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NORTHWEST RESPIRATORY SERVICES LLC • Eagan, Minnesota, United States
Salary: USD 20–22 per hour
Role & seniority: Medical Insurance Quality Assurance Specialist (mid-level), Full Time
Stack/tools: Medical insurance terminology & billing; payer portals; IVR systems; prior authorizations; data entry; documentation review; familiarity with HME (plus)
Monitor and process time-sensitive insurance verifications by priority
Verify insurance benefits, prior authorizations, and required medical documentation for applicable payers
Review documentation for validity to bill third-party payers; ensure accuracy of data entry
Strong knowledge of medical insurance terminology and billing
Experience communicating with referrals, facilities, and patients (written and verbal)
Ability to work independently and in a team; accurate data entry; attention to detail
Willingness to participate in training, meetings, and competency assessments
Experience with Home Medical Equipment (HME)
Familiarity with insurance portals and IVR systems
Location & work type: 01 Eagan, MN; Full Time, Day shift
Job Details
Job Location: 01 Eagan - Eagan, MN
Position Type: Full Time
Salary Range: $20.00 - $22.00 Hourly
Job Shift: Day
Job Category: Insurance Description 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 Company provided vehicle and cell phone 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.
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
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 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