Senior Patient Billing Representative

Bestcare; Omaha, Northern (NE, KY); Hybrid; USD 45,000 - 60,000; Full time

Job summary

Nebraska Methodist Health System’s Methodist Corporate Office in Omaha seeks a Senior Patient Billing Representative to ensure high standards in patient billing and coordination with end users. Monday–Friday, 8:00am–5:00pm, you will support staff, handle referrals, maintain confidentiality, and contribute to training and process improvements.

Ideal candidates have 2+ years in healthcare billing, knowledge of ICD-9/10 and CPT-4/HCPCS coding, and experience with Cerner/Revenue Manager and

Qualifications

• Requires 2+ years in a business office setting, in health care third party reimbursement with electronic claim submission.
• Full understanding of ICD-9 and CPT-4/HCPCS coding.
• Lead or supervisory experience preferred.
• Experience with patient accounting software, payer websites, and electronic billing scrubbers.

Responsibilities

• Serves as a resource person for Business Office staff.
• Maintains awareness of payer specific regulatory issues and updates.
• Assist in new employee training and provide policy feedback.
• Communicates effectively and informs supervisor of workflow issues.
• Handles referrals and escalated patient calls from within and outside departments.
• Supports management in monitoring workflow and data reporting.
• Assists in writing and maintaining procedure manuals.

Skills

Communication skills

Data analysis

ICD-9/10 coding

Healthcare IT

Education

High school diploma / GED

Tools

Cerner RCA/Profit

Revenue Manager

Patient Records

Medicare FISS

MREP

Application Xtender

Record Link

Powerchart

PC Print

Payer Websites

Job description

## Senior Patient Billing RepresentativeApply: Methodist Corporate Office - Omaha, NE: Full time: Posted Today: JR116186**Why work for Nebraska Methodist Health System?** At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ. We call it The Meaning of Care – a culture that has and will continue to set us apart. It’s helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient’s needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. We offer competitive pay, excellent benefits and a great work environment where all employees are valued! Most importantly, our employees are part of a team that makes a real difference in the communities we live and work in.**Job Summary:**Location: Methodist Corporate Office Address: 825 S 169th St. - Omaha, NE Work Schedule: Mon - Fri, 8:00am to 5:00pm Works with end user billing staff to ensure that all job duties are done to the Health System's standards and satisfaction.**Responsibilities:****Essential Functions I**Serves as a resource person for Business Office staff.* Maintains awareness of Payer specific regulatory issues, Insurance updates and have a full understanding of departmental functions to assist with questions.* Assist in new employee training and provide feedback for employees about policies and procedures to ensure quality and consistency.Displays effective communications skills.* Keeps Supervisor informed of issues to include; backlogs in claim filing, insurance followup and electronic billing. ie: FISS / Revenue Manager* Assists in identifying Employee work related issues impacting daily work flow.* Effectively communicates to staff any Supervisor or departmental changes in Policy.* Works with Supervisor on solutions to streamline process.Referral handling/phone calls.* Appropriate timely and accurate handling of 2nd Requests, Referrals and escalated patient calls from within Business Office and outside departments within the Health System.* Handles specialized Management Referrals appropriately and timely.Understands challenges of leadership roles & responsibilities.* Maintains confidentiality in all aspects of position.* Demonstrates a Positive Attitude on a consistent basis.* Communicates Clearly.* Demonstrates Active Listening.* Shows support and provides feedback on decisions that will impact process.* Demonstrates ability to prevent conflict by: + Focusing on issue resolution to achieve overall positive outcome. + Avoiding personal feelings or reaction regarding issue. + Promoting Positive Team Building + Displays patience and tactfulness.* Time Management + Displays Organizational Skills. + Prioritization of daily workload. + Effective use of time.Knowledge of System Applications and Training.* Demonstrates ability to learn, maintain working knowledge and train staff on the following Health System Applications: \\* Cerner Profit / Cerner Workflow / Revenue Manager / Patient Records / Medicare Online System (FISS) / MREP / Application Xtender / PC Print / Record Link / Powerchart / Word / Excel / Outlook / all Payer Websites.Essential lead functions and responsibilities.* Provides backup for staff shortages to maintain worklfow.* Participation in in-service programs, continuing education programs and meetings as directed by Management to remain aware of all changes related to Healthcare.* Assist Supervisor in monitoring workflow and providing data for reporting.* Assist Supervisor in writing and maintaining procedure manuals directly relating to the efficient and accurate handling of assigned work.* Ability to identify and trend issues to improve or streamline processes.* Handles as needed, Assigned special projects.* Handling Individual Team Special duties* Testing (system applications) as needed.* Performs daily/weekly Management directed duties.**Schedule:**Mon - Fri, 8:00am to 5:00pm**Job Description:**# **Job Requirements****Education*** High school diploma, General Educational Development (GED) or equivalent required.* Participate in mandatory in-service and continuing education programs as mandated by policy and procedure/external agencies as directed by supervisor.**Experience*** Requires 2 or more years of previous experience in a business office setting, in health care Third Party Reimbursement with electronic claim submission. Full understanding of ICD-9 and CPT-4/HCPCS coding.* Minimum 1 year of lead or supervisory experience preferred.* Requires prior experience with patient accounting software, payer websites, and electronic billing scrubbers and maintain working knowledge of multiple system applications. Health System Applications Used: Cerner RCA/Profit, Revenue Manager, Patient Records, Medicare online System (FISS), MREP, Application Xtender, Record Link, Powerchart, PC Print and/or all Payers Websites.**License/Certifications*** N/A**Skills/Knowledge/Abilities*** Full understanding of ICD-9, ICD-10, CPT-4 and HCPCS coding.* Must demonstrate excellent communication skills.* Ability to Identify, trend & analyze data for resolution of issues.* Health System Applications Used: Cerner Profit, Revenue Manager, Patient Records, Medicare online System (FISS), MREP, Application Xtender, Record Link, Powerchart, PC Print and/or all Payers Websites.* Requires Analytical ability to review high level accounts to determine appropriate action.* Must have effective communication skills for handling patient's, attorneys; Health System Staff and Insurance Companies at a professional level.* Requires the ability to understand advanced accounting and business principals to enable accurate auditing of patient accounts, execution of claims scrubbers and ability to read EOB's.# # **Physical Requirements****Weight Demands*** Light Work - Exerting up to 20 pounds of force.**Physical Activity*** Occasionally Performed (1%-33%): + Balancing + Climbing + Carrying + Crawling + Crouching + Distinguish colors + Kneeling + Lifting + Pulling/Pushing + Reaching + Standing + Stooping/bending + Twisting + Walking* Frequently Performed (34%-66%): + Hearing + Repetitive Motions + Seeing/Visual + Speaking/talking* Constantly Performed (67%-100%): + Grasping + Keyboarding/typing + Sitting**Job Hazards*** Not Related: + Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF) + Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment) + Equipment/Machinery/Tools + Explosives (pressurized gas) + Electrical Shock/Static + Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc) + Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)* Rare (1-33%): + Chemical agents (Toxic, Corrosive, Flammable, Latex) + Mechanical moving parts/vibrations