Sr. Patient Billing Rep

Nebraska Methodist Health System; Omaha (NE); On-site; USD 40,000 - 80,000; Full time

Benefits offered by this job

Competitive Pay

Excellent Benefits

Flexible Work Schedule

Professional Development Opportunities

Job summary

An established industry player is seeking a dedicated individual to join their Business Office team. This role involves providing essential support to staff, ensuring efficient handling of patient accounts, and maintaining compliance with regulatory requirements. You will play a key role in training new employees and enhancing workflow processes while demonstrating excellent communication and analytical skills. Join a team that values its members and makes a real difference in the community by delivering high-quality care and support. If you are passionate about healthcare and thrive in a collaborative environment, this is the perfect opportunity for you.

Qualifications

• 2+ years in a business office setting with health care reimbursement experience.
• Strong understanding of coding systems and patient accounting software.

Responsibilities

• Serve as a resource for Business Office staff and assist in training new employees.
• Handle referrals and escalated patient calls accurately and timely.

Skills

ICD-9 Coding

ICD-10 Coding

CPT-4 Coding

HCPCS Coding

Communication Skills

Analytical Skills

Time Management

Organizational Skills

Problem-Solving

Education

High School Diploma or GED

Tools

Cerner Profit

Cerner Workflow

Revenue Manager

Patient Records

Medicare Online System (FISS)

MREP

Application Xtender

PC Print

Record Link

Powerchart

Microsoft Word

Microsoft Excel

Microsoft Outlook

Job description

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 4:30pm, with some flexibility after training is complete.

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 workflow.
• 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.

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.
• Requires Analytical ability to review high level accounts to determine appropriate action.
• Must have effective communication skills for handling patients, attorneys, Health System Staff and Insurance Companies at a professional level.
• Requires the ability to understand advanced accounting and business principles to enable accurate auditing of patient accounts, execution of claims scrubbers and ability to read EOBs.

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

About Methodist:

Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility. From the day Methodist Hospital was chartered in 1891, service to our communities has been a top priority. Financial assistance, health education, outreach to our diverse communities and populations, and other community benefit activities have always been central to our mission.

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.