Medical Insurance QA Specialist

Northwest Respiratory Services; Eagan (MN); On-site; USD 57,308,000 - 63,039,000; Full time

Benefits offered by this job

Health Insurance

Dental Insurance

Vision Insurance

Employer Paid Life Insurance

Match 401k Eligibility on Day One of {

Job summary

Northwest Respiratory Services, based in Eagan, MN, is seeking a Medical Insurance Quality Assurance Specialist. The role focuses on time-sensitive insurance verifications, benefits verification, prior authorizations, and documentation reviews to ensure accurate billing across multiple payers.

Strong communication and team collaboration are essential. The position is full-time, daytime shifts with competitive benefits including Health, Dental, and Vision Insurance, 401(k) match from day one, and

Qualifications

• Well versed in Medical insurance terminology and billing.
• Strong written and verbal communication abilities.
• Ability to work independently and in a team to meet goals.

Responsibilities

• Monitor time-sensitive incoming insurance verifications based on priority.
• Verify insurance benefits, prior authorizations, and required medical documentation for all payers.
• Navigate insurance portals/IVR systems and review documentation for validity to bill third-party payers.

Skills

Medical insurance terminology

Billing

Communication skills

Job description

Job DetailsLevel: EntryJob Location: 01 Eagan - Eagan, MN 55121Position Type: Full TimeSalary Range: $20.00 - $22.00 HourlyTravel Percentage: NoneJob Shift: Day

Northwest Respiratory Services is a leading provider of oxygen & respiratory products throughout the Midwest & Northern Rockies. Working from our Eagan, MN office, we are currently in search of a Medical Insurance Quality Assurance Specialist with experience and knowledge of many medical insurance payers.

Essential Duties and Responsibilities

• Monitor and work time sensitive in-coming insurance verifications based on priority level.
• Verify insurance benefits, prior authorizations, and required medical documentation for all applicable payers, able to problem solve any odd ball/uncommon insurances.
• Ability to navigate insurance portals, IVR systems, etc.
• Review documentation for validity to bill third-party payers. May include but not limited to:
• Medical Documentation: prescriptions, progress/chart notes from different sources, oxygen saturation/sleep study results, etc.
• Delivery Documentation received from multiple branches within NRS.
• High level of accuracy in data entry and filing

Benefits

• $20-$22 per hour
• Health Insurance
• Dental Insurance
• Vision Insurance
• Employer Paid Life Insurance
• Match 401k Eligibility on Day One of Employment
• FSA Account (Medical and/or Dependent)
• Pet Insurance
• Short Term and Long-Term Disability
• Accident, Hospital Indemnity, and Critical Illness Insurance
• Vacation, sick, and paid holidays

Qualifications

• Well versed in Medical insurance/terminology/billing. Experience with HME is a plus
• Great communication skills: written and verbal, contacting referrals, facilities, patients, etc.
• Work individually and as a team to meet individual and departmental goals
• Participate in individual feedback sessions, staff meetings and annual training and/or competency tests

Northwest Respiratory Services is a privately held, regional leader in the respiratory product and service industry. We proudly serve patients in their own homes, assisted living facilities, skilled nursing facilities, and veterans receiving care from the VA Hospital. Since 1976, we have been a trusted partner, dedicated to the highest standard of care at the best possible value.

Northwest Respiratory Services is an EO Employer - M/F/Vets/Disabled