Nebraska Methodist Health System · 15 hours ago
Senior Patient Billing Representative
Nebraska Methodist Health System is committed to providing exceptional care to the communities it serves. The Senior Patient Billing Representative will work with billing staff to ensure job duties meet the Health System's standards, serve as a resource for staff, and assist in training and communication regarding policies and procedures.
Health CareHospitalMedicalNon Profit
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
Participate in mandatory in-service and continuing education programs as mandated by policy and procedure/external agencies as directed by supervisor
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
Health System Applications Used: Cerner RCA/Profit, Revenue Manager, Patient Records, Medicare online System (FISS), MREP, Application Xtender, Record Link, Powerchart, PC Print and/or all Payers Websites
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
Light Work - Exerting up to 20 pounds of force
Preferred
Minimum 1 year of lead or supervisory experience preferred
Benefits
Competitive pay
Excellent benefits
Company
Nebraska Methodist Health System
Our mission is simple: improving the health of our communities by the way we care, educate and innovate.
H1B Sponsorship
Nebraska Methodist Health System has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (9)
2024 (6)
2023 (8)
2022 (10)
2021 (2)
2020 (7)
Funding
Current Stage
Late StageRecent News
bloomberglaw.com
2024-11-05
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