Insurance Processing Associate

Position Overview

Join our team at Nebraska Medicine as an Insurance Processing Associate for our Patient Financial Services team! We’re searching for a dedicated individual to provide exceptional customer support at our ECCP location in the Mutual of Omaha building, Omaha, Nebraska near 33rd and Farnam. In this role, you will play a pivotal role in efficiently handling insurance-related inquiries and tasks by collaborating with patients, insurance providers, and internal teams to ensure accurate and timely verification of insurance and resolution of internal claim edits. Exceed productivity and quality benchmarks, contribute to team goals, and adhere to policies and regulations. For any questions regarding this position, please contact Jana Whitmarsh at jwhitmarsh@nebraskamed.com.

Monday–Friday with flexible start times between 6:30 and 9:00 AM, followed by an 8-hour shift (office closes at 5:30 PM). (Training hours: 7:00 AM–3:30 PM). There is potential to work from home after a 6-month training period. Applicants must be located in either Nebraska or Iowa.

Key Responsibilities

• Provide customer service through efficient processing of required information during scheduling, pre-registration/pre-admission, and insurance verification in a timely, organized, courteous, and professional manner.
• Verify eligibility and benefits related to insurance coverage, including co-pay requirements, deductibles, out-of-pocket expenses, lifetime maximums, and obtain authorization and referral requirements on defined organizational accounts.
• Complete the pre-registration process for ambulatory clinics.

Required Qualifications

• High school education or equivalent required.
• Minimum of two years of post-secondary education with coursework in business, medical assistant program, or nursing assistant program OR an equivalent combination of education/experience in accounts receivable, health care billing, or customer service (one year of education equals one year of experience) required.
• Multi-tasking and problem-solving abilities required.
• Knowledge of computer-based programs such as Microsoft Excel and Word required.
• Strong verbal and written communication skills required.
• Strong organizational skills with an aptitude for detail-oriented work required.
• Ability to type a minimum of 30 words per minute with 90% accuracy required.

Preferred Qualifications

• Prior experience in an insurance or medical office environment preferred.
• Associate's degree in business administration or college-level business coursework preferred.
• Certified coder preferred.
• Knowledge of Correct Coding Initiative (CCI), Outpatient Code Editor (OCE), National Coverage Determination (NCD), and Local Coverage Determination (LCD) edits preferred.
• Knowledge of third party payer edits preferred.
• Working knowledge of medical terminology including International Classification of Diseases (ICD), Current Procedural Terminology (CPT), and Healthcare Common Procedure Coding System (HCPCS) coding preferred.
• Knowledge of databases and flowcharting processes preferred.
• 9005ICAL terminology preferred.

Benefits & Perks

• Educational Support: Enjoy up to $5,000/year in tuition assistance, a 35% discount at Clarkson College, and career advancement opportunities with covered educational costs.