Billing Appeals Analyst

GENERAL REQUISITION INFORMATION

EEO Statement:	UNMC is an Affirmative Action Equal Employment Opportunity Employer, including an equal opportunity employer of protected veterans and individuals with disabilities.
Location	Omaha, NE
Requisition Number:	Staff_13518
Department	MMI Patient Information Office 50000688
Business Unit	Munroe-Meyer Institute
Reg-Temp	Full-Time Regular
Work Schedule	Monday - Friday, 8:00AM - 5:00PM; Hours May Vary
Remote/Telecommuting	No remote/telecommuting opportunity
Position 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.
Position Details	Additional Information
Posting Category	Operations
Working Title	Billing Appeals Analyst
Job Title	Admin Bus Op Specialist
Salary Grade	AB21S
Appointment Type	B1 - REG MGR PROF SALARY
Salary Range	$51,300 - $77,000/annual
Job Requisition Begin Date	11/08/2024
Application Review Date	11/14/2024
Review Date Information:	Initial application review will begin on the date provided in the field above. Applications received prior to this review date will be considered. Applications received after the review date may be considered.

Required and Preferred Qualifications

Required Education:	Bachelor's degree or equivalent
If any degree major/training is required, please specify the type. (NOTE: Concentration and minors are not equivalent to a major)	NA (Will consider five years education/related experience of which 2 years must include post high school education)
Required Experience	1 year
If any experience is required, please specify what kind of experience:	Increasingly responsible administrative experience to include healthcare compliance and/or revenue cycle (Will consider five years education/related experience of which 2 years must include post high school education)
Required License	No
If yes, what is the required licensure/certification?
Required Computer Applications:	Microsoft Excel, Microsoft Word, Microsoft Outlook
Required Other Computer Applications:
Required Additional Knowledge, Skills and Abilities:	1. Demonstrated organizational skills with the ability to work independently and to prioritize workload and set deadline. 2. 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. 3. Knowledge of Medicare, Medicaid and Third Party Insurance billing protocols and guidelines. 4. Ability to follow-up with 3rd party payers for claims and appeals submitted to ensure timely and accurate processing. 5. Familiarity with medical billing such as CPT , HCPCS, ICD9 coding. Ability to handle confidential matters discreetly. 6. Skill in interpreting CMS 1500 claim data to be able to troubleshoot claim edits and resolve payer billing requirements both timely and accurately. 7. Ability to create and submit both original and corrected claims.
Preferred Education:	Master's degree
If any degree/training is preferred, please specify the type:	Business Administration, Healthcare, or related field
Preferred Experience:	Knowledge of professional revenue cycle process.
Preferred License:	Yes
If yes, what is the preferred licensure/certification?:	Certification through hospital or professional revenue cycle organization. CPC Code Certification
Preferred Computer Applications:
Preferred Other Computer Applications:	One Chart/EPIC
Preferred Additional Knowledge, Skills and Abilities:
Email to a Friend	https://unmc.peopleadmin.com/postings/89479

EEO Statement

The University of Nebraska Medical Center (UNMC) is committed to creating a diverse and inclusive work and learning environment free from discrimination and harassment. UNMC is dedicated to creating an environment where everyone feels valued, respected and included. UNMC does not discriminate based on race, color, ethnicity, national origin, sex, pregnancy, sexual orientation, gender identity, religion, disability, age, genetic information, veteran status, marital status, and/or political affiliation in its programs, activities, or employment. UNMC complies with all local, state and federal laws prohibiting discrimination, including Title IX, which prohibits discrimination on the basis of sex.

Requisition Specific Questions

Required fields are indicated with an asterisk (*).

* Do you have a minimum of two years post high school education?
- Yes
- No
* Do you have increasingly responsible administrative experience to include healthcare compliance and/or revenue cycle experience?
- Yes
- No
* If you do have increasingly responsible administrative experience to include healthcare compliance and/or revenue cycle experience, please elaborate (If No, indicate NA).
(Open Ended Question)
* Are you proficient in Microsoft Excel, Microsoft Word, and Microsoft Outlook?
- Yes
- No
* How did you hear about this position?
- Careerlink
- Employee Referral
- HERC
- Indeed
- Job Fair
- Lincoln Journal Star
- Linkedin
- Omaha World Herald
- UNMC Job Site
- Facebook
- NEWorks
- Handshake
- Other
* If Other, please specify the source. Otherwise, indicate NA.
(Open Ended Question)
* Within the past 6 months, have you been affected by a reduction in force or grant funding expiration with the University of Nebraska Medical Center?
- Yes
- No