Claims Processor

CHI Health Clinic • Omaha, NE

3d • $19 - $27

About The Position

As our Claims Processor, you will be a vital part of our Revenue Cycle Management team, responsible for ensuring accurate and timely submission of medical claims to payers. This role is perfect for a detail-oriented professional with a strong understanding of healthcare billing requirements, CPT codes, and ICD codes. You'll be instrumental in achieving financial integrity and supporting the smooth operation of our patient accounting services.
Every day you will transmit and retrieve electronic patient claims, meticulously review documentation for billing accuracy, and resolve claim edits within our billing system and clearinghouse. Your critical thinking skills will be crucial in troubleshooting complex issues related to payer regulations and guidelines, ensuring data integrity and maintaining strict confidentiality of medical records. You'll also actively contribute to the ongoing improvement of our claims processing workflows.
To be successful in this role, you will possess a high school diploma with post-additional training in medical billing or business-related fields. You'll demonstrate an exceptional ability to maintain current knowledge of industry regulations and consistently apply problem-solving skills to resolve issues impacting revenue. Ideal candidates will exhibit strong attention to detail, excellent communication, and the capacity to prioritize tasks effectively in a fast-paced healthcare environment.

Requirements

• High school diploma
• Post-additional training in medical billing or business-related fields
• Exceptional ability to maintain current knowledge of industry regulations
• Consistently apply problem-solving skills to resolve issues impacting revenue
• Strong attention to detail
• Excellent communication
• Capacity to prioritize tasks effectively in a fast-paced healthcare environment

Nice To Haves

• Graduation from a post-high school program in medical billing or other business-related field, upon hire

Responsibilities

• Transmit and retrieve electronic patient claims
• Meticulously review documentation for billing accuracy
• Resolve claim edits within our billing system and clearinghouse
• Troubleshoot complex issues related to payer regulations and guidelines
• Ensure data integrity
• Maintain strict confidentiality of medical records
• Actively contribute to the ongoing improvement of our claims processing workflows

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED