Medical Billing Sr Associate

Nebraska Medicine•Omaha, NE

8d•Onsite

About The Position

Ensure timely submission of accurate claims data, and timely and accurate account follow-up (including adjustment claims, reconsiderations, and adjustment requests) to facilitate prompt and accurate payment from third-party payers and others. Perform daily reconciliation of claim submission, reject processing within 24 hours and working with external departments as needed to resolve claim issues prior to submission. Make decisions to ensure account accuracy, limited denials, and timely billing of the patient, primary, secondary, and tertiary payers.

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 an equivalent combination of education/experience in accounts receivable or healthcare billing (one year of education equals one year of experience) required
Multi-tasking and problem-solving abilities required
Strong verbal and written communication skills required
Strong organizational skills with an aptitude for detail-oriented work required
Experience in use of Microsoft products, specifically Word and Excel required
Ability to type a minimum of 30 words per minute with 95% accuracy required

Nice To Haves

Prior experience in healthcare billing and collections preferred
Associate's degree in business administration OR college level business coursework preferred
Knowledge of Correct Coding Initiative (CCI), Outpatient Code Editor (OCE), National Coverage Determinations (NCD), and Local Coverage Determinations (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

Responsibilities

Ensure timely submission of accurate claims data
Timely and accurate account follow-up (including adjustment claims, reconsiderations, and adjustment requests) to facilitate prompt and accurate payment from third-party payers and others
Perform daily reconciliation of claim submission
Reject processing within 24 hours
Work with external departments as needed to resolve claim issues prior to submission
Make decisions to ensure account accuracy, limited denials, and timely billing of the patient, primary, secondary, and tertiary payers