Medical Claims Specialist

Join Our Team at MIPRTC, Inc. – Empowering people to Be Strong and Accept Help

Position: Medical Claims Specialist
Location: Thunderbird Wren House, Duluth, MN 55808
Employment Type: Full-time
Compensation: $20/hr
Shift: Monday-Friday, Day Shift

About Us:
At Mashkawisen Treatment Center and Thunderbird Wren House, we are committed to providing compassionate, evidence-based treatment for individuals battling substance use disorders. Our dedicated team works to create a supportive and healing environment where clients can rebuild their lives. If you're passionate about helping others achieve long-lasting recovery, we want to hear from you!

Position Overview:
The Medical Claims Specialist focuses on resolving insurance claim denials by researching denial reasons, gathering necessary documentation, and filing appeals with insurance companies in a timely manner. Must be willing to work as a member of a multi-disciplinary team to ensure efficient and effective handling of claims.

Our billing situation is unique- though not complex, and as such we would be willing to train the right candidate.

Key Responsibilities:

• Review and analyze denial reasons, insurance policies, medical documentation, and coding to identify potential payment issues.
• Develop compelling arguments and supporting documentation to overturn denials, working with billing specialists and providers to gather information and resolve denials.
• Track denial trends to identify recurring denial patterns to implement preventative measures.
• Communicate with management regarding denial reasons and necessary actions.
• Maintain accurate records, including all communication with insurance companies.
• Track the progress of appeals and ensure timely resolution.

Qualifications:

• Able to identify root causes of denials and develop effective solutions.
• Experience in a medical billing department with AR accounts follow-up, appeals, and coding knowledge is beneficial.
• Knowledge of and experience with claims processing and insurance policies is preferred.
• Able to communicate clearly and professionally, both orally and in writing, with clients, providers, and coworkers.
• Must have knowledge on the use of office software and equipment along with the ability to effectively use payer websites and portals.
• Ability to pass a drug screen and background check.
• Must be free from problematic substance use for at least 2 years.
• Subject to immunization review and submit proof of required vaccinations.

Why Join Us?

• Competitive benefits package with generous vacation and sick leave accrual.
• 11 paid holidays.
• Referral/Sign-on bonuses equal to $1/hr worked in the first 12 months of employment.
• Opportunities for professional growth and advancement.
• 401k plan with 5% gross contributions paid by MIPRTC, Inc. after 1 year of service.
• Annual performance reviews (which include salary increases).
• Collaborative and supportive work environment.
• Chance to make a meaningful impact in the lives of those in need.

How to Apply:
Please send your resume to employment@mashkawisen.com or feel free to apply on our website: https://www.mashkawisen.com/employment. We look forward to learning more about how you can contribute to the vital work we do at MIPRTC, Inc.!

EQUAL OPPORTUNITY EMPLOYER

Job Type: Full-time

Pay: From $20.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Referral program
• Vision insurance

People with a criminal record are encouraged to apply

Work Location: In person