Senior Patient Billing Representative

CO500 Nebraska Methodist Health System; United States; On-site; USD 35,000 - 50,000; Full time

Job summary

CO500 Nebraska Methodist Health System is looking for a dedicated staff member to support Business Office staff by managing workflows and ensuring quality service. The role includes assisting in new employee training, handling referrals, and maintaining awareness of payer-specific regulations.

The ideal candidate should have a high school diploma, relevant experience in healthcare, and knowledge of coding systems. Strong communication and analytical skills are essential. Full-time schedule, Mon – Fri.

Qualifications

• Two or more years of experience in a healthcare business office setting.
• Full understanding of ICD-9, ICD-10, CPT-4, and HCPCS coding.
• Experience with patient accounting software and payer websites.

Responsibilities

• Serves as a resource person for Business Office staff.
• Assists in new employee training and provides feedback.
• Handles referral processing and phone calls.

Skills

Excellent communication skills

Ability to analyze and resolve data issues

Knowledge of Cerner software

Lead or supervisory experience

Education

High school diploma or GED

Tools

Cerner Profit

Patient accounting software

Electronic billing scrubbers

Job description

Job Summary

Location: Methodist Corporate Office, 825 S 169th St., Omaha, NE.Work Schedule: Mon – Fri, 8:00am to 5:00pm.

Responsibilities

• Serves as a resource person for Business Office staff.
• Maintains awareness of payer‑specific regulatory issues and insurance updates.
• Assists in new employee training and provides feedback on policies to ensure quality and consistency.
• Displays effective communication skills and keeps the supervisor informed of issues such as claim filing backlogs or insurance follow‑up.
• Identifies employee work‑related issues impacting daily workflow and communicates any policy or departmental changes.
• Works with the supervisor on solutions to streamline processes.
• Handles referral processing and phone calls, ensuring timely and accurate handling of 2nd requests, referrals, and escalated patient calls.
• Maintains confidentiality in all aspects of the position.
• Demonstrates a positive attitude, clear communication, active listening, and conflict prevention by focusing on issue resolution.
• Displays patience, tactfulness, effective time management, and prioritization of daily workload.
• Stays current on system applications and trains staff on Cerner Profit, Cerner Workflow, Revenue Manager, Patient Records, Medicare Online System (FISS), MREP, Application Xtender, PC Print, Record Link, Powerchart, Word, Excel, Outlook, and payer websites.
• Provides backup for staff shortages to maintain workflow.
• Participates in in‑service, continuing education, and meetings as directed by management.
• Assists the supervisor in monitoring workflow and providing data for reporting.
• Writes and maintains procedure manuals related to accurate handling of assigned work.
• Identifies and trends issues to improve or streamline processes.
• Handles special projects and assigned special duties, including system testing as needed.
• Performs daily/weekly management‑directed duties.

Qualifications

• High school diploma, GED, or equivalent.
• Two or more years of experience in a healthcare business office setting, including third‑party reimbursement and electronic claim submission.
• Full understanding of ICD‑9, ICD‑10, CPT‑4, and HCPCS coding.
• One year of lead or supervisory experience preferred.
• Experience with patient accounting software, payer websites, and electronic billing scrubbers.
• Knowledge of Cerner RCA/Profit, Revenue Manager, Patient Records, Medicare Online System (FISS), MREP, Application Xtender, Record Link, Powerchart, PC Print, and payer websites.
• Excellent communication skills and ability to analyze and resolve data issues.
• Analytical ability to review high‑level accounts and determine appropriate action.
• Ability to communicate professionally with patients, attorneys, staff, and insurance companies.

Physical Requirements

Light work: up to 20lb. Physical activities include balancing, climbing, carrying, crawling, crouching, kneeling, lifting, pulling, pushing, reaching, standing, stooping/bending, twisting, and walking. Frequent use of hearing, vision, speaking, and constant use of keyboarding/typing and sitting.

Job Hazards

Not related: biological agents, noise, temperature, lighting, wet floors, and other hazards of a non‑ordinary office environment. Equipment hazards: electrical shock/ static, radiation, explosives, mechanical moving parts. Rare hazards include chemical agents such as toxic, corrosive, or flammable substances.

EEO Statement

Nebraska Methodist Health System is an affirmative action/equal opportunity employer and does not discriminate on the basis of race, color, religion, sex, age, national origin, disability, veteran status, sexual orientation, gender identity, or any other classification protected by federal, state or local law.