Insurance Processing Associate

Nebraska Medicine•Omaha, NE

1d•Hybrid

About The Position

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families. Join our team at Nebraska Medicine as an Insurance Processing Associate for our Patient Financial Services team! We're searching for a dedicated individual to provide exceptional customer support at our ECCP location in the Mutual of Omaha building, Omaha, Nebraska near 33rd and Farnam. As an Insurance Processing Associate, you'll play a pivotal role in efficiently handling insurance-related inquiries and tasks. Collaborate with patients, insurance providers, and internal teams to ensure accurate and timely verification of insurance and resolution of internal claim edits. Exceed productivity and quality benchmarks, actively contribute to team goals, and adhere to policies and regulations. Join us in maintaining excellent customer relations, contributing to the financial success of our organization, and advocating for patients.

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, lifetime maximums, and obtain authorization and referral requirements on defined organizational accounts.
Complete pre-registration process for ambulatory clinics.