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Medical Bill Review Manager

Omaha National Group locationOmaha, NE
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7 positions
4 applicants
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Omaha National GrouplocationOmaha, NE
7 positions
4 applicants
info linkReport a probelm Originally Posted : August 21, 2020 | Expires : September 20, 2020

Details

Job Type
Full-time Employee
Salary
Salary
Experience Level
Intermediate (3-7 yrs. experience)
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Skills Awerness
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Medical Billing
Medical Coding
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Job Location
Omaha, NE, United States

Description

 Omaha National is searching for a Medical Bill Review Manager to join our committed, experienced leadership team.  This is a rare opportunity to lead the creation of a new Medical Bill Review operation, which will focus on ensuring medical providers are reimbursed at the appropriate rate for their services.  The Medical Bill Review Team will utilize medical coding skills to review inpatient and outpatient medical bills to establish payment reimbursements. 

The ideal candidate is an experienced Certified Professional Coder (CPC, CCA, CCS, CCS-P), with the aptitude to learn workers’ compensation rules and fee schedules.   Leadership skills and coding expertise, combined with a knack for designing and establishing efficient processes, will enable the right candidate to build an effective Medical Bill Review Team.   Prior workers’ compensation experience is not necessary – we will provide the training.

RESPONSIBILITIES: 

  • With the help of a strong, supportive executive leadership team, build and manage a Medical Bill Review Department.   

  • Use comprehensive medical bill coding skills to ensure recommendations reflect best practices for workers’ compensation medical bill reimbursement. 

  • Design Department policies and procedures that ensure efficient workflows and positive outcomes. 

  • Train, lead and motivate team members through a complex process to ensure accuracy, comprehensive thinking and quality coding skills.  

  • Successfully select and manage outside vendors when necessary. 

  • Build a Medical Bill Review Department that ensures Omaha National is accurately paying providers. 

  • Strong focus on detail, accuracy and quality, error free work.  

  • Ability to learn workers’ compensation regulations while interpreting complex legal and medical documents. 

  • Ensure your team provides exceptionally positive, clear, and effective communication via phone and email. 

  • Effectively communicate to a wide audience on medical topics. 

REQUIREMENTS: 

  • Bachelor’s degree a plus but not required. 

  • Five years’ experience in Medical Bill management. 

  • Coding certification from an accredited organization (i.e., AAPC, AHIMA) required.  

  • Understanding of various medical areas including, anatomy, physiology, pharmacology, physician specialty, and the medical industry in general. 

  • Proficient in Microsoft Office programs and a demonstrated ability to master other software applications as needed. 

ABOUT US: 

Omaha National provides workers’ compensation insurance and payroll services to small and midsize companies through independent brokers and agencies. 

Omaha National is an unconventional company where leadership is inspirational, hiring is highly selective, training is exceptionally effective, performance standards are uncompromising, and employees at every level are justifiably proud of the work they do and the results they achieve every day.  

BENEFITS: 
Omaha National provides a safe, stable, positive work environment, competitive pay, excellent benefits, 401K, and paid vacation and sick leave.

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Omaha National Group

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locationOmaha, NE
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locationOmaha, NE
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locationOmaha, NE
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