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Insurance Claims Representative

Insurance Claims Representative

Sidney Regional Medical CenterSidney, NE, US
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Insurance Billing & Claims Specialist

Join our caring community at Sidney Regional Medical Center in Sidney, Nebraska! We are currently pursuing a friendly and intelligent full-time Insurance Billing & Claims Specialist to join our Patient Financial Services team.

At SRMC, our patients are our number one priority. We aim to provide extraordinary care every single day by ensuring that our patients' well-being comes first, but amazing patient care starts with YOU. Your diligence and expertise will greatly improve their experience!

Loan Repayment : SRMC is a qualifying employer for the federal Public Service Loan Forgiveness (PSLF) program! We provide employees with free assistance navigating the PSLF program to submit their federal student loans for forgiveness.

Why Us :

  • Panhandle Hospitality : Bring your warmth and kindness to our patients with a smile.
  • Close-Knit Team : Small community, big heart where every team member makes a difference.
  • Meaningful Impact : Your dedication transforms lives and creates a supportive, caring environment.

This role is responsible for ensuring all primary and secondary insurance is billed timely and accurately; supporting ICR staff with billing claims, edits, and follow-up questions; identifying billing errors that could be eliminated due to processes or unnecessary edits; developing and working SSI reporting; identifying process improvement areas of concern; working aging reports; and one-on-one training of new ICR staff.

Responsibilities :

  • Run daily claims and close daily charges.
  • Ensure all primary and secondary insurances are billed timely and accurately.
  • Identify potential systems and process issues which hold up timely billing.
  • Collaborate with Patient Financial Services and reimbursement teams.
  • Respond to patient escalated inquiries regarding billing or insurance claims.
  • Oversee and support current ICR staff with billing functions as needed.
  • Maintain and update all billing matrix and keep ICR instructions updated.
  • Remain current on all payers and insurance billing regulations and compliance issues.
  • Update processes accordingly.
  • Manage and maintain all clearinghouse processes and reporting for errors, payer table maintenance, and payer enrollment.
  • Collaborate with directors on any issues that may be impacting claims resolution.
  • Review aging on untimely follow-up and deferred accounts.
  • Audit aging accounts over 90 days.
  • Other duties as assigned by management.

    • Requirements :

  • High school graduate or GED.
  • Prefer 2-3 years of healthcare billing experience.
  • Excellent attention to detail and problem-solving skills.
  • Strong customer service and communication abilities.

    • Benefits :

  • Generous paid time off.
  • Growing 401(k) retirement program up to 5% company match.
  • Comprehensive dental and vision insurance.
  • Comprehensive dental, vision, disability, and accident insurance.
  • Insurance for critical illness, health, and life.

    • Sidney Regional Medical Center is an EEO Employer / Vet / Disabled.

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    Insurance Representative • Sidney, NE, US

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