Medical Claims & Billing Specialist

Henderson Health Care, Inc.; Henderson (NE); On-site; USD 40,000 - 64,000; Full time

Benefits offered by this job

Competitive salary

Hire-on bonus up to $7,500

Job summary

Henderson Health Care, Inc. in Nebraska seeks a Medical Claims Specialist to ensure accurate submission, follow-up, and resolution of denied claims.

You will post charges, reconcile accounts, and maintain patient financial records while adhering to billing regulations. You will coordinate with providers, patients, and third-party payers, review documentation for CPT/ICD coding, stay compliant with Medicare and state/federal rules, and participate in audits and monthly close.

Qualifications

• Experience in medical claims processing and billing workflows.
• Familiarity with CPT/ICD coding and payer guidelines.
• Ability to review documentation for accuracy and compliance.

Responsibilities

• Process medical claims for submission to patients and third-party payers.
• Review medical records to support billing accuracy and compliance.
• Post charges and reconcile accounts in billing system.
• Follow up on denied or rejected claims and resolve issues.
• Monitor aging accounts receivable and support monthly close procedures.
• Ensure HIPAA compliance and maintain patient confidentiality.

Skills

Medical billing

CPT coding

ICD coding

HIPAA compliance

Accounts receivable

Payer communication

Tools

Billing software

Claims submission systems

Job description

Henderson Health Care, Inc. in Nebraska seeks a Medical Claims Specialist to ensure accurate submission, follow-up, and resolution of denied claims.

You will post charges, reconcile accounts, and maintain patient financial records while adhering to billing regulations. You will coordinate with providers, patients, and third-party payers, review documentation for CPT/ICD coding, stay compliant with Medicare and state/federal rules, and participate in audits and monthly close.