Nebraska Methodist College · 17 hours ago
Senior Patient Billing Representative
Methodist Corporate Office - Omaha, NE
Full-time
Onsite
Mid, Senior Level
3+ years expNebraska Methodist Health System is focused on providing exceptional care to the communities they serve. They are seeking a Senior Patient Billing Representative who will ensure that all job duties are performed to the Health System's standards, assist in training new employees, and handle escalated patient calls.
Higher Education
Responsibilities
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
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
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
Displays Organizational Skills
Prioritization of daily workload
Effective use of time
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
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
Qualification
Required
High school diploma, General Educational Development (GED) or equivalent required
Requires 3 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
Requires prior experience with patient accounting software, payer websites, and electronic billing scrubbers and maintain working knowledge of multiple system applications
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 patient's, attorneys; Health System Staff and Insurance Companies at a professional level
Requires the ability to understand advanced accounting and business principals to enable accurate auditing of patient accounts, execution of claims scrubbers and ability to read EOB's
Preferred
Minimum 1 year of lead or supervisory experience preferred
Benefits
Competitive pay
Excellent benefits
Company
Nebraska Methodist College
Established in 1891, Nebraska Methodist College is a private, fully accredited nursing and healthcare professions college and an affiliate of Methodist Health System.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Sarah Murphy
Chief Student Officer & Dean of Students
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