Insurance Processing Associate

About this role

Serious Medicine is what we do. Being extraordinary is who we are. Every colleague plays a key role in upholding this promise to our patients and their families.

Shift: First Shift (United States of America)

Shift Details:    40 hrs/wk Flexible start times between 6:30am - 9am

Why Work at Nebraska Medicine? • Together. Extraordinary. Join a team that values your skills, delivering exceptional care through collaboration. • Leading Health Network Work with the region’s top academic health network, partnering with UNMC to transform lives through education, research, and patient care. • Dignity and Respect: We value all backgrounds and experiences, reflecting the communities we serve. • Educational Support Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs. Enjoy support for your personal growth within the organization, from those just starting their healthcare careers to those who are years down the path.

Be part of something extraordinary at Nebraska Medicine!

Provide customer service through efficient processing of required information throughout the process of scheduling, pre-registration/pre-admission, and insurance verification in a timely, organized, courteous and professional manner. Verify eligibility and benefits related to insurance coverage including co-pay requirements, deductibles, out of pocket, life time maximums, and obtain authorization and referral requirements on defined organizational accounts. Complete pre-registration process for ambulatory clinics.

Required Qualifications:

• High school education or equivalent required.

• Minimum of two years post-secondary education with coursework in business, medical assistant program or nursing assistant program OR equivalent combination of education/experience in accounts receivable, health care billing or customer service (one year of education equals one year of experience) required.

• Multi-tasking and problem solving abilities required.

• Knowledge of computer based programs such as Microsoft Excel and Word required.

• Strong verbal and written communication skills required.

• Strong organizational skills with aptitude for detail oriented work required.

• Ability to type a minimum of 30 words per minute with 90% accuracy required.

Preferred Qualifications:

• Prior experience in an insurance or medical office environment preferred.

• Associate's degree in business administration or college level business coursework preferred. • Certified coder preferred.

• Knowledge of Correct Coding Initiative (CCI), Outpatient Code Editor (OCE), National Coverage Determination (NCD), and Local Coverage Determination (LCD) edits preferred.

• Knowledge of third party payer edits preferred.

• Working knowledge of medical terminology including International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding preferred.

• Knowledge of databases and flowcharting processes preferred.

• 9005ICAL terminology preferred.

Nebraska Medicine is an Equal Opportunity Employer.  All qualified applicants will receive consideration for employment without regard to race, color, religion, marital status, sex, age, national origin, disability, genetic information, sexual orientation, gender identity and protected veterans’ status.

Similar jobs

• Insurance Operations Associate — GAIG · Shaker Heights, OH (USA)
• Insurance Coverage Associate — Clydeco · Seattle
• Insurance Placement Coordinator — Bb Insurance · Tallahassee, FL
• Insurance Risk Associate — Morgan Stanley · Dallas, Texas, United States
• Insurance Account Executive — Simmonsbank · Kansas City, MO | Fort Worth, TX | Clayton, MO
• Insurance Account Executive — Simmonsbank · Jackson, TN | Nashville, TN | Memphis, TN
• Insurance Placement Specialist — Cottinghambutlerinsuranceservicesinc · Dallas, Texas, United States
• Insurance Placement Specialist — Bb Insurance · Daytona Beach, FL