Claim Operator Jobs in Minnesota (NOW HIRING)

Description

PLEASE NOTE: THIS IS NOT A FULLY REMOTE POSITION. CANDIDATES MUST RESIDE WITHIN COMMUTING DISTANCE OF ROSEVILLE, MN.

Job Summary:

Tareen Dermatology is seeking an experienced Medical Billing Specialist with hands-on experience in claim submission, denial management, payment posting, accounts receivable follow-up, and insurance reimbursement. This role is ideal for a candidate who has worked directly in medical billing and is comfortable managing the full revenue cycle within a fast-paced specialty practice.

This position requires occasional on-site meetings required. Ideal candidates are organized, independent, and thrive in a fast-paced healthcare environment.

Please note: This position is focused on medical billing and revenue cycle functions, including claim submission, payment posting, denial management, appeals, and accounts receivable follow-up. Candidates whose experience is primarily in patient registration, scheduling, insurance verification, prior authorizations, call center operations, or front desk responsibilities may not meet the qualifications for this role.

Qualifications - Medical Billing Specialist

Education and Experience:

• High School diploma or equivalent required.
• Minimum 2 years of medical billing experience required.
• Dermatology, surgical, or specialty practice billing experience preferred.

Required Skills:

• Proficient in typing, spelling, punctuation, grammar, and oral communication.
• Ability to manage multiple priorities.
• Detail oriented.
• Ability to follow oral and written instructions.
• Strong computer skills.
• Ability to work well independently and as part of a team.
• Prior billing experience within a medical office/clinic preferred.
• Experience with patient registration, collecting payments and obtaining/verifying insurance information preferred.
• Ability to communicate calmly and clearly with patients and others on the phone and in-person.
• Ability to prioritize tasks effectively.
• Ability to navigate Practice Management and EHR systems.

Please note: This position is focused on medical billing and revenue cycle functions, including claim submission, payment posting, denial management, appeals, and accounts receivable follow-up. Candidates whose experience is primarily in patient registration, scheduling, insurance verification, prior authorizations, call center operations, or front desk responsibilities may not meet the qualifications for this role.

Responsibilities:

• Reviewing visit coding, posting charges, payments, and adjustments, processing claims, working denials, customer service calls, working collections lists, maintaining related files and logs, and checking patient insurance eligibility.
• Processing of claims for reimbursement and ensures all necessary documentation and attachments are included with claims. Interacts with physicians and administrators to coordinate communication of billable services to patients.
• Gathers and exchanges information necessary to ensure timely processing and reimbursement of claims and to promote maximum cash flow and reduce outstanding days in accounts receivable.
• Generates revenue by making payment arrangements, collecting accounts, and monitoring and pursuing delinquent accounts.
• Collects delinquent accounts by establishing payment arrangements with patients, monitoring payments, and following up with patients when payment lapses occur.
• Utilizes collection agencies to collect accounts which deem appropriateness of pursuing legal remedies.
• Educate patients on insurance questions, claims questions and resolve issues.
• Secures payments by interviewing and obtaining information from patients, establishing payments due prior to sending monthly statements.
• Updates job knowledge by participating in educational opportunities.
• Follow HIPAA and OSHA policies.
• Other duties as assigned.

• Pay Range: $19.00-$27.00 per hour
• Paid Time Off (PTO)
• Paid Holidays
• Medical, dental, and vision insurance
• 401(k) with employer matching
• Life insurance
• Disability insurance
• Employee Assistance Program (EAP)
• Employee discounts on cosmetic services and products

Work Environment:

This position is remote, with occasional requirements of in office meetings. Employee must live in the Minneapolis/St. Paul area.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; balance; stoop, kneel, crouch; talk, hear and smell. The employee must be able to lift or move up to 10 pounds. Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

Mission Statement:

The mission for Tareen Dermatology is to provide compassionate, state of the art dermatologic care to each patient with an emphasis on early diagnosis, patient education, and comprehensive skincare.

Our Vision is to exceed the patient's expectations by providing individualized, expert, and ethical care. We seek to be a leader in medical, surgical, and cosmetic dermatology and to always give back through service in our community.

Tareen Dermatology is an E-Verify employer. As part of the hiring process, we use E-Verify to confirm the identity and employment eligibility of all newly hired employees.