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Medical Claims Associate Jobs in Nebraska (NOW HIRING)

NRECA

Specialty Claims Associate

Lincoln, NE

$48K - $60K/yr

Specialty Claims Associate Location: Lincoln, Nebraska Join a Mission-Driven Organization Are you ... Comprehensive medical, dental, and vision benefits; 401(k) with employer match; Pension plan; PTO ...

Great American Insurance Group

$20 - $27/hr

Position Overview The Claims Operations Associate II provides operational and administrative ... Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ...

Trice Healthcare

Coding Payment Resolution Spec

York, NE · On-site

$18.50 - $23.50/hr

... claims, or other coding reasons and processing charge corrections based on medical record reviews ... High school diploma or Associate degree in Accounting or Business Administration or related field ...

Progressive

Claims Adjuster Trainee

Omaha, NE · Hybrid

$54K - $57K/yr

Two years work experience and an associate degree Schedule : During training, Monday - Friday, 8 ... Medical, dental & vision, including free preventative care * Wellness & mental health programs

CHI Health Clinic

Denials Coder

Omaha, NE · On-site +1

$19.87 - $28.06/hr

Job Summary and Responsibilities As a Medical Coder, you will ensure precise communication with ... Resubmits claims with necessary information when requested through paper or electronic methods.

CommonSpirit Health

Denials Coder

Omaha, NE · On-site

$16.75 - $22.50/hr

As a Medical Coder, you will ensure precise communication with insurance companies so that services ... Resubmits claims with necessary information when requested through paper or electronic methods.

CHI Health Clinic

Denials Coder

Omaha, NE · On-site +1

$19.87 - $28.06/hr

Job Summary and Responsibilities As a Medical Coder, you will ensure precise communication with ... Resubmits claims with necessary information when requested through paper or electronic methods.

CommonSpirit Health

Denials Coder

Omaha, NE · On-site

$16.75 - $22.50/hr

As a Medical Coder, you will ensure precise communication with insurance companies so that services ... Resubmits claims with necessary information when requested through paper or electronic methods.

CHI Health Clinic

Denials Coder

Omaha, NE · Remote

$19.87 - $28.06/hr

Job Summary and Responsibilities As a Medical Coder, you will ensure precise communication with ... Resubmits claims with necessary information when requested through paper or electronic methods.

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All JobsMedical Claims Associate JobsMedical Claims Associate Jobs in Nebraska

Medical Claims Associate information

What does a medical claims associate do?

A Medical Claims Associate is responsible for reviewing, processing, and adjudicating medical insurance claims submitted by healthcare providers or policyholders. They verify the accuracy of claims, ensure compliance with insurance policies, and determine the appropriate payment or denial based on guidelines. The role involves communication with healthcare providers, patients, and insurance companies to resolve discrepancies or gather additional information. Medical Claims Associates play a crucial part in ensuring that claims are handled efficiently and accurately, contributing to the smooth operation of healthcare reimbursement processes.

What are the key skills and qualifications needed to thrive as a medical claims associate, and why are they important?

To thrive as a Medical Claims Associate, you need strong knowledge of medical terminology, health insurance policies, and claims processing, often supported by a high school diploma or associate degree. Familiarity with claims management software, coding systems like ICD-10 or CPT, and basic office applications is essential. Attention to detail, problem-solving, and effective communication are vital soft skills for accuracy and client interactions. These skills ensure timely, accurate claims processing and help prevent errors or fraud, supporting efficient healthcare operations.

What are some common challenges faced by medical claims associates, and how can they be effectively managed?

Medical Claims Associates often encounter challenges such as managing high volumes of claims, navigating complex insurance policies, and ensuring accuracy under tight deadlines. To address these, it's important to develop strong organizational skills, keep up-to-date with the latest policy changes, and utilize available claims processing software efficiently. Additionally, collaborating closely with healthcare providers and insurance representatives can help clarify discrepancies and resolve issues more quickly, making teamwork and communication key assets in this role.

What is the difference between Medical Claims Associate vs Medical Billing Specialist?

AspectMedical Claims AssociateMedical Billing Specialist
CredentialsHigh school diploma; certification often preferredHigh school diploma; certification often preferred
Work EnvironmentHealthcare offices, insurance companiesHealthcare offices, billing companies
Primary ResponsibilitiesReview and process insurance claims, ensure accuracyGenerate bills, submit claims, follow up on payments
Industry UsageInsurance companies, healthcare providersHealthcare providers, billing services

While both roles involve working with healthcare payments, a Medical Claims Associate primarily reviews and processes insurance claims to ensure accuracy and compliance. In contrast, a Medical Billing Specialist focuses on generating bills, submitting claims, and managing payment collections. Both roles require similar credentials and often work in healthcare or insurance settings, but their core functions differ in the claims review versus billing process.

Is claims processing a stressful job?

Claims processing as a Medical Claims Associate can be stressful due to the need for accuracy, attention to detail, and meeting deadlines. The role often involves handling complex information and working under time constraints, which can contribute to job-related stress. However, workload and stress levels vary depending on the employer and individual workload management skills.

What are the most commonly searched types of Medical Claims jobs in Nebraska?

The most popular types of Medical Claims jobs in Nebraska are:

What cities in Nebraska are hiring for Medical Claims Associate jobs?

Cities in Nebraska with the most Medical Claims Associate job openings:

Medical Claims Associate jobs near you
Infographic showing various Medical Claims Associate job openings in Nebraska as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 17% Part Time, and 6% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Specialty Claims Associate

Lincoln, NE • On-site

National Rural Electric Cooperative Association
See more jobs at National Rural Electric Cooperative Associationexternal

$48K - $60K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

Job description


Specialty Claims Associate
Location: Lincoln, Nebraska
Join a Mission-Driven Organization
Are you detail-oriented, customer-focused, and passionate about helping people navigate their specialty benefit accounts? NRECA is seeking a Specialty Claims Associate to join our Insurance & Financial Services team in Lincoln, Nebraska. Join a team that's proud to be named one of Lincoln's Best Places to Work!
About NRECA
NRECA is the national trade association representing more than 900 consumer-owned electric cooperatives across the United States. We provide advocacy, financial services, and business solutions that help electric cooperatives serve their communities. The work in the Insurance & Financial Services department (I&FS) is diverse, intellectually engaging, and deeply impactful. They foster a culture of belonging, driven by values like communication, creative problem-solving, and accountability. If you're motivated by purpose, enjoy variety, and care about people and outcomes, this is the team for you.
What We Offer
Competitive compensation; Comprehensive medical, dental, and vision benefits; 401(k) with employer match; Pension plan; PTO and holidays; Wellness programs; Professional development opportunities; Hybrid work environment.
Position Summary
The Specialty Claims Associate processes and adjudicates FSA and HRA claims, research claim information, and delivers exceptional member service while meeting productivity and quality standards. The work schedule is 8:15 a.m. to 5:00 p.m. and the position is eligible for NRECA's hybrid schedule which allows flexibility to work from home up to 2 days per/week.
Key Responsibilities
  • Process FSA and HRA claims accurately and efficiently.
  • Review and analyze claim documentation and eligibility.
  • Respond to member inquiries via phone, email, fax, and correspondence.
  • Analyzes and responds to requests for information and claim reconsideration reviews and follows policies and procedures to make decisions on reconsideration requests.
  • Re-adjudicates basic claim corrections on the claim software.
  • Communicate with members and providers regarding claim status.
  • Maintain accurate claim records and documentation.

Qualifications
Education, Experience, and Certifications (required and preferred)
  • Required Education: High school diploma or GED
  • Preferred Education: Associate degree in a business-related field
  • Required Experience: Medical office experience with exposure to medical billing, claims processing, verifying medical benefits with insurance companies, or has at least two years in healthcare or insurance related field. Effective telephone customer service skills.
  • Preferred Experience: Experience in FSA/HRA plans, claims processing.

Knowledge, Skills and Abilities (as demonstrated by prior work experience)
  • Knowledge of medical insurance plans and healthcare benefits.
  • Strong interpersonal skills and member service orientation.
  • Strong analytical and problem-solving skills.
  • Excellent customer service and communication skills.
  • Proficiency with Microsoft Office applications.
  • Ability to manage multiple priorities with attention to detail.
  • Ability to report to the office when required.

Essential Physical Requirements
  • Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job.
  • Primarily sedentary work with extended periods of sitting.
  • Visual acuity is sufficient for computer work and data analysis.
  • Manual dexterity for frequent keyboard use.
  • Occasional light lifting (up to 10 lbs).
  • Effective communication in person, by phone, and via email.

Salary Range: $48,000 - $60,000
Final Compensation determined by individual qualifications, experience, and internal equity.
Disclaimer Statement: The preceding job description has been written to reflect management's assignment of essential functions. It does not prescribe or restrict the tasks that may be assigned.
Additional Requirement:
The preceding job description has been written to reflect management's assignment of essential functions. It does not prescribe or restrict the tasks that may be assigned. All qualified applicants will receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, disability, veteran status, or other legally protected status.
NRECA is committed to working with and providing reasonable accommodation to individuals with physical and mental disabilities. If you need special assistance or an accommodation while seeking employment, please e-mail humanresources@nreca.coop or call: 703-907-5992 - NRECA Arlington Human Resources. Please call 402-483-9275 - NRECA Lincoln Human Resources, for Lincoln, NE employment opportunities. We will make a determination on your request for reasonable accommodation on a case-by-case basis.
The U.S. Equal Employment Opportunity Commission (EEOC) recently released the 'Know Your Rights' poster, which updates and replaces the previous "EEO is the Law" poster and "EEO Is the Law Poster Supplement".
Pay Transparency Non-Discrimination. NRECA will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay. Please see the Pay Transparency Nondiscrimination Provision for more information.
E-Verify. As a Federal Contractor, NRECA is required to participate in the E-Verify Program to confirm eligibility to work in the United States. For information please click on the following link: E-Verify.
For more information about life at NRECA please visit www.Electric.coop.

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