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Job description
Medical Insurance QA SpecialistNorthwest 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 ResponsibilitiesMonitor 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 filingBenefits$20-$22 per hourHealth InsuranceDental InsuranceVision InsuranceEmployer Paid Life InsuranceMatch 401k Eligibility on Day One of EmploymentFSA Account (Medical and/or Dependent)Pet InsuranceShort Term and Long-Term DisabilityAccident, Hospital Indemnity, and Critical Illness InsuranceVacation, sick, and paid holidaysQualificationsWell versed in Medical insurance/terminology/billing. Experience with HME is a plusGreat communication skills: written and verbal, contacting referrals, facilities, patients, etc.Work individually and as a team to meet individual and departmental goalsParticipate in individual feedback sessions, staff meetings and annual training and/or competency tests
Worksite address
saint paul, MN, 55121, US
Who can apply
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