Insurance Processing Associate

Nebraska Medicine • Omaha, NE

7d • Onsite

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.

What This Job Offers

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