Administrative Services Technician

We have an exciting opportunity to join Plymouth Rock in the Administrative Services Team located in Wall, NJ! The primary responsibility of an Administrative Services Team Technician will be to support the company's Medical Claims Operation while handling the following responsibilities:
Essential Duties and Responsibilities
Data Entry;
Manual entry of medical bills in a paperless environment using multiple software applications and dual monitors.
Keying of checks including payroll, interest, etc.
Medical Bill Review;
Review accuracy in billing, pre-certification compliance with our Medical Management Departments' decisions, and re-pricing of medical bills.
Review of physician medical records to ensure proper coding was utilized.
Provide support on Provider Service Phone Unit and Switchboard as needed;
Ability to use all available applications to answer customer calls, within our guidelines, prior to transferring calls.
Screen visitors before allowing entry into the building.
Applicable report generation and distribution.
Participate in proactive team efforts to achieve departmental and company goals.
Perform other duties as assigned to support the various units within the claims department.
Essential Skills & Education
High School Diploma or GED equivalent required; College degree preferred but not necessary.
Ability to establish and maintain positive and effective work relationships with coworkers, providers, and customers.
Ability to participate in a teamwork approach to accomplish tasks.
Ability to handle multiple tasks simultaneously.
Demonstrated effective verbal and written communication skills.
Knowledge of Microsoft Office products (Word, Excel, Outlook).
Knowledge of CPT coding guidelines, medical terminology, anatomy and physiology helpful but not necessary.
Knowledge of the NJ PIP Fee Schedule, CMS/Medicare, NCCI, AMA helpful but not necessary.



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