Insurance Processing Associate

Nebraska Medicine; Omaha (NE); On-site; USD 32,000 - 42,000; Full time

Job summary

Nebraska Medicine is seeking a Customer Service Representative to support scheduling, pre-registration, and insurance verification for ambulatory clinics. You will verify benefits, determine eligibility and authorization needs, and ensure accurate data entry to streamline patient flow.

The role requires strong communication, organizational skills, and the ability to multi-task in a fast-paced healthcare environment.

Qualifications

• High school diploma or equivalent required; plus 2 years post-secondary study in business, medical assisting, or nursing assisting, or equivalent experience.
• Proficiency in Microsoft Excel and Word; strong verbal and written communication and organizational skills.

Responsibilities

• Provide customer service through scheduling, pre-registration/pre-admission, and insurance verification.
• Verify eligibility and benefits including co-pays, deductibles, out-of-pocket costs, lifetime maximums, and obtain necessary authorizations/referrals.
• Complete pre-registration process for ambulatory clinics.

Skills

Typing 30 wpm

Microsoft Excel

Microsoft Word

Verbal & written communication

Organizational skills

Multi-tasking

Problem solving

Education

High school diploma or equivalent

2 years post-secondary education in business/medical assisting/nursing assistant

Job description

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families.Shift:First Shift (United States of America)Provide customer service through efficient processing of required information throughout the process of scheduling, pre-registration/pre-admission, and insurance verification in a timely, organized, courteous and professional manner. Verify eligibility and benefits related to insurance coverage including co-pay requirements, deductibles, out of pocket, life time maximums, and obtain authorization and referral requirements on defined organizational accounts. Complete pre-registration process for ambulatory clinics.Required Qualifications:• 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 equivalent combination of education/experience in accounts receivable, health care billing or customer service (one year of education equals one year of experience) required.• Multi-tasking and problem solving abilities required.• Knowledge of computer based programs such as Microsoft Excel and Word required.• Strong verbal and written communication skills required.• Strong organizational skills with aptitude for detail oriented work required.• Ability to type a minimum of 30 words per minute with 90% accuracy required.Preferred Qualifications:• Prior experience in an insurance or medical office environment preferred.• Associate's degree in business administration or college level business coursework preferred.• Certified coder preferred.• Knowledge of Correct Coding Initiative (CCI), Outpatient Code Editor (OCE), National Coverage Determination (NCD), and Local Coverage Determination (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.• 9005ICAL terminology preferred.Nebraska Medicine is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans’ status.