Medical Insurance QA Specialist

NORTHWEST RESPIRATORY SERVICES LLC•Eagan, MN

10d•$20 - $22•Onsite

About The Position

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. This role requires a high level of accuracy in data entry and filing.

Requirements

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

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.