Medical Insurance QA Specialist
Summary
Ensures accuracy of insurance benefits and medical documentation for respiratory product billing by navigating payer portals and managing verifications.
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