Medical Billing Sr Associate (Evergreen)

100 The Nebraska Medical Center; United States; On-site; USD 36,000 - 55,000; Full time

Job summary

Nebraska Medicine is seeking a Claims Specialist focused on ensuring timely submission of accurate claims data, and timely and accurate account follow-up (including adjustment claims, reconsiderations, and adjustment requests) to facilitate prompt and accurate payment from third‑party payers and others.

Daily reconciliation of claim submission and coordination with external departments to resolve claim issues prior to submission.

Qualifications

• High school education or equivalent required.
• Minimum of 2 years of higher education with coursework in a relevant field such as business, healthcare, or a related discipline, OR equivalent combination of education and experience in a relevant professional setting required.
• Multi‑tasking and problem‑solving abilities required.
• Strong verbal and written communication skills required.
• Strong organizational skills with an aptitude for detail‑oriented work required.
• Experience in use of Microsoft products, specifically Word and Excel required.
• Ability to type a minimum of 30 words per minute with 95% accuracy required.

Responsibilities

• Ensure timely submission of accurate claims data, and timely and 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, reject processing within 24 hours and working with external departments as needed to resolve claim issues prior to submission.
• Make decisions to ensure account accuracy, limited denials, and timely billing of the patient, primary, secondary, and tertiary payers.

Skills

Multi-tasking

Verbal and written communication

Organizational skills

Typing 30 wpm

Education

High school education or equivalent

2 years of higher education in business/healthcare or related discipline

Associate's degree preferred

Tools

Microsoft Word

Microsoft Excel

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) Shift Details: Start times can be from 6:00am to 9:00am, Monday through Friday as long as 8 hours are worked by 5:30pm.

Why Work at Nebraska Medicine?

Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration.

Leading Health Network

Work with the region’s top academic health network, partnering with UNMC to transform lives through education, research, and patient care.

Dignity and Respect

We value all backgrounds and experiences, reflecting the communities we serve.

Educational Support

Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs.

• Enjoy support for your personal growth within the organization, from those just starting your healthcare careers to those who are years down the path.

Be part of something extraordinary at Nebraska Medicine!

Ensure timely submission of accurate claims data, and timely and 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, reject processing within 24 hours and working with external departments as needed to resolve claim issues prior to submission. Make decisions to ensure account accuracy, limited denials, and timely billing of the patient, primary, secondary, and tertiary payers.

Required Qualifications

• High school education or equivalent required.
• Minimum of 2 years of higher education with coursework in a relevant field such as business, healthcare, or a related discipline, OR equivalent combination of education and experience in a relevant professional setting required.
• Multi‑tasking and problem‑solving abilities required.
• Strong verbal and written communication skills required.
• Strong organizational skills with an aptitude for detail‑oriented work required.
• Experience in use of Microsoft products, specifically Word and Excel required.
• Ability to type a minimum of 30 words per minute with 95% accuracy required.

Preferred Qualifications

• Prior experience in healthcare billing and collections preferred.
• Associate's degree in business administration OR college level business coursework preferred.
• Knowledge of Correct Coding Initiative (CCI), Outpatient Code Editor (OCE), National Coverage Determinations (NCD), and Local Coverage Determinations (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.

Equal Opportunity Employment

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.

About Nebraska Medicine

Nebraska Medicine includes two hospitals, the state's largest and highest rated Nebraska Medical Center and Bellevue Medical Center, along with more than 70 primary care and specialty clinics. Nebraska Medicine and our research and education partner, the University of Nebraska Medical Center (UNMC), share the same mission: to lead the world in transforming lives to create a healthy future for all individuals and communities through premier educational programs, innovative research and extraordinary patient care. Every colleague plays a key role in upholding our promise of “Serious Medicine, Extraordinary Care” to our patients and their families. Working with Nebraska Medicine means committing to meaningful, impactful work that will elevate the success of your fellow colleagues and will help your patients and their families feel comfortable, confident and cared for.