North Memorial Health Care Patient Referral & Reimbursement Spec in Minnetonka, Minnesota

Requisition Number

18-2300

Post Date

12/7/2018

Title

Patient Referral & Reimbursement Spec

Department

Premier Health

Job Group

Medical Support

Employment Type

Full Time (Regular)

Hours Per Pay Period

80

Shift

Days

Shift Length

8 Hours

Mandatory Call Requirement

None

Mandatory Wknd Requirement

None

City

Minnetonka

State

MN

Description

The Customer Referral and Reimbursement Specialist utilizes experience and knowledge of medical

billing, familiarity with medical claims, explanation of benefits, coordination of benefits, medical claim

denial information, and other medical claim correspondence to assist customers and the clinics.

Schedules customer appointments and processes incoming and outgoing referrals including prior

authorizations. Navigates insurance companies for benefits exclusions and requirements for coverage in addition to completing referral authorization paperwork, and communicating referral authorization information to physicians and customers.

Requirements

Education

Required: Associate’s Degree in Business Administration or related field.

Preferred: Bachelor’s Degree.

Experience

Previous hospital or clinic experience required.

Experience working with insurance authorization and billing.

Past customer service experience preferred.

Knowledge, Skills and Abilities

Strong customer service aptitude.

Ability to communicate effectively both orally and in writing.

Excellent analytical skills & ability to read medical billing transactions.

Advanced computer skills.

Professional relationship building skills.

Effective verbal and written communication skills.

Teamwork orientation.

Organized and able to manage competing priorities.

Resourcefulness in problem solving.