Patient Billing & Claims Specialist I

Methodist Health System - NE and IA; Omaha (NE); On-site; USD 42,000 - 54,000; Full time

Job summary

Nebraska Methodist Health System in Omaha seeks a billing specialist to manage electronic and paper claims, follow up on denials, and coordinate with payers to ensure timely reimbursement.

The role requires a high school diploma or GED, 1 year in healthcare third-party billing, and ability to audit accounts, interpret UB04/CMS1500 data, and communicate clearly with patients and insurers.

Qualifications

• Education: High school diploma or GED required; AHIMA coursework preferred.
• Experience: Minimum of one year in healthcare third party billing/claims processing.
• Experience with UB04 and CMS1500 claim data and payer requirements.

Responsibilities

• Process electronic and hardcopy billing; ensure proper submission per guidelines.
• Audit accounts and determine appropriate actions for denials or errors.
• Follow up with third party payers to obtain timely reimbursement and resolve inquiries.

Skills

UB04 CMS1500 data

Auditing accounts

Payer follow-up

Communication skills

Billing corrections

Education

High school diploma / GED

AHIMA coursework preferred

Tools

Source System

Billing software

Health system apps

Job description

Nebraska Methodist Health System in Omaha seeks a billing specialist to manage electronic and paper claims, follow up on denials, and coordinate with payers to ensure timely reimbursement.

The role requires a high school diploma or GED, 1 year in healthcare third-party billing, and ability to audit accounts, interpret UB04/CMS1500 data, and communicate clearly with patients and insurers.