Medical Billing Sr Associate

Nebraska Medicine•Omaha, NE

About The Position

Ensure timely submission of accurate claims data and timely, 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 and process rejects within 24 hours, working with external departments as needed to resolve claim issues before submission. Make decisions that promote account accuracy, limit denials, and ensure timely billing of patients and primary, secondary, and tertiary payers. This is a 40-hour-per-week, first-shift position with flexible start times between 6:00 a.m. and 7:00 a.m., Monday through Friday.

Requirements

High school education or equivalent.
At least two years of post-secondary education with coursework in business, a medical assistant program, or a nursing assistant program; alternatively, an equivalent combination of education and accounts receivable or healthcare billing experience, with one year of education counting as one year of experience.
Multitasking and problem-solving abilities.
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 promptly and accurately, including adjustment claims, reconsiderations, and adjustment requests.
Reconcile claim submissions daily.
Process rejects within 24 hours.
Work with external departments as needed to resolve claim issues before submission.
Make decisions to ensure account accuracy, limit denials, and support timely billing of patients and primary, secondary, and tertiary payers.