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Clinical Insurance Reviewer Jobs in Minnesota (NOW HIRING)

Job Type Full-time Description Clinical Care Coordinator (TMS) Location: Onsite - St. Paul, MN ... Coordinate peer-to-peer reviews for insurance denials and schedule patients once approvals are ...

Prepares reports/records on activities for review by the Director of Nursing as needed. * Meets ... Our comprehensive benefits package includes health, dental, and vision insurance. As well as ...

... reviews to identify data integrity issues, reporting errors, and process defects. · Use Excel and ... life insurance, short-term disability, additional voluntary benefits, EAP program, commuter ...

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Clinical Insurance Reviewer information

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How much do clinical insurance reviewer jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for clinical insurance reviewer in Minnesota is $35.18, according to ZipRecruiter salary data. Most workers in this role earn between $30.62 and $39.57 per hour, depending on experience, location, and employer.

What is a clinical insurance reviewer?

A Clinical Insurance Reviewer evaluates medical claims to ensure they meet insurance policies and clinical guidelines. They review patient records, verify medical necessity, and determine coverage eligibility. This role requires knowledge of medical terminology, coding, and insurance regulations. Clinical Insurance Reviewers help prevent fraud, ensure compliance, and support fair reimbursement for healthcare providers and patients.

What are the typical daily responsibilities of a clinical insurance reviewer?

Clinical Insurance Reviewers spend much of their day reviewing medical records and patient documentation to determine the medical necessity and appropriateness of treatments for insurance coverage. They assess claims against clinical guidelines, communicate their findings with healthcare providers or case managers, and may also participate in peer-to-peer reviews or appeals. Most positions involve working closely with other reviewers, physicians, and administrative staff, either remotely or in a collaborative office setting. This role requires strong organizational skills as well as the ability to manage multiple case reviews and deadlines simultaneously.

What are the key skills and qualifications needed to thrive as a clinical insurance reviewer?

To thrive as a Clinical Insurance Reviewer, you need a solid understanding of clinical practices, medical terminology, and insurance guidelines, often supported by a background in nursing or other healthcare professions. Familiarity with electronic medical records (EMRs), claims management systems, and utilization review software is highly valuable, and certifications such as Certified Professional in Healthcare Quality (CPHQ) can be advantageous. Strong analytical thinking, attention to detail, and effective communication skills set top performers apart in this role. These skills are crucial for accurately evaluating medical claims, ensuring compliance, and facilitating clear communication between healthcare providers and insurance companies.

What job categories do people searching Clinical Insurance Reviewer jobs in Minnesota look for?

The top searched job categories for Clinical Insurance Reviewer jobs in Minnesota are:

Infographic showing various Clinical Insurance Reviewer job openings in Minnesota as of August 2026, with employment types broken down into 92% Full Time, and 8% Part Time. Highlights an 100% In-person job distribution, with an average salary of $73,169 per year, or $35.2 per hour.

Clinical Care Coordinator (TMS)

ARC Health

Lake Elmo, MN • On-site

$25 - $27/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 14 days ago


Job description

Job Type
Full-time
Description
Clinical Care Coordinator (TMS)
Location: Onsite - St. Paul, MN Clinic
Employment Type: Full-Time, W-2 Employee, Non-Exempt
Hourly Rate: $25-27/hr
Schedule/Hours: Monday-Friday 8am-5pm
Help Patients Change Their Lives
At NeuroStim TMS, we believe every patient deserves access to compassionate, evidence-based mental health care. As one of the nation's leading providers of Transcranial Magnetic Stimulation (TMS), we help individuals struggling with depression and other mood disorders find hope through innovative, non-invasive treatment.
NeuroStim TMS is seeking a highly organized, compassionate, and proactive Clinical Care Coordinator for TMS Services to support the daily operations of our St. Paul clinic. As a key leader in your clinic, this role combines patient coordination, clinic operations, and hands-on support in a collaborative outpatient mental health setting.
You'll play an essential role in creating a smooth, welcoming experience for patients on their care journey while helping our clinical team deliver exceptional care. Ideal candidates are organized, dependable, service-oriented, and comfortable balancing administrative responsibilities with patient interaction in a fast-paced healthcare environment. If you bring a positive, team-first attitude and enjoy making a meaningful impact on patients and teammates alike, we'd love to meet you.
Clinical Care Coordinator (TMS) Responsibilities
Clinic Operations & Performance Management
  • Lead daily clinic operations, patient flow, and schedule optimization to support clinic growth and performance goals.
  • Track and report weekly operational metrics - consultation completion, treatment conversion, patient progression, and schedule utilization.
  • Identify and escalate operational barriers: scheduling gaps, workflow inefficiencies, staffing concerns, overtime, and coverage needs.
  • Ensure chart completion, data accuracy, and timely documentation uploads.
  • Maintain clinic organization, operational readiness, and overall clinic efficiency.

Patient Progression & Care Coordination
  • Serve as primary operational point of contact for patients across the treatment lifecycle, coordinating with Admissions and Insurance on onboarding, authorization, and treatment initiation.
  • Manage medical records requests (clearance, medication history, outside provider/facility records) in compliance with HIPAA and organization policies.
  • Conduct patient follow-up and re-engagement activities to support continuity of care.
  • Support patient satisfaction initiatives (Google reviews, exit surveys, experience tracking) and address/escalate patient concerns professionally.

Team Leadership & Staff Oversight
  • Provide day-to-day leadership and operational oversight of clinic staff to drive workflow efficiency, accountability, and patient experience.
  • Monitor staff attendance, punctuality, schedule adherence, and overtime management.
  • Coach and address routine performance/professionalism issues at the clinic level; escalate recurring or pattern concerns to Area Managers per policy.
  • Promote a culture of accountability, teamwork, and operational excellence.

Provider, Team & Financial Coordination
  • Maintain ongoing provider communication on patient progress via email, weekly check-ins, and monthly team meetings; identify opportunities to improve documentation and provider communication to support timely TMS authorization approvals.
  • Collaborate cross-functionally with Admissions, Insurance, Technicians, and Leadership to support clinic efficiency and continuity of care.
  • Collect patient payments, manage recurring payments in Transaction Express, and support balance tracking and collections.
  • Conduct routine chart audits and quality checks for documentation compliance and accuracy; maintain clinic inventory and coordinate supply ordering.
  • Ensure compliance with HIPAA and applicable federal/state regulations.

Limited Clinical Support & Insurance Authorization
  • Provide limited, appropriately trained support to clinical staff and technician coverage when operationally necessary.
  • Maintain working knowledge of insurance guidelines and authorization timelines.
  • Coordinate peer-to-peer reviews for insurance denials and schedule patients once approvals are received

Compensation & Benefits (Full-Time Employees are eligible for):
  • Competitive Hourly Rate: $25-27/hr
  • 401(k) retirement plan with employer match up to 4%
  • Comprehensive medical, dental, and vision insurance for employees and eligible dependents*
  • HSA (with employer contribution) and FSA options to help manage healthcare and dependent care expenses*
  • Employer-paid life insurance and AD&D coverage*
  • Employee Assistance Program (EAP) with confidential mental health and life support resources*
  • Generous paid time off and additional paid holidays* *Indicates benefits available only to full-time W-2 Employee

Requirements
Clinical Care Coordinator (TMS) Qualifications
  • Bachelor's degree; psychology or a related field strongly preferred. (Relevant experience may be substituted in place of educational requirements)
  • Minimum of 2 years of experience in a leadership, supervisory, or team lead role.
  • Prior experience in a healthcare, behavioral health, or medical office setting is highly valued.
  • Excellent communication and organizational skills.
  • Ability to stay calm and focused in a dynamic, patient-facing environment.
  • Tech-savvy and confident using electronic health systems and payment platforms.
  • A commitment to delivering compassionate, high-quality care.

If you're ready to join a team where your work makes a real difference - and where your growth is encouraged - we'd love to meet you.
Apply today and learn more about us at neurostimtms.com
About NeuroStim TMS Centers
NeuroStim TMS Centers is a growing network of outpatient mental health clinics specializing in evidence-based, noninvasive treatments for depression and other mood disorders. We focus on delivering high-quality Transcranial Magnetic Stimulation (TMS) and interventional psychiatric services to patients who have not found relief through traditional treatment approaches. Our team is made up of dedicated clinicians and professionals who value clinical excellence, collaboration, and patient-centered care. We foster a professional, ethical, and inclusive work environment that encourages growth, learning, and innovation. As we continue to expand access to advanced mental health treatments, we are seeking mission-driven clinicians who are passionate about evidence-based care and want to be part of a collaborative, forward-thinking organization.
NeuroStim TMS Centers is committed to fostering a diverse, equitable, and inclusive workplace where all individuals feel valued, respected, and supported. We believe diversity of backgrounds, experiences, and perspectives strengthens our teams and enhances the care we provide to the communities we serve.
NeuroStim TMS Centers is an Equal Opportunity Employer. We are committed to providing equal employment opportunities to all employees and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, genetic information, veteran status, or any other status protected by applicable law.
NeuroStim TMS Centers is also committed to providing reasonable accommodations to qualified individuals with disabilities throughout the recruitment process. Accommodation requests may be submitted to careers@archealthpartners.com .
Salary Description
$25-27/hr