Medical Insurance QA Specialist

Job Details

Job Location:

01 Eagan – Eagan, MN 55121
Position Type:
Full Time
Salary Range: $20.00 - $22.00 Hourly

Job Shift: Day
Job Category:
Insurance

• 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

• 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

• 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

Northwest Respiratory Services is an EO Employer – M/F/Vets/Disabled