54 Results for

Medical Review Specialist Jobs in Omaha, NE

Jobs

Omaha, NE7 days ago

$69,920–$133,620 Per Year

Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

Omaha, NE30+ days ago

Remote

$22–$25 Per Hour
Full-time
Employee

You are a person who is passionate about working closely with Patient, Patient Access, Payers, and Providers' office to validate insurance plans, eligibility, and orders to procure required prior authorizations. We trust you to do important work and bring the best version of yourself to work every day, so we want to help you achieve a work-life balance while consistently challenging yourself.

Omaha, NE30+ days ago

HIM Spec Sr will be responsible for function(s) (as assigned by HIM Leadership to include not limited to, prepping, scanning and/or QX/Indexing) within Document Imaging to ensure records are prepped, scanned and QC/Indexed into the Document Management Solution/EMR in a timely manner. Document Chart Analysis (Records/Hr by patient type): Analyze medical records for completion; assign and reassign provider deficiencies as needed in accordance with regulatory guidelines and in compliance with facility timely completion policy (as assigned by HIM Leadership) .

Omaha, NE30+ days ago

PC Skills - demonstrates proficiency in keyboard operations, Microsoft Office applications and others as required • Customer Orientation - establishes and maintains long term customer relationships, building trust and respect by consistently meeting and exceeding expectations • Privacy and Security - demonstrates an understanding of the importance of providing privacy and security of all patient information • Vital Statistics - birth certificate and paternity acknowledgement • Organization - establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task • Quality Orientation - accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time • Work Independently - is self-supporting; not needing to rely on others to complete a job. • Document Chart Analysis (Records/Hr by patient type): Analyze medical records for completion; assign and reassign provider deficiencies as needed in accordance with regulatory guidelines and in compliance with facility timely completion policy (as assigned by HIM Leadership) • Support Missing Documentation and Provider Queries as needed • Complete birth and or death certificate in accordance with state law including contact with mothers and father within facility specific timeframe as needed.

Omaha, NE30+ days ago

Remote

Full-time

Technical Skills: Proficient with key databases, including credentialing software systems, Provider Data Management Systems, and Provider Information Management Systems; working knowledge of Provider credentialing policies and procedures, healthcare or managed care experience. Performs credentialing activities including primary source verifications, communicating with Providers to request missing information supporting the integrity of Provider data in all downstream systems, and key-entering initial data of potential network Providers into the credentialing system.

NE7 days ago

By continuing to invest in more advanced technology, pursuing innovative products, and hiring a highly skilled workforce, AAA continues to build upon its heritage of providing quality service and helping our members enjoy life's journey through insurance, travel, financial services, and roadside assistance. Important Note: ACG's Compensation philosophy is to provide a market-competitive structure of fair, equitable and performance-based pay to attract and retain excellent talent that will enable ACG to meet its short and long-term goals.

Omaha, NE30+ days ago

This role is responsible for reviewing patient care reports, applying proper ambulance billing codes, ensuring compliance with federal and state regulations, and submitting clean claims for timely reimbursement. Required: Certification as a Certified Ambulance Coder (CAC), Certified Ambulance Documentation Specialist (CADS), or equivalent EMS billing certification.

Omaha, NE30+ days ago

We’re looking for a Design Specialist who thrives in a fast-paced environment, takes ownership, and is passionate about bringing elevated, consistent, and thoughtfully designed clinic spaces to life across our growing footprint. From concept to completion, you’ll manage multiple projects, collaborate cross-functionally, and help bring new clinics to life while maintaining brand consistency across all locations.

Omaha, Nebraska11 days ago

Collaborate and provide on-going education and training with providers and interdisciplinary team members to clarify documentation and improve coding accuracy and the importance of complete, accurate chart documentation to support reimbursement. Immanuel Pathways PACE® is seeking a Clinical Documentation Integrity Specialist Nurse to join our team at our Home Office, located at 1044 North 115th Street in Omaha, NE.

Omaha, NE30+ days ago

Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. Professionally engage with healthcare providers while retrieving the required medical records, maintaining consistent communication with your remote team, providing daily updates regarding progress, challenges, and completed tasks.

New!

Omaha, NEToday

Pathways, Training & Advancement Recruit Training followed by accession training and on the job qualification in galley operations, food preparation, baking, serving, and records management; Culinary Specialist A School may be waived based on pipeline needs, with Sailors qualifying through unit training and formal courses as available; progressive advancement through roles such as watch captain, leading Culinary Specialist, and opportunities for special programs such as Executive Services, Enlisted Aide, and Instructor duty. Job Title : Culinary Specialist Category / Component: Enlisted • Both Overview Culinary Specialists operate and manage Navy dining and lodging services, planning menus, preparing meals, managing inventories and records, and contributing directly to crew morale and readiness at sea and ashore, including support to high visibility executive food service when selected.

Elkhorn, NE30+ days ago

$79,200–$124,700 Per Year

Participate in or lead cross-functional teams for site-to-site analytical method transfers: establish transfer plans, assess site readiness, and manage timelines, risks and deliverables with support from senior team members. Perform bench-level remediation across multiple test platforms, including live bacterial and virus titration/identification and ELISA for complex multivalent vaccines and in-process materials, working under guidance from senior team members.

New!

Omaha, NEToday

$40,000–$48,000 Per Year

As an Operations Specialist, you'll be the key player in maintaining high-quality service delivery, boosting client satisfaction, and partnering with Independent Contractors (ICs) to ensure excellence across a variety of facility types—including industrial, manufacturing, office, medical, and retail spaces. Communicate with Facility Solutions Manager daily for any issues that need immediate attention, including the nightly recap via email, CRM or phone message.

Omaha, NE30+ days ago

$144,500–$175,100 Per Year

As this position requires the operation of a Company-provided vehicle, offers of employment are contingent upon the candidate meeting the requirements of “Qualified Driver,” as determined by the Company in its sole discretion, including but not limited to the following: 1) at least 21 years of age; 2) a driver’s license in good standing issued by your state of residence; and, 3) a driving risk level deemed acceptable by the Company. Based on eligibility*, additional time off for employees may include unlimited paid sick time, up to 2 paid volunteer days per year, summer hours flexibility, leaves of absence for medical, personal, parental, caregiver, bereavement, and military needs and an annual Global Shutdown between Christmas and New Years Day.

Omaha, NE30+ days ago

Remote

Full-time

Technical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.

New!

Omaha, NEToday

Contacts patients regarding outstanding balances and assigns accounts to outside collection agency as needed . Ensures account balances are correct and balances are assigned to the appropriate insurance or patient bucket.

Omaha, NE30+ days ago

Remote

$100,000–$140,000 Per Year

The Clinical Specialist works closely with the surgical team members to provide clinical product assistance to the surgeon by being familiar with the surgical procedure, instruments, supplies, and equipment. Industry experience: 3+ years of full-time employment by a medical device company as a clinical specialist (or comparable position) focused on case coverage and patient outcomes (not equipment/service provider).

Omaha, NE10 days ago

Proactively collaborate with Sales and Recruiting, maintaining strong cross-functional partnerships to ensure healthcare professionals are cleared to start assignments on time. Accurately maintain compliance documentation within internal systems and applicable Vendor Management Systems (VMS), ensuring data integrity and audit readiness.

Fremont, NE30+ days ago

Complete the In-Plant Safety Specialist on the job training including regularly scheduled and completed safety training, making improvements to safety awareness, training consistency, safety performance metrics, and knowledge of management and team members. Fortrex Solutions will provide a reasonable accommodation for any known physical or mental disability of a qualified individual with a disability to the extent required by law, provided the requested accommodation does not create an undue hardship for the Company and/or does not pose a direct threat to the health or safety of others in the workplace and/or to the individual.

New!

Omaha, NEToday

Communication - Speaks and writes clearly and persuasively in positive or negative situations; Listens and gets clarification; Responds well to questions; Demonstrates group presentation skills; Participates in meetings; Edits work for spelling and grammar; Varies writing style to meet needs. Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.

Omaha, NE30+ days ago

Remote

$59,681–$96,123 Per Year

ESSENTIAL FUNCTIONS & RESPONSIBILITIES: Receives claim, confirms policy coverage and acknowledgement of the claim Determines validity and compensability of the claim by investigating and gathering information regarding the claim and files necessary documentation with state agencies Establishes reserves and authorizes payments within reserving authority limits Develops and manages well documented action plans with the case manager and outcomes manager to reduce overall cost of the claim Coordinates early return-to-work efforts with the appropriate parties Manages subrogation and litigation of claim as it applies Manages potential claim recoveries of all types Reports claims to the excess carrier when applicable Communicates claim status with the customer and claimant Adheres to client and carrier guidelines and participates in claims review as needed Develops and maintains professional customer relationships Complies with rules and regulations of applicable state Additional duties as assigned. KNOWLEDGE & SKILLS: Excellent written and verbal communication skills Ability to assist team members to develop knowledge and understanding of claims practice Ability to identify, analyze and solve problems Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets Strong interpersonal, time management and organizational skills Ability to work both independently and within a team environment Knowledge of the entire claims administration, case management and cost containment solution as applicable to Workers' Compensation.

New!

Omaha, NEToday

We are currently operating fifty-five stores in Iowa, Nebraska, Illinois, Michigan, Florida, Colorado, Indiana, Kentucky, Missouri, New York, Pennsylvania, and Puerto Rico. Major emphasis on telephone and floor sales, direct marketing, new customer growth, local social media reach, customer service program and store merchandising.

New!

Omaha, NEToday

Perform other related duties as assigned by supervisory personnel, including assisting with hazardous material briefings and general hazardous material compliance questions.* Locate and view video captured by cameras on company equipment (e.g., Samsara, Bendix) of any accident or other risk event and ensure the appropriate length of video is saved with the accident record in our claims administration system. By clicking "Submit" you are expressly consenting to our Privacy Policy (available at and to Werner Enterprises, Inc., its representatives, and affiliates ("Werner") contacting you about your inquiry, and that Werner may collect sensitive information about you to consider your employment as explained further in our Privacy Policy.

Valley, NE30+ days ago

Here, you will make an impact by: Maintaining, troubleshooting, and repairing plant OT (Other Technologies), computer, and server systems, including diagnostics using electronic test equipment. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate’s relevant knowledge, training, skills, work location, and/or experience.

Omaha, NE30+ days ago

$16–$18 Per Hour

Paid Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, Christmas Eve, Christmas Day. As a member of our team, you’ll benefit from comprehensive training programs, mentorship opportunities, and a collaborative work environment that fosters growth.

Omaha, NE30+ days ago

$15–$17 Per Hour

This role also involves pulling parts and merchandise for wholesale orders that need to be delivered, as well as cleaning, boxing, and preparing parts for return shipments, including completing the necessary paperwork for credits or exchanges. The specialist assists the Parts Sales staff and Parts Manager with restocking panels, follows all established organizational procedures and safety policies to support efficient Parts Department operations.

Omaha, NE30+ days ago

$16–$18 Per Hour

Omaha, NE27 days ago

$18–$20 Per Hour

The role also includes unloading, transporting, and stocking parts in the warehouse using equipment such as a wave machine, forklift, and stock chaser, while consistently following established procedures to ensure safety and operational efficiency. The specialist also supports daily operations by processing parts orders, fulfilling internal dealership requests, handling customer cores, and submitting warranty claims.

New!

Omaha, NEToday

$16–$18 Per Hour

Paid Holidays: New Year's Day, Memorial Day, Independence Day, Labor Day, Thanksgiving, Christmas Eve, Christmas Day. As a member of our team, you'll benefit from comprehensive training programs, mentorship opportunities, and a collaborative work environment that fosters growth.

New!

Omaha, NEToday

$16–$18 Per Hour

Omaha, NE30+ days ago

Essential Responsibilities: • Working with limited oversight under broad management direction, adjudicate general liability bodily injury claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results. A deep knowledge of General Liability Bodily Injury claims, as well as an exceptional customer service focus typically obtained through: • A minimum of seven years experience adjudicating General Liability Bodily Injury claims with extensive experience with exposure of $100,000 or more.

Omaha, NE30+ days ago

Essential Responsibilities: • Working with limited oversight under broad management direction, adjudicate Garage Bodily Injury claims at the highest authority limits on assignments reflecting the highest degree of technical complexity, potentially with major impact on departmental results. A deep knowledge of General Liability Bodily Injury claims, as well as an exceptional customer service focus typically obtained through: • A minimum of seven years' experience adjudicating commercial Garage Bodily Injury claims.

Omaha, NE30+ days ago

Remote

Full-time

Technical Skills: Proficient with key databases, including FoxPro, Claims Systems, Medical Management Systems, and Provider Data Management Systems; working knowledge of VA policies and procedures, current knowledge of claims, reimbursement methodology; healthcare or managed care experience. • Communicate clearly through both written and verbal forms of communication and follow up with various parties to ensure tasks are completed within the allotted timeline or issues are escalated appropriately.

Omaha, NE30+ days ago

Not Related: Chemical agents (Toxic, Corrosive, Flammable, Latex) Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF) Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment) Equipment/Machinery/Tools Explosives (pressurized gas) Electrical Shock/Static Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc) Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means) Mechanical moving parts/vibrations. Its helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patients needs, or giving a high five when a patient beats a disease or conquers a personal health challenge.

Omaha, NE30+ days ago

Lyman-Richey Corporation is the preferred provider of aggregate and ready mix concrete, safely providing quality construction materials with superior service and exceptional value to its customers for 140 years. Develop and implement environmental compliance plans for programs such as air quality, storm water discharges, oil spill prevention or control, recycling, managing hazardous materials, employee education, and so on.

omaha, NE30+ days ago

$60,000–$75,000 Per Year

We offer our fulltime staff employees a comprehensive benefits package that's among the best in our industry, including top-tier medical, dental and vision plans covering eligible employees and dependents, voluntary wellness and employee assistance programs, life insurance, disability, retirement plans with matching, and generous paid time off. The Document Control Specialist is responsible for processing internal and external distribution of engineering documentation on incoming and outgoing workflows, and preparing transmittals for document distribution, as directed.

New!

Omaha, NEToday

Applicant Tracking System Management: Proficiently manages and leverages the Applicant Tracking System to streamline the recruitment process while ensuring accuracy in data entry and utilizing its functionality to optimize candidate sourcing, screening, and tracking. As a Talent Acquisition Specialist, you will serve as a strategic partner in building high-performing teams, ensuring every candidate and hiring manager experience reflects our values and commitment to excellence.

Omaha, NE30+ days ago

Full-time

The incumbent will also work closely with MTF staff to support TRICARE beneficiaries and provide non-clinical support for patient referrals and authorizations; outreach to network providers as necessary; and to facilitate the support of applicable TriWest departments for resolving network gaps, provider and contract concerns, customer service requests, and discharge coordination for patients from network and non-network facilities. • Performs on-site and virtual outreach activities for military installation community and beneficiary groups such as Family Readiness Groups, Retiree Associations, and Installation New-comers Orientation, and provides educational briefings on such matters as transferring TRICARE enrollment, PCM selection, and other interest areas for new people to the community.

Council Bluffs, IA7 days ago

It's helping families grow by making each delivery special, conveying a difficult diagnosis with a compassionate touch, going above and beyond for a patient's needs, or giving a high five when a patient beats a disease or conquers a personal health challenge. About Methodist: Nebraska Methodist Health System is made up of four hospitals in Nebraska and southwest Iowa, more than 30 clinic locations, a nursing and allied health college, and a medical supply distributorship and central laundry facility.

Offutt Air Force Base, NE30+ days ago

Establish and satisfy cybersecurity and security requirements based upon user, policy, regulatory, PMO, and resource demands. Subject Matter Experts (SME) shall serve as primary advisors, ensuring appropriate operational.

LA VISTA, Nebraska30+ days ago

The jobs listed are examples of the typical kinds of positions that Costco may hire for when openings exist. The listing does not mean that any positions are currently open or available at Costco.

Omaha, NE7 days ago

With the addition of Boys Town National Research Hospital in 1977, our services branched out into the health care and research fields, offering even more career opportunities to those looking to make a real difference. Our employees are our #1 supporters when it comes to achieving Boys Town's mission, which is why we are proud of their commitment to making the world a better place for children, families, patients, and communities.

Omaha, NE19 days ago

$19.74–$23.54 Per Hour
Part-time

The Care Team Specialist (CTS) is a care coordination role within the Certified Community Behavioral Health Clinic (CCBHC) model responsible for supporting timely access, engagement, and continuity of care for individuals receiving mental health and/or substance use services. Identify existing care team members, including medical, behavioral health, substance use, social service, and natural supports, and when such supports are not yet in place, identify and facilitate connections to appropriate resources and care team members.

New!

Omaha, NEToday

Position Summary: As the Equipment Sales Specialist, you are responsible for driving equipment, technical and Benco services sales by partnering with regional teammates to ensure customer satisfaction; soliciting new business through personal efforts and referrals from territory representatives; enhancing personal skills in product and services focus areas; developing healthy/productive working relationships with customers, vendors and Benco teammates; serving as a consultant in helping dentists grow their practices; leading assigned territory representatives to accomplish mutual sales goals. We provide more supply and equipment options than any other full-service distributor, an offering enhanced by a comprehensive suite of services, including office design, equipment repair, practice coaching, financing and project management, wealth management and dental-specific technology solutions.

New!

Omaha, NE4 days ago

$55,000–$70,000 Per Year
Part-time

Serve as a liaison for data integrity and reporting accuracy between clinical practice, Electronic Health Record (EHR) configuration, and reported outcomes, ensuring clinical workflows support accurate capture of diagnoses, services, and outcomes. The position partners closely with clinical, operational, and administrative teams to strengthen documentation quality, regulatory compliance, and performance improvement efforts that directly support positive outcomes for individuals and families served across the continuum of care.

NE30+ days ago

$75,000–$85,000 Per Year

Stakeholder Communication: Present analysis results and project updates to stakeholders, developing clear and informative presentations that support effective decision-making and facilitate project buy-in from customer leadership. Project Management Support: Partner with Project Managers and Program Directors throughout the project lifecycle, from inception to conclusion, to ensure timely delivery of software solutions while adhering to scope and budget constraints.

Omaha, NE30+ days ago

Remote

Full-time

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.

Omaha, NE30+ days ago

Full-time

Omaha, NE30+ days ago

Full-time

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Experience working in a fast-paced work environment with high expectations, significantly diverse assignments, and collaborative team settings across all levels.

Omaha, NE30+ days ago

Full-time

Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Analyze significant, and/or unique contract requirements, special provisions, terms and conditions to ensure compliance with appropriate laws, regulations, and corporate policies and business unit procedure, ultimately reducing risk to the company.

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Medical Review Specialist Jobs in Omaha, NE

Property Adjuster Specialist - Field USAA

Prior Authorization Specialist - Remote/Nationwide Signature Performance, Inc.

HIM Senior Specialist - Immanuel Medical Center Conifer Revenue Cycle Solutions

HIM Senior Specialist - Immanuel Medical Center Tenet Healthcare Corp

Provider Credentialing Specialist TriWest Healthcare Alliance

Regional Senior Casualty Claim Specialist - Litigation AAA Southern New England

CAC Medical Biller OneStaff Medical LLC

Clinic Design & Project Specialist Milan Laser Hair Removal

Clinical Documentation Integrity Specialist Nurse Immanuel

Chart Retrieval Specialist - Omaha (NE) Datavant

Culinary Specialist U.S. Navy

Methods Specialist Merck & Co Inc

Operations Specialist City Wide Facility Solutions

Senior Therapeutic Area Specialist, Oncology- Omaha, NE Bristol Myers Squibb

Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare Alliance

Patient AR Specialist Nebraska Cancer Specialists

Omaha, NE based Clinical Specialist - Remote, USA Calyxo

Compliance Specialist Triage Staffing

In Plant Safety Specialist Fortrex Inc Ltd

Farm Administration Specialist I Farmers National Company

Senior Indemnity Claims Specialist CorVel Corp

All Position - Sales, Customer Retentions, Delivery Specialists Arona Home Essentials

Compliance Specialist Werner Enterprises

OT (Other Technologies) Specialist (Valley, NE) 3M

Automotive Parts Shipping & Receiving Specialist Woodhouse Auto Family

Automotive Parts Inventory Specialist - Ford Woodhouse Auto Family

Automotive Parts Shipping & Receiving Specialist - Chevy Woodhouse Auto Family

Automotive Parts Returns Claim Specialist Woodhouse Auto Family

Automotive Parts Shipping & Receiving Specialist Woodhouse

Automotive Parts Shipping & Receiving Specialist - Chevy Woodhouse

Senior Technical Claims Specialist Argo Group International Holdings Inc

Senior Technical Garage Bodily Injury Claims Specialist Argo Group International Holdings Inc

Provider Data Specialist TriWest Healthcare Alliance

Strategic Sourcing Specialist Nebraska Methodist Health System

Environmental Specialist - Omaha, NE CRH Americas

Document Controls Specialist - Kiewit Infrastructure Engineers Kiewit Corp

Talent Acquisition Specialist Renaissance Financial

Field Support Specialist TriWest Healthcare Alliance

Registration Specialist - Cancer Services - Casual - Days Nebraska Methodist Health System

Cybersecurity Specialist 2 Essnova Solutions, Inc.

Senior Hearing Aid Specialist Costco Wholesale Corporation

Program Business Specialist Father Flanagan's Boys' Home

Care Team Specialist - Nebraska CCBHC Heartland Family Service

Equipment Sales Specialist Benco Dental

Licensed Clinical Standards Specialist Heartland Family Service

PremierOne CAD Application Specialist Motorola Solutions Inc

Jira and Jama Product Delivery Specialist Maximus

Reporting Specialist Maximus

Senior Specialist Subcontracts Administrator - Federal (Bid) Maximus

Specialist Subcontracts Administrator - Federal (Bid) Maximus

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