Insurance Denial Specialist

3 weeks ago


Minneapolis, Minnesota, 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.


  • Minneapolis, Minnesota, United States Western National Group & Umialik Insurance Full time

    Position OverviewAbout Us:Western National Insurance Group is a well-established mutual insurance provider with a legacy of over 120 years in addressing the property-and-casualty insurance requirements of clients across the Midwestern, Northwestern, and Southwestern regions of the United States. We pride ourselves on being "The Relationship Company," where...


  • Minneapolis, Minnesota, United States Western National Group & Umialik Insurance Full time

    Job OverviewAbout Us:Western National Insurance Group is a longstanding mutual insurance provider with a rich history of over 120 years, dedicated to fulfilling the property-and-casualty insurance requirements of clients across the Midwestern, Northwestern, and Southwestern regions of the United States. Renowned as "The Relationship Company," we prioritize...


  • Minneapolis, Minnesota, United States McKee & Andrews Insurance Agen Full time

    Job OverviewPosition: Customer Service Representative in InsuranceWe are a reputable independent insurance agency seeking to recruit a dedicated customer service representative. Candidates must possess a valid Property and Casualty (P&C) insurance license for Minnesota.Responsibilities:Assist clients with inquiries regarding personal lines insurance,...


  • Minneapolis, Minnesota, United States C4 Technical Services Full time

    Job OverviewC4 Technical Services is seeking an Insurance Reimbursement Specialist to operate on a Hybrid Schedule.The Insurance Reimbursement Specialist plays a crucial role in liaising with insurance providers to confirm patient coverage through various communication methods including phone, online portals, and fax. This position requires strict adherence...


  • Minneapolis, Minnesota, United States CRC Group Full time

    About CRC Group:CRC Group is a leading provider of insurance services, dedicated to delivering exceptional support to our clients and partners. We are committed to fostering a diverse and inclusive workforce, and we are proud to be an Equal Opportunity Employer.Job Summary:We are seeking a highly skilled and motivated Insurance Support Specialist to join our...


  • Minneapolis, Minnesota, United States Ameriprise Financial Full time

    Position OverviewThe Insurance Underwriting Specialist will collaborate closely with field advisors and clients regarding insurance applications. This role entails evaluating insurance applications within defined parameters, handling life insurance face amounts up to $5,000,000 and monthly disability benefits of $8,000.Key ResponsibilitiesAnalyze...


  • Minneapolis, Minnesota, United States Intact Insurance Full time

    Job Overview We are seeking a Lead Reinsurance Claims Specialist to become a vital part of our Corporate Reinsurance & Reserving team. This position plays a crucial role in the precise identification, analysis, reporting, and collection of ceded reinsurance claims within our organization. Key Responsibilities: Oversees management reports, loss advisory...


  • Minneapolis, Minnesota, United States Players Health Full time

    Insurance Underwriting Support Specialist Position at Players HealthAbout Players HealthPlayers Health is committed to fostering a secure and inclusive atmosphere for young athletes to pursue their passion for sports. With a significant number of youth athletes in the United States, our mission is to ensure they receive the support, encouragement, and...


  • Minneapolis, Minnesota, United States Marsh & McLennan Companies Full time

    About the RoleWe are seeking a highly skilled Business Insurance Placement Specialist to join our team at Marsh McLennan Agency. As a key member of our Business Insurance team, you will be responsible for placing insurance programs for our Middle Market clients.Key ResponsibilitiesEstablish and maintain key relationships with underwriters to secure optimal...


  • Minneapolis, Minnesota, United States Holmes Murphy & Associates Full time

    About the RoleWe are seeking a highly skilled Client Service Consultant to join our Property & Casualty team at Holmes Murphy & Associates. As a key member of our team, you will be responsible for handling a book of business for assigned clients, evaluating their needs and risks, and assisting them in creating an insurance program tailored to their specific...


  • Minneapolis, Minnesota, United States Big I Minnesota Full time

    The Insurance Client Relations Specialist at Big I Minnesota plays a crucial role in fostering strong customer connections by addressing inquiries and concerns during the policy renewal phase with efficiency, precision, and professionalism. This position involves daily interactions with clients, insurance providers, and team members while executing specific...


  • Minneapolis, Minnesota, United States Cincinnati Insurance Company, Inc. Full time

    Join Our Team at Cincinnati Insurance Company, Inc.Make a significant impact in the insurance sector with a career that prioritizes people and upholds the Golden Rule in all operations. We are on the lookout for exceptional individuals to become part of our skilled team.Our associates, who are dedicated to service, ethics, knowledge, and compassion, embody...


  • Minneapolis, Minnesota, United States Crosstown Surgery Center Full time

    Position Title: Customer Service - Patient Financial ServicesJob Category: Patient ServicesOverview:The Customer Service Specialist is responsible for providing outstanding customer support and maintaining accurate documentation while interacting with patients, their families, clinic staff, and external vendors.Key Responsibilities:Effectively communicate...


  • Minneapolis, Minnesota, United States Umialik Insurance Company Full time

    About UsUmialik Insurance Company, a proud member of the Western National Insurance Group, has a rich history of over 120 years in delivering exceptional property-and-casualty insurance solutions across various regions in the United States.We pride ourselves on being "The Relationship Company," where success is defined by the enduring partnerships we...


  • Minneapolis, Minnesota, United States Brown & Brown Full time

    Built on meritocracy, our unique company culture rewards self-starters and those who are committed to doing what is best for our customers. Brown & Brown has an exciting opportunity available for an Insurance Risk Specialist for our Executive Risk team. The ideal candidate is a motivated insurance professional with 5 or more years of experience in middle...


  • Minneapolis, Minnesota, United States Western National Insurance Group Umialik Insurance Company Full time

    Job TypeFull-timeAbout UsWestern National Insurance Group is a well-established mutual insurance provider with a rich history of over 120 years in delivering property and casualty insurance solutions across the Midwestern, Northwestern, and Southwestern regions of the United States. Renowned as "The Relationship Company," we prioritize the quality of the...


  • Minneapolis, Minnesota, United States Karl Herman - State Farm Agent Full time

    Job OverviewAs an Insurance Account Representative with Karl Herman - State Farm Agent, you will play a vital role in building and maintaining strong relationships with customers, providing them with personalized insurance solutions that meet their unique needs.Key ResponsibilitiesCustomer Relationship Building: Establish and maintain strong relationships...


  • Minneapolis, Minnesota, United States CRC Group Full time

    Job Description**Job Summary**CRC Group is seeking a highly skilled Insurance Account Manager to join our team. As an Insurance Account Manager, you will be responsible for providing exceptional support to our brokers, underwriters, and team leaders regarding all policies and key accounts.Key Responsibilities:Promote new business and/or renewal business to...


  • Minneapolis, Minnesota, United States Marsh & McLennan Companies Full time

    About the RoleWe are seeking a highly skilled Business Development Executive to join our Commercial Insurance team at Marsh McLennan Agency. As a key member of our team, you will be responsible for servicing an existing book of business, marketing and placing new and renewal business, and providing excellent customer service to clients, carriers, and...


  • Minneapolis, Minnesota, United States Western National Group & Umialik Insurance Full time

    Job OverviewAbout Us:Western National Insurance Group is a longstanding mutual insurance provider with a rich history of over 120 years, dedicated to fulfilling the property-and-casualty insurance requirements of clients across the Midwestern, Northwestern, and Southwestern regions of the United States. Our ethos, encapsulated in the phrase "The Relationship...