Insurance Verification Specialist jobs in Nebraska

We always strive to make your experience at Nebraska Orthopaedic Center a friendly, comfortable, and positive one. We want you to feel you received the same high-quality care we would offer a member of your own family. At NOC, we strive to be your healing destination.

Essential Job Functions:

• Assigns and sequences ICD-10, CPT, and modifier codes to surgical procedures and fracture care
• Review reports and turn text into coding or transfers codes directly from op reports
• Enters and reviews for accuracy charge information into EMR
• Prepares and submits clean claims to various insurance companies either electronically or by paper
• Identifies and resolves errors with coding
• Responsible for identifying and applying modifiers to surgical procedures for PQRS/MIPS reporting
• Maintains current knowledge of relevant coding/billing changes as they become effective, researches all information needed, and assists in implementing them
• Answers questions from patients, clinical, billing staff, and insurance companies
• Maintains patient confidentiality and follows HIPAA Guidelines
• Performs other duties as assigned

Education: High School Diploma or Equivalent required; Associate’s degree preferred.

Experience: At least two years experience in a health care organization, and surgical coding/insurance billing is required.

Knowledge, skills, and abilities include:

• Knowledge of medical terminology, abbreviations, techniques, and procedure; and anatomy and physiology
• Knowledge of official coding rules established by the American Medical Association (AMA) and the Center of Medicare and Medicaid Services (CMS) for the assignment of procedural codes
• Ability to effectively examine documents for accuracy and completeness
• Ability to research and resolve a wide variety of problems
• Ability to work independently and meet deadlines
• Ability to communicate clearly both verbally and written with clinical and non-clinical staff as well as the public