Claims Processor

CommonSpirit Health; Omaha (NE); On-site; USD 42,000 - 56,000; Full time

Job summary

CHI Health Clinic seeks a Claims Processor to join our Revenue Cycle Management team. You will transmit and retrieve electronic patient claims, review documentation for billing accuracy, and resolve claim edits to ensure timely payments and data integrity in a fast-paced healthcare setting.

Ideal candidates have a high school diploma with post-additional training in medical billing or related fields, strong attention to detail, excellent communication, and the ability to prioritize tasks while

Qualifications

• Detail-oriented with healthcare billing knowledge.

Responsibilities

• Transmit and retrieve electronic patient claims.

Skills

Healthcare billing

CPT codes

ICD codes

Attention to detail

Communication

Problem solving

Education

High school diploma with medical billing training

Tools

Billing system

Clearinghouse

Job description

Job Summary and Responsibilities

As our Claims Processor,you will be a vital part of ourRevenue Cycle Managementteam, responsible for ensuring accurate and timely submission ofmedical claimsto payers. This role is perfect for a detail-oriented professional with a strong understanding ofhealthcare billing requirements, CPT codes, and ICD codes. You'll be instrumental in achievingfinancial integrityand supporting the smooth operation of ourpatient accounting services.

Every day you willtransmit and retrieveelectronic patient claims, meticulously review documentation for billing accuracy, and resolveclaim editswithin our billing system and clearinghouse. Your critical thinking skills will be crucial in troubleshooting complex issues related topayer regulationsand guidelines, ensuringdata integrityand maintaining strict confidentiality of medical records. You'll also actively contribute to the ongoing improvement of ourclaims processing workflows.

To be successful in this role, you willpossess a high school diploma with post-additional training inmedical billing or business-related fields. You'll demonstrate an exceptional ability to maintain current knowledge ofindustry regulationsand consistently applyproblem-solving skillsto resolve issues impacting revenue. Ideal candidates will exhibit strong attention to detail, excellent communication, and the capacity to prioritize tasks effectively in a fast-pacedhealthcare environment.

Job Requirements

Preferred

• Graduation from a post-high school program in medical billing or other business-related field, upon hire

Where You'll Work

From primary to specialty care, as well as walk-in and virtual services, CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.