Why work for Nebraska Methodist Health System?

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.

Job Summary:

Location: Methodist Corporate Office
Address: 825 S 169th St. - Omaha, NE

Work Schedule: Mon - Fri, 7:00am to 3:30pm

Responsibilities:

Essential Functions

• Electronic and Hardcopy Billing
• Display Effective Communication Skills
• Handling of Referrals
• Knowledge of System Applications
• Auditing of Patient Accounts
• Claim Follow Up with Third Party Payers
• Special Projects and Tasks as Assigned
• Maintaining Daily Workflow

Job Requirements

Education

High school diploma, General Educational Development (GED) or equivalent required. Coursework in Coding, Billing or Healthcare Management normally acquired through enrollment in a secondary education institution or online classes through the American Heath Information Management Association (AHIMA) preferred.

Experience

Minimum of one (1) year prior experience in healthcare third party billing and/or claims processing preferred. Prior exposure to UP04 and/or CMS1500 claim data normally acquired through work in a physician’s office or other healthcare setting preferred.

License/Certifications

N/A

Skills/Knowledge/Abilities

• Skill in interpreting UB04 and/or CMS1500 claim data to be able to troubleshoot claim edits and resolve payer billing requirements both timely and accurately.
• Ability to create and submit both original and corrected claims.
• Ability to audit accounts and payer explanation of benefits (EOBs) to determine appropriate action.
• Ability to use effective communication skills in order to handle patient inquiries, attorneys, health system staff and payers on a professional level.
• Knowledge and understanding of accounting and business principles to enable accurate auditing of patient accounts.
• Ability to follow up with the 3rd party payers for claims and appeals submitted to ensure timely and accurate processing.
• Ability to maintain a working knowledge of multiple system applications.

Physical Requirements

Weight Demands

Light Work - Exerting up to 20 pounds of force.

Physical Activity

Occasionally Performed (1%-33%): Balancing, Climbing, Carrying, Crawling, Crouching, Distinguish colors, Kneeling, Lifting, Pulling/Pushing, Reaching, Standing, Stooping/bending, Twisting, Walking.
Frequently Performed (34%-66%): Hearing, Repetitive Motions, Seeing/Visual, Speaking/talking.
Constantly Performed (67%-100%): Fingering/Touching, Grasping, Keyboarding/typing, Sitting.

Job Hazards

Not Related: Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF), Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment), Equipment/Machinery/Tools, Explosives (pressurized gas), Electrical Shock/Static, Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc), Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means).

About Methodist: Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

Nebraska Methodist Health System is an Affirmative Action/Equal Opportunity Employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by Federal, state or local law.