North Memorial Health Care Patient Referral & Reimbursement Spec in Minnetonka, Minnesota
Patient Referral & Reimbursement Spec
Full Time (Regular)
Hours Per Pay Period
Mandatory Call Requirement
Mandatory Wknd Requirement
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.
Required: Associate’s Degree in Business Administration or related field.
Preferred: Bachelor’s Degree.
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.
Organized and able to manage competing priorities.
Resourcefulness in problem solving.