations. Identify billing errors and denials by understanding the problem and resubmitting corrected claims or taking other appropriate action or resolution. Communicate with law firms that are processing arbitration on behalf of the hospital. Send appeals for low reimbursement, no authorizations, timely filing, medical necessity, etc., with correct documentation. Submit paper claims to primary and secondary insurance with correct documentation, e.g., operative reports, implant invoices, primary EOBs. Adjust claims for correct fee schedule, incorrect payments, and patient responsibility. Scan work and correspondence daily and maintain clear detailed notes. Maintain a thorough knowledge of third‑party billing and collection requirements for payers assigned for handling. Education & Experience Requirements High school diploma or equivalent. Minimum 5 years of billing and follow‑up experience. Coding certification preferred but not required. #J-18808-Ljbffr