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Medical Insurance QA Specialist

Job in Saint Paul, Dakota County, Minnesota, 55121, USA
Listing for: Northwest Respiratory Services
Full Time position
Listed on 2026-08-07
Job specializations:
  • Healthcare
  • Insurance
Salary/Wage Range or Industry Benchmark: 20 - 22 USD Hourly USD 20.00 22.00 HOUR
Job Description & How to Apply Below
Location: Saint Paul

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.

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
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
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