Medical Insurance QA Specialist

Medical Insurance QA Specialist

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.

Benefits

• 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

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

Qualifications

Our top candidates will have:

• 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

We look forward to seeing your application and the opportunity to speak with you further!