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.

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.
• 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

Our top candidates will have:

• 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

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