Medical Billing Sr Associate (Evergreen)

Nebraska Medicine • Omaha, NE

6d

About The Position

The Medical Billing Sr Associate ensures timely submission of accurate claims data and timely, accurate follow-up on accounts, including adjustment claims, reconsiderations, and adjustment requests, to facilitate prompt and accurate payment from third-party payers and others. The role performs daily reconciliation of claim submissions, processes rejects within 24 hours, and works with external departments as needed to resolve claim issues before submission. The associate makes decisions to maintain account accuracy, limit denials, and ensure timely billing to patients and primary, secondary, and tertiary payers.

Requirements

• High school education or equivalent.
• At least 2 years of higher education with coursework in a relevant field such as business or healthcare, or an equivalent combination of education and experience in a relevant professional setting.
• Ability to multitask and solve problems.
• Strong verbal and written communication skills.
• Strong organizational skills and attention to detail.
• Experience using Microsoft products, specifically Word and Excel.
• Ability to type at least 30 words per minute with 95% accuracy.

Nice To Haves

• Prior experience in healthcare billing and collections.
• Associate's degree in business administration or college-level business coursework.
• Knowledge of Correct Coding Initiative (CCI), Outpatient Code Editor (OCE), National Coverage Determinations (NCD), and Local Coverage Determinations (LCD) edits.
• Knowledge of third-party payer edits.
• Working knowledge of medical terminology, including International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding.
• Knowledge of databases and flowcharting processes.

Responsibilities

• Submit accurate claims data in a timely manner.
• Follow up on accounts accurately and promptly, including adjustment claims, reconsiderations, and adjustment requests.
• Perform daily reconciliation of claim submissions.
• Process claim rejects within 24 hours.
• Work with external departments as needed to resolve claim issues before submission.
• Make decisions that support account accuracy, limited denials, and timely billing of patients and primary, secondary, and tertiary payers.

Benefits

• Up to $5,000 per year in tuition assistance.
• 35% discount at Clarkson College.
• Career advancement opportunities with covered educational costs.
• Support for personal growth within the organization.

What This Job Offers

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