University of Nebraska Medical Center
Overview
Billing Appeals Analyst will establish billing process at MMI and ensure timely submission of accurate claims data and timely and accurate account follow-up (including adjustment claims, reconsiderations, and adjustment requests) across all MMI programs while effectively communicating with patients, caregivers, providers, and insurance companies to facilitate prompt and accurate payment from third-party payors and others.
About Us The Munroe-Meyer Institute (MMI), located off the main UNMC campus in Omaha's Aksarben district, is housed in a purpose-built facility designed to support the Institute's mission of community service and employee development. The site provides convenient on-site parking and access to an employee fitness center, fostering a professional and welcoming work environment.
Munroe-Meyer Institute: https://www.unmc.edu/mmi/
To learn more about the University of Nebraska, visit the sites below.
University of Nebraska Strategic Plan Odyssey to Extraordinary https://nebraska.edu/strategic-plan
Get to know Nebraska https://nebraska.edu/get-to-know-nebraska
University of Nebraska Medical Center Campus https://www.unmc.edu/aboutus/index.html and https://www.unmc.edu/aboutus/facts.html
University of Nebraska Faculty & Staff Benefits https://nebraska.edu/faculty-and-staff
Qualifications
Bachelor's degree
1 year increasingly responsible administrative experience to include healthcare compliance and/or revenue cycle
Microsoft Excel, Microsoft Word, Microsoft Outlook
Will consider five years education/related experience of which 2 years must include post high school education.
Demonstrated organizational skills with the ability to work independently and to prioritize workload and set deadline.
Strong communication skills necessary. Must be able to interface in a professional manner with individuals at all levels. Strong customer focus skills essential. Ability to communicate with people in a supportive capacity.
Knowledge of Medicare, Medicaid and Third Party Insurance billing protocols and guidelines.
Ability to follow-up with 3rd party payers for claims and appeals submitted to ensure timely and accurate processing.
Familiarity with medical billing such as CPT, HCPCS, ICD9 coding. Ability to handle confidential matters discreetly.
Skill in interpreting CMS 1500 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.
Preferred Qualifications
Master's degree in Business Administration, Healthcare, or related field
One Chart/EPIC
Knowledge of professional revenue cycle process
Certification through hospital or professional revenue cycle organization. CPC Code Certification.
Compliance Requirements
Background Check
Child & Adult Sexual Abuse Registry Request and Check
Education Credentials Check
#J-18808-Ljbffr
About Us The Munroe-Meyer Institute (MMI), located off the main UNMC campus in Omaha's Aksarben district, is housed in a purpose-built facility designed to support the Institute's mission of community service and employee development. The site provides convenient on-site parking and access to an employee fitness center, fostering a professional and welcoming work environment.
Munroe-Meyer Institute: https://www.unmc.edu/mmi/
To learn more about the University of Nebraska, visit the sites below.
University of Nebraska Strategic Plan Odyssey to Extraordinary https://nebraska.edu/strategic-plan
Get to know Nebraska https://nebraska.edu/get-to-know-nebraska
University of Nebraska Medical Center Campus https://www.unmc.edu/aboutus/index.html and https://www.unmc.edu/aboutus/facts.html
University of Nebraska Faculty & Staff Benefits https://nebraska.edu/faculty-and-staff
Qualifications
Bachelor's degree
1 year increasingly responsible administrative experience to include healthcare compliance and/or revenue cycle
Microsoft Excel, Microsoft Word, Microsoft Outlook
Will consider five years education/related experience of which 2 years must include post high school education.
Demonstrated organizational skills with the ability to work independently and to prioritize workload and set deadline.
Strong communication skills necessary. Must be able to interface in a professional manner with individuals at all levels. Strong customer focus skills essential. Ability to communicate with people in a supportive capacity.
Knowledge of Medicare, Medicaid and Third Party Insurance billing protocols and guidelines.
Ability to follow-up with 3rd party payers for claims and appeals submitted to ensure timely and accurate processing.
Familiarity with medical billing such as CPT, HCPCS, ICD9 coding. Ability to handle confidential matters discreetly.
Skill in interpreting CMS 1500 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.
Preferred Qualifications
Master's degree in Business Administration, Healthcare, or related field
One Chart/EPIC
Knowledge of professional revenue cycle process
Certification through hospital or professional revenue cycle organization. CPC Code Certification.
Compliance Requirements
Background Check
Child & Adult Sexual Abuse Registry Request and Check
Education Credentials Check
#J-18808-Ljbffr