Remote Denials & Reimbursement Analyst

Nebraska Methodist Health System; Omaha (NE); On-site; USD 50,000 - 75,000; Full time

Job summary

Nebraska Methodist Health System is seeking a detail-oriented Denials & Reimbursement Specialist to review payer denials, analyze reimbursement, and coordinate appeals to maximize reimbursement. The role supports billing accuracy and contract compliance within a hospital network environment.

Ideal candidates hold a high school diploma, with healthcare accounting coursework and 1–2 years in third-party payer billing. Training will be provided, and telework is possible after training.

Qualifications

• High School Diploma or GED required.
• College coursework in accounting or healthcare preferred.
• Minimum 1–2 years experience working for a 3rd party payer or health care provider.

Responsibilities

• Review denials compared to contract agreements and payer policy.
• Analyze payments to ensure accuracy and initiate corrective action with payers.
• Demonstrates understanding of contract and reimbursement language.
• Maintain a follow up and reporting system to ensure receipt of reimbursement.
• Analyze and research contractual and reimbursement issues and respond to inquiries.
• Provide training on contracts and reimbursement to other areas as needed.

Skills

Data entry

Verbal and written communication

Medical terminology

Payer websites

ICD/CPT knowledge

DRG reimbursement

Accounting concepts

Confidentiality

Education

High School Diploma or GED

College coursework in accounting or healthcare

Tools

Microsoft Office

Excel

Outlook

UB/HCFA billing systems

Job description

Nebraska Methodist Health System is seeking a detail-oriented Denials & Reimbursement Specialist to review payer denials, analyze reimbursement, and coordinate appeals to maximize reimbursement. The role supports billing accuracy and contract compliance within a hospital network environment.

Ideal candidates hold a high school diploma, with healthcare accounting coursework and 1–2 years in third-party payer billing. Training will be provided, and telework is possible after training.