Patient Billing Specialist I - Claims & Payments

Bestcare; Omaha (NE); On-site; USD 36,000 - 52,000; Full time

Job summary

Nebraska Methodist Health System is seeking a Patient Billing Representative I in Omaha, NE. This role handles billing, electronic claims submission, follow-up, andcollections for patient accounts. The position requires strong communication and accuracy in processing UB04/CMS1500 submissions.

The role emphasizes adherence to payer guidelines, documentation in Source System, and timely denial management. A high school diploma or GED is required, with AHIMA coursework preferred and at least 1 year

Qualifications

• High school diploma or GED required; AHIMA coursework preferred.
• Experience: 1 year in healthcare third party billing/claims processing preferred.
• Ability to interpret UB04 and CMS1500 data to troubleshoot edits and payer requirements.

Responsibilities

• Handle electronic and hardcopy billing; ensure claims follow payer guidelines.
• Submit UB04/ CMS1500 claims and related documents; correct submissions as needed.
• Audit patient accounts and determine remaining balances; document in Source System.
• Follow up with third party payers and manage denials/appeals per department guidelines.
• Communicate with patients and health system staff professionally; maintain accurate records.

Skills

UB04 CMS1500

Billing follow-up

Communication skills

Accounting basics

Education

High school diploma or GED

AHIMA coursework preferred

Job description

Nebraska Methodist Health System is seeking a Patient Billing Representative I in Omaha, NE. This role handles billing, electronic claims submission, follow-up, andcollections for patient accounts. The position requires strong communication and accuracy in processing UB04/CMS1500 submissions.

The role emphasizes adherence to payer guidelines, documentation in Source System, and timely denial management. A high school diploma or GED is required, with AHIMA coursework preferred and at least 1 year