Insurance Denial Specialist

3 weeks ago

Minneapolis, United States University of Minnesota Physicians Full time

Why M Physicians?

Regardless of role, we recognize that every member of our team is vital TheInsurance Denials Specialistverifies health insurance, obtaining benefits and meeting payer requirements to secure prior authorization(s). Acts as a liaison between patients, their health insurance, care providers and financial counselors, to assist in understanding their financial responsibilities. Assists with appealing denials from payers by submitting medical records and supporting documentation as needed to secure authorization or retro authorization.

Insurance Denials Specialist Overview

Key responsibilities include but are not limited to:

  • Ensures insurance patient's coverage, resolves any issues with authorization and advances complicated issues to the appropriate manager
  • Verifies the need for a prior authorization for a medication through payer websites and other appropriate methods
  • Works to establish timely, correct insurance prior to the patient's procedure in order to financially secure the prior authorization, promote strong customer service, efficient and accurate billing and prompt reimbursement
  • Demonstrates ability to adjust service approaches to reflect developmental level of population served

Minimum Qualifications:

  • High school diploma or GED
  • Two years in insurance resolution, patient accounting or medical billing with knowledge of medical terminology, financial securing, collections and patient interaction; or new graduate from an HIM-related program with equivalent knowledge
  • Knowledge of health plans and payer information including the prior authorization process
  • Outstanding interpersonal skills and ability to interact with patients, physicians, multiple internal/external departmental personnel, financial services and insurance payers

Location:At this time, this position will be remote.

Hours:1.0 FTE (Monday-Friday)

Benefits:This is a fully benefit eligible position: Competitive wages, Healthcare (including vision & dental), 401K, parking & tuition assistance and more

University of Minnesota Physicians (M Physicians), a non-profit organization headquartered in Minneapolis, seeks motivated individuals for both clinical and non-clinical roles to drive innovation in health and medicine. Our inclusive culture offers competitive salaries, excellent benefits, and the opportunity for career development in the exciting field of health care to over 1,200 physicians, 300 advanced practice providers, and 2,200 health professionals and staff across Minnesota and beyond.

Join us on a mission to advance medicine.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, sex, gender, gender expression, sexual orientation, age, marital status, veteran status, or disability status. We will ensure that individuals with disabilities are provided reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment.


UMPhysicians is an Equal Opportunity/Affirmative Action/Military Friendly employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex, national origin, sexual orientation, age, marital status, status with regard to public assistance, disability, or status as a protected veteran.

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