Top 54 Claims specialist Jobs in Omaha Ne

Pharmacy Billing Specialist (Amber Specialty Pharmacy)
Amber Specialty Pharmacy —Omaha, NE
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
12d
Certified Professional Coder
UroHealth Partners —Omaha, NE
- Full-time
- Anatomy knowledge
- Mid-level
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
6d
Operations Risk Support Specialist
Pacific Life —Omaha, NE
- $31.89 - $38.97 an hour
- Full-time
- Hybrid work
- Mid-level
- Office
- 2 years
- Paid parental leave
- Paid holidays
Operations Claims Specialist
Pacific Life —Omaha, NE
- $24 - $43 an hour
- Full-time
- Hybrid work
- Research
- Mid-level
- Office
- Paid parental leave
- Paid holidays
9d
Operations Claims Specialist
Pacific Life Insurance Company —Omaha, NE
- $24 - $43 an hour
- Full-time
- Hybrid work
- Research
- Mid-level
- Office
- Paid parental leave
- Paid holidays
Quick Apply
9d
Billing Specialist
Charles Drew Health Centers —Omaha, NE
- $19.50 - $27.41 an hour
- Monday to Friday
- Computer literacy
- English
- Mid-level
Quick Apply
9d
Property Claims Adjuster Specialist - Field
USAA —Omaha, NE
- $69,920 - $133,620 a year
- Overtime
- Hybrid work
- Military
- Research
- Mid-level
- Paid holidays
- Health insurance
Medical Billing and Coding Specialist
Braddock Finnegan Helget Dermatology, P.C. —Omaha, NE
- Full-time
- Background check
- Mid-level
- In-person
- Health savings account
- Health insurance
Quick Apply
5d
Operations Risk Support Specialist
Pacific Life Insurance Company —Omaha, NE
- $31.89 - $38.97 an hour
- Full-time
- Hybrid work
- Bachelor of Science
- Mid-level
- Office
- Paid parental leave
- Paid holidays
Quick Apply
Claim Specialist - Property Field Inspection
State Farm —Council Bluffs, IA
- $59,059.65 - $90,000.00 a year
- Overtime
- Mid-level
- Residential
- Analysis skills
- Paid holidays
- Health insurance
13d
Billing and Recovery Specialist (Full-Time)
OrthoNebraska —Omaha, NE
- Full-time
- OSHA
- Writing skills
- Mid-level
Quick Apply
Workers Compensation Lien Claims Professional
Berkshire Hathaway Homestate Companies —Omaha, NE
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
- Free parking
- AD&D insurance
Quick Apply
Benefits Specialist - Vetter Senior Living
Vetter Senior Living —Elkhorn, NE
- Mid-level
- Office
- Continuous improvement
- Dental insurance
- Benefits from day one
Full-Time Medical Accounts Receivable/Billing Specialist
Omaha Eye and Laser Institute —Omaha, NE
- From $19 an hour
- Full-time
- HIPAA
- Mid-level
- In-person
- Health savings account
- Paid holidays
Quick Apply
Senior Claims Professional (Workers Compensation)
Berkshire Hathaway Homestate Companies —Omaha, NE
- Hybrid work
- 5 years
- Office
- High school diploma or GED
- AD&D insurance
- Paid holidays
Quick Apply
Senior Triage Specialist (aka Senior Claims Intake/FNOL Specialist)
Argo Group —Omaha, NE
- $29.37 - $41.14 an hour
- Overtime
- Spanish
- Microsoft Excel
- Microsoft Outlook
- Health insurance
- Dental insurance
Pre-Authorization Specialist
Think Whole Person Healthcare —Omaha, NE
- Full-time
- Mid-level
- 2 years
Quick Apply
Benefits Specialist/SR Benefits Specialist
WoodmenLife —Omaha, NE
- $54,582 - $87,724 a year
- Full-time
- Microsoft Word
- Background check
- Microsoft Outlook
- Dental insurance
- 401(k)
Quick Apply
10d
Authorization Management Specialist (Amber Specialty Pharmacy)
Amber Specialty Pharmacy —Omaha, NE
- $19 - $20 an hour
- Full-time
- Background check
- Microsoft Excel
- Microsoft Outlook
- Paid holidays
9d
Claims Adjuster - Professional Liability & Coverage (JD Required)
Applied Underwriters —Omaha, NE
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Paid training
- Paid holidays
Quick Apply

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claims specialist jobs near omaha ne

Pharmacy Billing Specialist (Amber Specialty Pharmacy)

Amber Specialty Pharmacy -
Omaha, NE

Apply Now

Job Details

Full-time
12 days ago

Benefits

Paid holidays

Qualifications

Medical software
High school diploma or GED
Medical claims submission

Full Job Description

Additional Considerations (if any):

At Amber Specialty Pharmacy, our commitment to patient care is unmatched. Enjoy fulfillment in a career where you have the opportunity to make a positive impact on patients with complex and chronic conditions.

Monday-Friday (no weekends)
Hours: 7 am - 6 pm CST; varied shifts (to equal 40 hours per week)
Six paid holidays
Must pass post-offer, pre-employment drug background tests as allowed by state, federal, local ordinance, statutes and licensing/accreditation requirements.

Amber Specialty Pharmacy

Job Title: Pharmacy Billing Specialist

Department : Operations

FLSA : Non-Exempt

General Functions

The Pharmacy Billing Specialist ensures accurate insurance information is received and stored. They gather all necessary information to bill electronic NCPDP claims in the appropriate order in the event of multiple payers, review statements to determine accuracy, and navigate financial assistance programs to help patients gain financial support. Communicating with coordinators and co-workers regarding insurance verification and promoting exceptional customer service and professionalism with the community is vital in this position.

The Training Billing Specialist is responsible for boosting the competencies of our employees by developing and conducting effective training documents. Indirectly help enhance the employee’s workplace performance with the Company’s core values. Will be performing the training needs assessment and learning materials for the billing team.

Reporting Relations

Reports to : Lead Pharmacy Billing Specialist

Direct Reports : None

Primary Responsibilities :

Consults with patients to resolve all types of paye r and coverage issues .
Contacts the patient, when necessary , to gather insurance and billing information or notify of a delay in processing .
Conducts a benefits investigation, updates patient accounts, prescriptions, etc.
Collects outstanding patient balances.
Processes adjudication rejections, insurance terminations, and insurance changes.
Handles patient benefit statement questions to a conclusion .
Researches and reviews patient inquiri es on account balances .
Knows Amber HIPAA policies and maintains patient confidentiality at all times.
Works as a team member with all other departments to verify benefits .
Working knowledge of all necessary computer software to perform job duties.
Bill claims via electronic NCPDP clearinghouse; cross-trains in Medical billing as time allows .
Works claims in the clearinghouse to ensure our payers receive them .
Responsible for aiding in accounts receivable by billing claims correctly and getting them to our payers on time .
Works with team to achieve C ompany AR goals .
Understanding of payer contracts and how claims should be submitted to each payer .
Has mastered the requirements of a Pharmacy Billing Specialist so they can train new hires on company policies and procedures , including HIPPA polic i es .
Gather and evaluate information from employees and management on previous training to identify strengths, weaknesses , and areas that need improvement .
Inform employees on scheduled training and track their progress.
Instruct employees to complete a benefit s investigation and update patient accounts, prescriptions, etc.
Trains new hires and team s on adjudicating rejections, insurance terminations, and insurance changes .
Educates new hires and the team on how to review statements and patient balances .
Trains new hires and teams on computer software and programs to perform job duties .
Teaches new hires and team the difference between medical and NCPDP billing.
Assists in developing SOP and training documents to perform job duties .
Monitors new hires and teams on their progress and ensures how to p er form job duties .
Assist the Lead Pharmacy Billing Specialist in training needs; document the employee training .

Professional Competencies :

Proficient with MS Excel, Word, and Outlook .
Strong oral, written, organizational and interpersonal skills .
Ability to work in a team and with all levels of internal management, staff, outside clients, and vendors .
Demonstrated ability to meet tight deadlines .

Required Qualifications :

Working knowledge of the healthcare industry , specifically the pharmacy industry .
One (1) year of experience billing electronic insurance claims , including; Medicaid, Medicare, and Commercial insurance via NCPDP clearinghouse .
Experience working with clearinghouses for claim adjudication .

Educational Requirements:

High school diploma or equivalent .

Physical Requirements :

Must remain stationary up to 90% of the time
The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc., and traverse conferences, meetings, and remote events.
Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine, and computer printer.
The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.
The ability to observe details at close range (within a few feet of the observer).

Working Conditions :

Normal Office Environment.

Equipment Used to Perform the Job :

Computers, keyboards, mouse, monitors, fax, and/or headsets for phone work. Software specific to the position, including but not limited to Microsoft Outlook and Skype. Must lift and traverse the area to move paper and supplies to use the equipment.

Contacts :

Frequently interact with co-workers, intradepartmental staff of t he Company, payers, insurance, supplies , managers, leaders, v endors, and customers .

Confidentiality :

The incumbent must maintain the confidentiality of personal information for the applications and licensing requirements, including any financial, strategic, or proprietary information . The Company does not consider this an exhaustive list of examples and may add or modify as deemed appropriate to the execution of the role.

Candidates must be able to pass a pre-employment drug test, background check, and health screening (if applicable).

Apply now and join our mission to provide exceptional patient care!

Apply Now

Refine Your Search

claims specialist jobs in omaha ne

Pharmacy Billing Specialist (Amber Specialty Pharmacy)

Certified Professional Coder

Operations Risk Support Specialist

Operations Claims Specialist

Operations Claims Specialist

Billing Specialist

Property Claims Adjuster Specialist - Field

Medical Billing and Coding Specialist

Operations Risk Support Specialist

Claim Specialist - Property Field Inspection

Billing and Recovery Specialist (Full-Time)

Workers Compensation Lien Claims Professional

Benefits Specialist - Vetter Senior Living

Full-Time Medical Accounts Receivable/Billing Specialist

Senior Claims Professional (Workers Compensation)

Senior Triage Specialist (aka Senior Claims Intake/FNOL Specialist)

Pre-Authorization Specialist

Benefits Specialist/SR Benefits Specialist

Authorization Management Specialist (Amber Specialty Pharmacy)

Claims Adjuster - Professional Liability & Coverage (JD Required)

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