At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ, fostering a culture called The Meaning of Care
Job Summary
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ, fostering a culture called The Meaning of Care.
Responsibilities include verifying eligibility, performing medical necessity checks, initiating pre-certification, creating cost estimates, and ensuring documentation accuracy for payors and clinical staff.
We offer competitive pay, excellent benefits, and a great work environment where all employees are valued and part of a team that makes a real difference.
Matching Summary
At Nebraska Methodist Health System, we focus on providing exceptional care to the communities we serve and people we employ, fostering a culture called The Meaning of Care.
Skills & Requirements
Must-have
verify eligibility and benefits
perform medical necessity checks
generate Advanced Beneficiary Notice
review Medicare Secondary Payor queries
initiate pre-certification process
retrieve and submit clinical information
create cost estimates
Nice-to-have
exceptional care culture
compassionate patient interaction
team-oriented environment
adaptable to process changes
Key Requirements
High School or GED required
Minimum 1 year clinical EMR experience
Post-secondary clinical or HIM education preferred
Registration, insurance, or prior-authorization experience preferred