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OrthoNebraska Clinic - Billing Office Representative

OrthoNebraska Omaha, NE

Job Description

OrthoNebraska is focused and dedicated to the complete care and treatment of the orthopaedic patient. As the area’s leading provider of orthopaedics, we committed to provide exceptional patient care with 24 beds, 12 operating rooms and clinic locations across Iowa, Nebraska and Missouri. OrthoNebraska offers comprehensive care that includes both surgical and non-surgical intervention and is supported by a range of sub-specialized providers. OrthoNebraska specializes in the diagnostic, surgical and rehabilitative needs of persons with musculoskeletal conditions. Our facilities are state-of-the-art and focused on high quality, cost effective care. Our staff is chosen for their experience and passion for outstanding patient care.

What you would do in this role:

  • Notifies patient of out of pocket expenses prior to surgery. Set up payment plan for the out of pocket expense. Insures all documentation on patient is current and correct. Enters all information on an Excel spreadsheet.
  • Performs insurance adjustments at the time of posting the payment.
  • Responsible to notify Financial Manager of refund due on account.
  • Performs month-end reporting of unapplied accounts.
  • Examines explanation of benefits/review on denied and incomplete payments to determine if the claim was processed correctly by the carrier. 
  • Coordinates with other department personnel to reduce overall accounts receivable.
  • Prepares appeals for denied and /or incomplete payments to collect delinquent accounts.
  • Responsible for lien notification to attorneys.
  • Works with patients to set up payment plans.
  • Assists physicians with determining appropriate codes for surgeries and procedures.

Here’s what makes for an ideal candidate:

  • High School diploma or equivalent required.
  • Course work in accounting or medical records and general office experience preferred. 
  • A minimum of 2-5 years physician billing experience preferred. 
  • Knowledge of medical accounts receivable systems preferred.
  • Working knowledge of insurance fee schedules and EOB’s
  • Knowledge of CPT, ICD-9, HCPC & Modifiers’. 
  • High volume must be capable of responding to frequent priority changes and multiple deadlines. 
  • Team environment requires total participation by all members in problem solving and decision-making.
  • Must be able to work with a multitude of individuals from varying professions and non-professional backgrounds.

Job Details

Date Posted July 10, 2018
Date Closes August 9, 2018
Address 2808 S 143rd Plaza
Located In Omaha, NE
Department Clinic
Function Billing Office Representative
Job Type Full-time Employee
Monday - Friday
Hours 40 hours per week; Benefit Eligible
Positions Available 1
SOC Category 43-3021.03 Billing, Posting, and Calculating Machine Operators
Zipcode 68144
Name Taylor Petersen
Address 2808 South 143rd Plaza
City, State and Zip Omaha, NE 68144
Phone 402-609-2006
FAX 402-609-2020

This job offers the following benefits

  • 401(k) Retirement Savings Plan
  • College Savings Plan
  • Dependent-Care Spending Accounts
  • Flexible Spending Accounts
  • Health-Care Spending Accounts
  • Profit Sharing
  • Accidental Death and Dismemberment
  • Dental
  • Dependent Life Insurance
  • Employee Assistance Program (EAP)
  • Life Insurance
  • Long-Term Disability
  • Medical
  • Short-Term Disability
  • Vision
  • Voluntary Life Insurance
  • Bereavement Pay
  • Cafeteria / Food
  • Clothing Allowance
  • Free Parking
  • Health Fair
  • Holiday Party
  • On-the-Job Training
  • Paid Holidays
  • Paid Vacations
  • Sick Leave
  • Unpaid Leaves of Absence
  • Wellness Program

This job requires the following skills

  • Computer Usage
  • Excellent Communications
  • Problem Resolution
  • Strong Time Management
  • Medical Documentation Management
  • Patient Registration
  • Cerner Powerworks
  • Healthcare Software

Course(s) relevant to the skills listed for this position

At a Glance
Enjoy these benefits
  • 401(k) Retirement Savings Plan
  • College Savings Plan
  • Dependent-Care Spending Accounts
  • Flexible Spending Accounts
  • Health-Care Spending Accounts
  • And More ...