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Medical Claims Associate Jobs in Nebraska (NOW HIRING)

Charles Drew Health Centers

Billing Specialist

Omaha, NE · On-site

$19.50 - $27.41/hr

This includes resolving internal claim edits to ensure claims are submitted cleanly including ... Associates Degree in Medical Billing and Coding preferred. Two years of billing experience strongly ...

Inland Imaging

Insurance Specialist

Inland, NE · On-site

$20.43 - $30.65/hr

Performs medical billing functions to third party claims. Reviews unpaid claims and straightforward ... Business Associates will be checked against the LIST OF EXCLUDED INDIVIDUALS provided by the ...

Shopko Optical

PT Optical Sales Associate

Lincoln, NE · On-site

$14 - $17.25/hr

Process medical billing information. Maintain frame inventory. DUTIES AND RESPONSIBILITIES ... claims · Explain promotions and special lens offerings to patients and customers · Balance ...

Timpte Inc

Product Engineer

Lincoln, NE · On-site

$85K/yr

Medical/Dental/Vision * Generous PTO and Holiday Pay * Yearly Golf Membership * 401k Match * And ... Work with Warranty to identify and rectify product/component problems identified by warranty claims ...

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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.

Billing Specialist

Omaha, NE • On-site

Charles Drew Health Centers
See more jobs at Charles Drew Health Centersexternal

$19.50 - $27.41/hr

Full-time

Re-posted 15 days ago

Job description

POSITION SUMMARY: We are looking for a goal oriented, revenue driven, highly accurate and motivated biller to join our team. The Billing Specialist will review charges submitted and process claims for payment and application of the sliding fee schedule.  This includes resolving internal claim edits to ensure claims are submitted cleanly including adjustment claims, correction of rejections and/or denials. This position is also responsible for responding to patient billing inquiries. Secondary duties include, but are not limited to: entry of patient demographic information, guarantor and insurance information and patient payment processing.

POSITION-SPECIFIC COMPETENCIES/ESSENTIAL FUNCTIONS/DUTIES & RESPONSIBILITIES

  • Computer proficiency particularly experience using practice management software, word processing and spreadsheet applications, with a minimum of 40 wpm typing speed and 10-key by touch
  • Experience in CPT and ICD-9 coding
  • Timely follow-up on insurance claim denials, exceptions or exclusions with experience in filing claim appeals with insurance companies to maximize entitled reimbursement
  • Ability to submit all claims with minimal to no errors, and verify completeness and accuracy of all claims prior to submission
  • Ability to read and interpret insurance explanation of benefits
  • Meet regularly with Revenue Cycle Team to discuss and resolve reimbursement issues or billing obstacles, and attend monthly staff meetings and continuing educational sessions as requested
  • Ability to manage relationships with various insurance payers
  • Responsible and professional use of confidential information with the ability to make necessary arrangements with medical records for the completion of additional information requests, etc. as requested by insurance companies
  • Perform to company compliance standards with policies and procedures
  • Excellent customer service skills
  • Kempt appearance with satisfactory dictation and demeanor, and a positive attitude
  • Other duties as assigned.
POSITION REQUIREMENTS
  • Education:  High School diploma or equivalent required.  Associates Degree in Medical Billing and Coding preferred.  Two years of billing experience strongly preferred.
  • Experience: Computer proficiency
  • Expertise:     Strong interpersonal and organizational skills, Proficient verbal, written, and reporting, Microsoft applications (experience with Excel required), internet, email. Experience collecting, reviewing, and presenting data. Good record keeping methods. Ability to achieve measureable outcomes. Ability to manage time, multi-task, and work with patients, clients, and fellow employees. Familiarity with medical terminology
  • Language:     English fluency
  • Work Hours: Monday –Friday 8:00am – 7:00pm (flexible)
  • Travel:           Minimal
  • Exposure:      The exposure characteristics described here are representative of those an employee encounters while performing the essential functions of this position.  For example, while performing the essential functions of this job, the employee seldom is exposed to fumes or airborne particles and toxic or caustic chemicals.  Additionally, the employee may occasionally be exposed to blood borne and other hazardous chemicals.  Finally, the noise level in the work environment can seldom be quite loud.  In all cases personal protective equipment will be provided to the employee in combination with adequate ventilation and other engineering controls to minimize the risk of exposure or other hazardous occurrence
  • Physical: Reasonable accommodation may be made to enable individuals with special challenges to perform these essential functions.
 

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