Insurance Reimbursement Specialist

St Cloud Orthopedic Associates; Sartell (MN); On-site; USD 26,000 - 32,000; Full time

Job summary

St Cloud Orthopedic Associates in Sartell, MN is seeking an experienced Insurance Claims Specialist to review, process and investigate reimbursements, with a focus on maximizing payments.

You will handle denials, coordinate primary/secondary benefits, post payments, rebill when needed, and ensure accurate patient accounts while delivering courteous communications to patients and insurers. The role requires attention to detail, teamwork, and adherence to clinic policies.

Qualifications

• Three to five years in medical business office with emphasis in insurance reimbursement procedures.
• Knowledge of basic insurance processing and claims resubmission procedures.
• Knowledge of basic medical terminology and coding.
• Ability to work with a high level of accuracy and detail.
• Ability to investigate and resolve insurance denials independently.
• Ability to prioritize work and multi-task in a fast-paced environment.
• Strong written and oral communication skills.

Responsibilities

• Investigates a large volume of denied claims to discover errors that may have caused denial, makes corrections and resubmits claims.
• Coordinates benefits between primary and secondary insurance providers.
• Processes incoming checks and posts charges to patient accounts.
• Reviews monthly accounts receivable aging reports, re-bills patients as necessary.
• Communicates with patients and insurance companies to resolve questions and clarify coverage.
• Verifies demographic and insurance information for outreach patients.
• Takes payments on accounts in person or over the phone.
• Provides backup to switchboard and other office duties.

Skills

Insurance reimbursement

Attention to detail

Independent investigation

Customer service

Multi-tasking

Education

High school diploma or GED

Tools

Typing 40 wpm

Job description

St Cloud Orthopedic Associates in Sartell, MN is seeking an experienced Insurance Claims Specialist to review, process and investigate reimbursements, with a focus on maximizing payments.

You will handle denials, coordinate primary/secondary benefits, post payments, rebill when needed, and ensure accurate patient accounts while delivering courteous communications to patients and insurers. The role requires attention to detail, teamwork, and adherence to clinic policies.