Medical Insurance QA Specialist
Northwest Respiratory Services, Eagan, MN, United States
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
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!
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
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!