Insurance and Accounts Receivable Specialist

MNGI•Minneapolis, MN

2d•$22 - $25•Hybrid

About The Position

This full-time position is responsible for handling insurance and accounts receivable tasks within the business office. The role involves professional communication with patients, staff, and insurance companies, understanding of EPM/EHR systems (specifically NextGen), and managing the entire patient billing cycle from appointment scheduling to collections. A key aspect of the role is ensuring HIPAA compliance and accuracy in all financial and claim-related processes. The position requires attention to detail, problem-solving skills, and the ability to work independently and as part of a team.

Requirements

High School Diploma or GED required.
1-2 years of experience in a business office/billing setting.
Microsoft Office applications
Insurance payers
Compassionate patient care
Active listening
Problem solve, prioritization, and critical thinking
Attention to detail
Organization and time management
Multitask
Communicate effectively verbally and in writing
Work independently as well as in a team environment
Type proficiently and accurately
Ability to walk, sit, stand, reach overhead, and bend to the floor.
Regular attendance is required.
Use dexterity of hands and fingers to operate a computer keyboard, mouse, and other office equipment.
Close vision and ability to adjust focus.
May be required to lift and transport items up to 10 pounds occasionally.
May be required to travel to other company locations due to staffing and training needs.
Must be alert to conditions that may impact the safety of patients, employees and visitors.

Nice To Haves

Demonstrate an understanding of Electronic Practice Management (EPM) and Electronic Health Records (EHR) within NextGen software

Responsibilities

Ensure all internal and external phone calls (patients, staff, insurance companies, etc.) are handled in a professional manner with a customer service approach.
Demonstrate an understanding of Electronic Practice Management (EPM) and Electronic Health Records (EHR) within NextGen software as it relates to insurance, demographics, and release of information associated with the daily functions of the Business Office.
Understand the process from the time patient schedules an appointment, front desk procedure, coding, billing, application of payment, and collections.
Work closely with patients, insurance companies, and co-workers to address or resolve any concerns while maintaining HIPAA compliance.
Monitor remittance advice for details including denials and payment inconsistencies.
Submit replacement claims and appeals to the insurance companies; submit timely follow up requests for status.
Assists as needed in processing insurance payments so that all accounts are up-to-date and accurate.
Complete insurance Payer Audits quarterly to ensure payments are accurate per our contracted rates.
Run service item reports to verify correct payment/information for processing claims.
Must have knowledge and understanding of CMS billing guidelines for submitting accurate information on claims.
Knowledge on new insurance plans each year.
Research insurance portals
Maintain information from insurance bulletins
Understand how to set up new insurance and update all pertinent documents in MNGI
Any and all other duties as assigned.