Reimbursement & Benefits Representative

Job Description

Now Hiring for a Reimbursement & Benefits Representative with a reputable medical device company in Minneapolis, MN!! This is a hybrid schedule where you will be allowed to work from home multiple days a week!! Must be qualified!!!

MUST HAVES:

HS Diploma

2+ years of experience with medical insurance verification background

Knowledge of insurance benefit verification requirements, guidelines and policies, insurance plans requiring pre-authorization

Experience in a health care related industry.

This program verifies benefits and works on prior authorization.

Working directly with physician offices regarding coverage for surgery.

• Act as an advocate for our customers as it relates to coverage.
• Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for customers.
• Obtain authorization, or pre-certifications required for patients to access coverage for Interventional Urology products.
• Knowledge of commercial payers, Medicare and Medicaid and their benefit structure(s)
• Requests medical documentation from providers not limited to nurse case reviewers and clinical staff to build on claims for medical necessity.
• Educates customers, staff and providers regarding referral and authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance related changes or trends.
• Verifies that all products that require prior authorizations are complete. Updates customers and customer support team on status. Assists in coordinating appeals if required by insurance payer.
• Maintains knowledge of the following:
  Medicare, Medicaid and Commercial payer requirements, guidelines, and policies.
• Ability to communicate reimbursement and access topics concisely and clearly to office staff and/or patients
• Work with customers if an exception to coverage is needed.
• Answer incoming calls from customers / patients and about the insurance verification process using appropriate customer service skills and in a professional, knowledgeable, and courteous manner.
• Other duties as assigned by the management team.

Monday-Friday, 8am-5pm, 1 day in office in Minneapolis, MN and 4 days remote

$23-$28/hr (based on experience)

#central priority
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This is a Contract to Hire position based out of Minneapolis, MN.

The pay range for this position is $23.00 - $25.00/hr.

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

This is a hybrid position in Minneapolis,MN.

This position is anticipated to close on Aug 13, 2026.