Specialist, Billing Lundbeck LLCSpecialist, BillingHoldrege, NEThis role requires strong, hands-on experience with critical access hospital (CAH), rural health clinic (RHC), and/or hospital/facility billing, including a deep understanding of the unique reimbursement methodologies, regulatory requirements, and payer guidelines associated with these settings. Summary: The Billing Specialist, known as Revenue Cycle Specialist II with ruralMED, is responsible for planning, organizing, and implementing activities related to charging, billing, collections, and cash management functions.
Billing Specialist - Shared Services Insurance Office of AmericaBilling Specialist - Shared ServicesKearney, NERemote$40,000–$60,000 / yearFull timePlease note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. The Billing Specialist plays a critical role in supporting financial operations while delivering consistent, high‑quality results within established turnaround timelines.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Kearney, NERequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Medical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare IncMedical Review Nurse -UM/Post Appeals (Michigan RN license req)Kearney, NEREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
Project Mgr./Systems Specialist Johnson Controls International PlcProject Mgr./Systems SpecialistKearney, NE$76,000–$110,000 / yearPerforms or delegates tasks as required implemented and fully complete assigned projects including: hardware design, system programming, installation coordination, system and network commissioning and project closeout. Develops project plans and coordinates the required resources to ensure timely and cost-effective installation and completion of assigned projects.
Phlebotomist Specialist-Client Office LabcorpPhlebotomist Specialist-Client OfficeAtlanta, NebraskaLabcorp is a global leader in diagnostic testing and drug development solutions, helping healthcare providers, researchers, and patients make informed decisions that advance care. In lieu of work experience, a Phlebotomy certification or completed training program must come from an accredited agency.