Medical Billing Sr Associate

The Nebraska Medical Center•Omaha, NE

About The Position

The Medical Billing Sr Associate ensures accurate and timely submission of claims and follows up on accounts, including adjustment claims, reconsiderations, and adjustment requests, to support prompt and accurate payment from third-party payers and other parties. The role performs daily reconciliation of claim submissions, processes rejections 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 of patients and primary, secondary, and tertiary payers. This is a first-shift role working 40 hours per week, Monday through Friday, with flexible start times between 6:00 a.m. and 7:00 a.m. Nebraska Medicine highlights its academic health network partnership with UNMC, a commitment to dignity and respect, and educational support including up to $5,000 per year in tuition assistance, a 35% discount at Clarkson College, and covered educational costs for career advancement opportunities.

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 experience in accounts receivable or healthcare billing, with one year of education equaling one year of experience.
Multi-tasking 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

Ensure timely submission of accurate claims data.
Perform timely and accurate account follow-up, including adjustment claims, reconsiderations, and adjustment requests.
Perform daily reconciliation of claim submissions.
Process rejected claims within 24 hours.
Work with external departments as needed to resolve claim issues before submission.
Make decisions that support account accuracy, limit denials, and ensure timely billing of patients and primary, secondary, and tertiary payers.