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Methodist Billing Jobs in Nebraska (NOW HIRING)

Methodist Health System

Patient Billing Rep I

Omaha, NE · On-site

$16.50 - $21.25/hr

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we ... Reviews Billing Scrubber Claim Detail Screens to ensure data is appropriate for claim submission.

Ovationhealthcare

Specialist, Billing

Holdrege, NE · On-site

$23 - $31.25/hr

Process electronic and paper claims accurately and timely, ensuring compliance with CAH reimbursement methodologies and payer-specific billing requirements * Resolve clearinghouse and DDE claim ...

Ovation Healthcare

Specialist, Billing

Holdrege, NE · On-site

$23 - $31.25/hr

Process electronic and paper claims accurately and timely, ensuring compliance with CAH reimbursement methodologies and payer-specific billing requirements * Resolve clearinghouse and DDE claim ...

Bryan Health

Billing Manager

Lincoln, NE · On-site

Maintains compliance with HIPAA, reimbursement methodologies (IPPS/OPPS), NCCI edits, and payer ... Analyzes trends in billing errors, late charges, and payer behaviors to improve outcomes. 17.

Bryan Health

Billing Manager

Lincoln, NE · On-site

Maintains compliance with HIPAA, reimbursement methodologies (IPPS/OPPS), NCCI edits, and payer ... Analyzes trends in billing errors, late charges, and payer behaviors to improve outcomes. 17.

Bryan Health

Billing Manager

Lincoln, NE

Maintains compliance with HIPAA, reimbursement methodologies (IPPS/OPPS), NCCI edits, and payer ... Analyzes trends in billing errors, late charges, and payer behaviors to improve outcomes. 17.

Charles Drew Health Center

Billing Specialist

Omaha, NE · On-site

$19.50 - $27.41/hr

The Billing Specialist will review charges submitted and process claims for payment and application ... Good record keeping methods. Ability to achieve measureable outcomes. Ability to manage time, multi ...

Charles Drew Health Centers

Billing Specialist

Omaha, NE · On-site

$19.50 - $27.41/hr

The Billing Specialist will review charges submitted and process claims for payment and application ... Good record keeping methods. Ability to achieve measureable outcomes. Ability to manage time, multi ...

The Reserves Network Inc

AR & Billing Specialist

Omaha, NE

$19.25 - $25.50/hr

AR & Billing Specialist | West Omaha, NE | On-Site | Direct Hire | $55-65K + Bonus, Benefits An ... methods. * Research unidentified payments and ensure cash is applied to the correct customer ...

Methodist Health System

Certified Coder I

Omaha, NE · On-site

$21.75 - $29/hr

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we ... Reviews hospital billing charges with physicians to ensure accuracy by checking charges and ...

Methodist Health System

Certified Coder I

Omaha, NE · On-site

$21.75 - $29/hr

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we ... Reviews hospital billing charges with physicians to ensure accuracy by checking charges and ...

Methodist Health System

Certified Coder I

Omaha, NE

$21.75 - $29/hr

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we ... Reviews hospital billing charges with physicians to ensure accuracy by checking charges and ...

Methodist Health System

Certified Coder I

Omaha, NE

$21.75 - $29/hr

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we ... Reviews hospital billing charges with physicians to ensure accuracy by checking charges and ...

Methodist Health System

Certified Coder I

Omaha, NE · On-site

$21.75 - $29/hr

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we ... Reviews hospital billing charges with physicians to ensure accuracy by checking charges and ...

Methodist Health System

Pre-Access Advocate

Omaha, NE · On-site

$17 - $22/hr

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we ... Provides patient assistance when needed regarding resolving billing issues, refund, or collection ...

Methodist Health System

Pre-Access Advocate

Omaha, NE · On-site

$17 - $22/hr

At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we ... Provides patient assistance when needed regarding resolving billing issues, refund, or collection ...

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All JobsMethodist Billing JobsMethodist Billing Jobs in Nebraska

Methodist Billing information

What are some common challenges faced in Methodist billing roles and how can candidates prepare for them?

Professionals in Methodist Billing often encounter challenges such as navigating complex insurance policies, ensuring compliance with healthcare regulations, and managing high volumes of patient accounts. Staying updated with the latest billing software and payer requirements is essential. Candidates can prepare by gaining familiarity with electronic health record (EHR) systems, maintaining strong attention to detail, and cultivating effective communication skills to resolve discrepancies with patients and insurers promptly.

What is Methodist billing?

Methodist Billing refers to the process of managing and processing medical bills and insurance claims for healthcare services provided by Methodist hospitals or healthcare systems. This typically includes verifying patient insurance coverage, submitting claims to insurance companies, handling patient billing inquiries, and ensuring compliance with healthcare billing regulations. Methodist Billing professionals play a vital role in ensuring the financial health of the organization and making sure patients are billed accurately for the services they receive.

What is the difference between Methodist Billing vs Medical Billing?

AspectMethodist BillingMedical Billing
CredentialsTypically requires medical billing certifications, knowledge of healthcare codingRequires similar certifications, including CPC or CMA certifications
Work EnvironmentWorks primarily within Methodist healthcare facilities or systemsWorks across various healthcare providers, clinics, and hospitals
Employer & Industry UsageSpecific to Methodist healthcare systemUsed broadly across healthcare industry
Common Search & ComparisonOften compared due to similar roles and responsibilitiesCommonly contrasted with Methodist Billing in job searches

Methodist Billing and Medical Billing share similar roles involving healthcare coding and insurance claims. Methodist Billing is specific to Methodist healthcare facilities, while Medical Billing applies across various healthcare providers. Both require comparable certifications and skills, but Methodist Billing is more specialized within the Methodist system.

What are the key skills and qualifications needed to thrive as a Methodist billing specialist?

To thrive as a Methodist Billing Specialist, you need a solid understanding of medical billing and coding, insurance claim processing, and healthcare reimbursement, typically supported by experience in healthcare billing or a related certification. Familiarity with billing software, electronic health record (EHR) systems, and coding systems like ICD-10 and CPT is essential. Attention to detail, strong organizational skills, and effective communication are crucial soft skills for managing complex billing information and liaising with patients and insurance providers. These skills and qualifications ensure accurate billing, timely reimbursements, and compliance with healthcare regulations, which are vital for the financial health of medical practices.
What are popular job titles related to Methodist Billing jobs in Nebraska? For Methodist Billing jobs in Nebraska, the most frequently searched job titles are:
What job categories do people searching Methodist Billing jobs in Nebraska look for? The top searched job categories for Methodist Billing jobs in Nebraska are:
What cities in Nebraska are hiring for Methodist Billing jobs? Cities in Nebraska with the most Methodist Billing job openings:
Methodist Billing jobs near you

Patient Billing Rep I

Methodist Health System

Omaha, NE • On-site

$16.50 - $21.25/hr

Full-time

Re-posted 11 days ago

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, 7:00am to 3:30pm
Responsible for billing, electronic claims submission, follow up and collections of patient accounts.
Responsibilities:
Essential Functions
Electronic and Hardcopy Billing
  • All EDI and paper claims submitted are to be billed as needed following department and payer specific guidelines.
  • Obtains appropriate EOB's through use of health system resources.
  • Reviews Billing Scrubber Claim Detail Screens to ensure data is appropriate for claim submission.
  • Ensure that claim corrections identified in billing scrubber are appropriately updated and documented in Source System.
  • Prepares secondary and tertiary billings, manually and electronically on UB04's and/or 1500's for accurate reimbursement.
  • Submits adjusted UB04/837I and/or CMS1500/837P claims according to department and payer specific guidelines.

Display Effective Communication Skills
  • Demonstrates active listening skills.
  • Notifies and keeps leads and supervisors informed on issues identified.
  • Follows telephone etiquette procedures set forth by the organization and/or individual department.
  • Professional/Courteous responses when communicating with customers, health system staff and management.

Handling of Referrals
  • Timely and accurately handling of referrals, both regular and escalated priority from management, within department guidelines.
  • Documents clearly and appropriately all referrals (including patient inquiries) in the Source System when necessary.
  • If necessary, follows up with patients on final results of inquiry both timely and professionally. Notifies patient of final results of account handling in question.

Knowledge of System Applications
  • Demonstrates ability to learn and maintain a working knowledge on all the current health system applications.
  • Identify/obtain/print medical records as necessary for resolution of denial or system edits according to department guidelines.

Auditing of Patient Accounts
  • Understand accounting and business principles to accurately determine the remaining balance on a given encounter.
  • Upon accurately auditing encounter or visit, is able to understand and update proration to make sure dollars are allocated to the appropriate benefit orders if needed.
  • Leverages all needed resources to complete an audit of an account.
  • Documents audit finding and actions taken in Source System when necessary.

Claim Follow Up with Third Party Payers
  • Full understanding of all necessary third party billing and follow up processes based on department specifications.
  • Full understanding of all necessary contract related requirements.
  • Leverages payer websites and necessary tools to streamline the follow up process.
  • Appropriate documentation in Source System when necessary.
  • Ability to interpret correspondence assigned for accurate handling.

Special Projects and Tasks as Assigned
  • Completion of any assigned projects timely, accurately and to the specifications of leadership.
  • Ensure Daily/Weekly/Monthly assignments are handled accurately and timely.

Maintaining Daily Workflow
  • Manages and maintains assigned workflow queues according to department guidelines.
  • Mail/Correspondence processed and handled following departmental guidelines.
  • Documents both timely and appropriately in Source System using proper documentation methods.
  • Fundamental understanding of different work item, state based and exception queues within the Patient Accounting System applications.

Schedule:
Mon - Fri, 7:00am to 3:30pm
Job Description:
Job Requirements
Education
  • High school diploma, General Educational Development (GED) or equivalent required
  • Coursework in Coding, Billing or Healthcare Management normally acquired through enrollment in a secondary education institution or online classes through the American Heath Information Management Association (AHIMA) preferred.

Experience
  • Minimum of one (1) year prior experience in healthcare third party billing and/or claims processing preferred.
  • Prior exposure to UP04 and/or CMS1500 claim data normally acquired through work in a physician's office or other healthcare setting preferred.

License/Certifications
  • N/A

Skills/Knowledge/Abilities
  • Skill in interpreting UB04 and/or CMS1500 claim data to be able to troubleshoot claim edits and resolve payer billing requirements both timely and accurately.
  • Ability to create and submit both original and corrected claims.
  • Ability to audit accounts and payer explanation of benefits (EOBs) to determine appropriate action.
  • Ability to use effective communication skills in order to handle patient inquires, attorneys, health system staff and payers on a professional level.
  • Knowledge and understanding of accounting and business principles to enable accurate auditing of patient accounts.
  • Ability to follow up with the 3rd party payers for claims and appeals submitted to ensure timely and accurate processing.
  • Ability to maintain a working knowledge of multiple system applications.

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%):
    • Fingering/Touching
    • 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.

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