Insurance Claims & Denials Specialist

St. Cloud Orthopedics; Sartell (MN); On-site; USD 42,000 - 58,000; Full time

Job summary

St. Cloud Orthopedics in Sartell, MN is seeking a skilled Medical Billing Specialist to review, process, and investigate insurance claims to maximize reimbursements.

You will handle denials, coordinate primary and secondary coverages, post payments, and rebill when needed, while ensuring accuracy and compliance. This role requires 3–5 years in a medical business office and a high school diploma; background check is required.

Qualifications

• High school diploma or GED is required.
• Three to five years experience in medical business office with emphasis on insurance reimbursement procedures.
• Strong knowledge of basic insurance processing, coding, and terminology.
• Must pass a background check.

Responsibilities

• Investigates a large volume of denied claims to discover errors, makes corrections and resubmits.
• Coordinates benefits between primary and secondary insurance providers.
• Processes incoming checks and posts charges to patient accounts.
• Reviews monthly accounts receivable aging reports and rebills as necessary.
• Communicates with patients and insurance companies to resolve questions and clarify coverage.
• Takes payments on accounts in person or over the phone.
• Provides back-up to switchboard operator and other office tasks as needed.

Skills

Insurance processing

Medical terminology

Coding knowledge

Attention to accuracy

Investigation of denials

Multi-tasking

Reading and following instructions

Customer service

Computer skills (40 wpm etc)

10-key calculator

Oral and written communication

Education

High School diploma or GED

Job description

St. Cloud Orthopedics in Sartell, MN is seeking a skilled Medical Billing Specialist to review, process, and investigate insurance claims to maximize reimbursements.

You will handle denials, coordinate primary and secondary coverages, post payments, and rebill when needed, while ensuring accuracy and compliance. This role requires 3–5 years in a medical business office and a high school diploma; background check is required.