4 jobs found in Omaha

Job Description Internal Compliance Auditor for North End Teleservices: The Compliance Auditor at North End Teleservices, LLC (NET) is responsible for ensuring the company is complying with both government and commercial regulations and sometimes is tasked with enforcing NET policies and procedures. Internal auditors are crucial to the integrity of our business. They will investigate professional records, policies, and procedures to ensure NET and their employees comply with laws and regulations, monitor risks, and evaluate internal controls. This role is imperative for NET to solidify any potential operational and administrative areas of concern for our company to prevent loss of revenue and ensure compliance with all processes and laws. The NET internal auditor must serve as: * A catalyst for growth through Risk Management, Governance, and Internal Controls. * An interface between different NET departments/programs. * An advisor to the Compliance Manager, while successfully...

Job Description As the Medical Billing Specialist, you will generate insurance claims and patient statement billings and collect outstanding insurance or patient balances. You are responsible for submitting billing with supporting documents using various delivery methods and expected to resolve submission issues, provide requested invoices, and answer inquiries regarding billing. Please note: This position is not located in a patient care facility. It is located in a corporate office setting. RESPONSIBILITIES * Prepare, format and mail all insurance claims according to specific contract/payer requirements. * Remain knowledgeable of third-party payer contracts, federal and state medical coverage programs and requirements as well as being knowledgeable on HIPAA regulations and guidelines. * Complete claim follow-up calls on claims 30 days outstanding from the submission date. * Perform claim appeal functions upon receipt of EOB's. * Follow-up on outstanding claims with insurance...

Job Description WORK ON-SITE CORE VALUE COMMITMENT: In common mission, our teams work together with our patients at the center. We strive to continuously improve. We value one another's diversity of talent, experience, and perspective. We each contribute to something bigger than ourselves while promoting integrity, belonging, and collaboration. JOB SUMMARY: The Clinical Coder is responsible for performing and ensuring the accurate and timely completion of patient record coding. This role serves as the educator, subject matter expert, and liaison for all coding matters. The Clinical Coder investigates and resolves coding related issues and leads the process improvement efforts to minimize inefficiencies, enhancing the patient experience. ESSENTIAL JOB FUNCTIONS: Perform coding activities to assure accurate completion of coding for all patient records including review of each charge submission for accuracy, addition of appropriate modifiers, scrubbing of claims, preparation for...

Job Description The Reserves Network is partnered with a leading provider of healthcare administrative services that has been in business for 20 years to hire a new medical coder to their team due to growth. This company is a 7 time "Best Places to Work in Omaha" winner with a diverse, welcoming culture, that offers a robust benefit package in addition to attractive company perks. If you have medical coding experience we want to talk to you! Duties of the medical coder: * Apply ICD-10 codes to complex inpatient visits with long hospital stays * Using documentation, assign Present on Admission values to secondary diagnoses * Review provider notes within the health record * Verify discharge planning and nurse documentation which impact reimbursement * Review and verify health record documentation to verify reimbursement and payment amounts Requirements of the medical coder: * Minimum of 3 years of complex trauma-type medical coding experience required * Current CCS through AHIMA...