Insurance Processing Associate

The Nebraska Medical Center•Omaha, NE

5d•Remote

About The Position

Provide customer service through efficient processing of required information throughout the process of scheduling, pre-registration/pre-admission, and insurance verification in a timely, organized, courteous and professional manner. Verify eligibility and benefits related to insurance coverage including co-pay requirements, deductibles, out of pocket, life time maximums, and obtain authorization and referral requirements on defined organizational accounts. Complete pre-registration process for ambulatory clinics.

Requirements

High school education or equivalent required.
Minimum of two years post-secondary education with coursework in business, medical assistant program or nursing assistant program OR equivalent combination of education/experience in accounts receivable, health care billing or customer service (one year of education equals one year of experience) required.
Multi-tasking and problem solving abilities required.
Knowledge of computer based programs such as Microsoft Excel and Word required.
Strong verbal and written communication skills required.
Strong organizational skills with aptitude for detail oriented work required.
Ability to type a minimum of 30 words per minute with 90% accuracy required.

Nice To Haves

Prior experience in an insurance or medical office environment preferred.
Associate's degree in business administration or college level business coursework preferred.
Certified coder preferred.
Knowledge of Correct Coding Initiative (CCI), Outpatient Code Editor (OCE), National Coverage Determination (NCD), and Local Coverage Determination (LCD) edits preferred.
Knowledge of third party payer edits preferred.
Working knowledge of medical terminology including International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding preferred.
Knowledge of databases and flowcharting processes preferred.
9005ICAL terminology preferred.

Responsibilities

Provide customer service through efficient processing of required information throughout the process of scheduling, pre-registration/pre-admission, and insurance verification in a timely, organized, courteous and professional manner.
Verify eligibility and benefits related to insurance coverage including co-pay requirements, deductibles, out of pocket, life time maximums, and obtain authorization and referral requirements on defined organizational accounts.
Complete pre-registration process for ambulatory clinics.