Patient Billing & Collections Specialist II

Bestcare; Omaha (NE); Hybrid; USD 42,000 - 65,000; Full time

Job summary

Nebraska Methodist Health System is seeking a dedicated Patient Accounting professional to manage billing, electronic claims submissions, follow up, and collections for patient accounts. The role emphasizes accurate data entry, adherence to UB04 and CMS1500 standards, and timely communication with payers and patients.

Responsibilities include auditing and correcting submissions, obtaining EOBs, and identifying denial trends to improve reimbursement.

Qualifications

• High school diploma or GED required; coding/billing coursework preferred.
• 1-2 years experience in healthcare billing/collections preferred.
• Strong understanding of UB04 and CMS1500 claim data.

Responsibilities

• Handle billing, electronic claims submission, follow up and collections of patient accounts.
• Submit and correct UB04/837I and CMS1500/837P claims per guidelines.
• Obtain EOBs and verify data accuracy for submissions.
• Audit accounts and apply proration for proper benefit allocation as needed.
• Identify denial trends and communicate findings to leadership.
• Document all referrals and inquiries in Source System.

Skills

UB04/ CMS1500 claim edits

Denial trends & analysis

Audit & reconciliation

Effective communication

Payer follow-up & appeals

Education

High school diploma or GED

AHIMA coursework or healthcare management

Tools

Patient Accounting System

Electronic billing software

Payer websites & resources

Job description

Nebraska Methodist Health System is seeking a dedicated Patient Accounting professional to manage billing, electronic claims submissions, follow up, and collections for patient accounts. The role emphasizes accurate data entry, adherence to UB04 and CMS1500 standards, and timely communication with payers and patients.

Responsibilities include auditing and correcting submissions, obtaining EOBs, and identifying denial trends to improve reimbursement.