Medical Policy Specialist jobs in Nebraska

Full-Time

Full-time or Part-time

Kitchen | PRN Evenings

Days & Nights PRN

Full-time and Part-time Nights
***HIRING BONUS***

PRN

Full-time

Medical Billing Specialist

Full-Time 8:am-4:30 Monday- Friday

SUMMARY

Perform daily business operations tasks and support hospital and clinic billing procedures with accuracy and timeliness.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and /or ability required.

Prepare hospital and clinic charges for entry and ensure all charges are accounted for and accurate.

Data entry, posting payments, preparing deposits, reconciling billings, claims submissions, checking balances, accounts payable and maintaining patient records.

Support daily postings and end of month closings.

Audit accounts and charges to ensure accuracy, prepare QA reports.

Answer inquiries from patients regarding account charges, insurance payments and balances due.

Works with third party payers/patients to assure timely payment on accounts.

Assist with special projects as assigned.

Back up other positions within department when vacations, medical leave, absences, etc. occurs.

Maintain skills/competencies required for this position.

Participate in all safety, security and infection control programs that are mandatory as well as those required and provided by the department.

Uphold confidentiality and HIPAA compliance at all times and report violations to the Privacy Officer.

Understand and comply with the requirements of the Saunders Medical Center’s Compliance Program, including, but not limited to the Code of Conduct, the Compliance Policy, all Saunders Medical Center-wide policies for compliance, and compliance plans affecting specific duties and responsibilities.

Participate in all education and training programs regarding compliance as required by Saunders Medical Center policy and as requested by the Supervisor.

Demonstrate personal traits of a high-level commitment, motivation and energy; team orientation; professionalism; trust; personal honesty and integrity; and a demonstration of placing others in a place of high value and treating them with dignity and respect.

Other duties as assigned by the Supervisor.

SUPERVISORY RESPONSIBILITIES

This position has no supervisory responsibility.

DISCLOSURE STATEMENT
The above statements reflect the general details considered necessary to describe the essential functions of the job as identified, and shall not be considered as a detailed description of all work requirements that may be inherent in the position.

EDUCATION and/or EXPERIENCE

High school education or equivalent. Prior hospital/clinic billing experience preferred.

CERTIFICATES, LICENSES, REGISTRATIONS

None required.

LANGUAGE SKILLS

Must be able to read, write and follow written and oral instructions and possess positive skills in communication. Ability to deal tactfully with personnel, patients, visitors, and the general public.

MATHEMATICAL SKILLS

Ability to calculate at the level necessary to perform essential duties of the position.

REASONING ABILITY

Ability to make independent decisions when circumstances warrant such action. Ability to interpret a variety of instructions furnished in oral, written, diagram or schedule form.

PHYSICAL DEMANDS

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee must regularly sit. The employee must be able to stand, reach with hands and arms and may occasionally be requir3ed to lift up to 25 pounds.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. Attendance is essential and required for a successful working environment.

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