Billing Appeals Analyst

Job Summary:

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.

Additional Info

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 â??Odyssey to Extraordinaryâ? 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

Required 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