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3 results for Health Plan Specialist Medicaid in Minnetonka, MN
- Minneapolis, MN
- remote
- Temporary / Contract
- 19 - 27 USD / Hourly
- <p>A Healthcare Company is looking for an experienced<strong> Insurance Authorization Specialist</strong> to support patient access and reimbursement activities for a healthcare organization. This Insurance Authorization Specialist focuses on confirming insurance coverage, securing approvals for services, and keeping documentation accurate so care and billing can move forward without unnecessary delays. The Insurance Authorizations Specialist brings strong knowledge of payer rules, prior authorization workflows, and communication practices needed to coordinate effectively with patients, providers, and insurers.</p><p><br></p><p><strong>Key Responsibilities:</strong></p><p>• Confirm patient eligibility, benefits, and plan coverage before scheduled visits, treatments, or procedures.</p><p>• Secure prior approvals and pre-certifications from insurance carriers for ordered services within required timelines.</p><p>• Audit patient account details to ensure insurance data is complete, current, and correctly documented.</p><p>• Communicate with patients, clinical staff, and payers to clarify authorization status, benefit information, and expected financial responsibility.</p><p>• Track outstanding, denied, or partially completed authorization requests and take action to resolve them promptly.</p><p>• Record verification outcomes, authorization updates, and related notes accurately in the electronic medical record and billing platforms.</p><p>• Investigate insurance issues that could interrupt treatment scheduling or delay claim reimbursement, and work toward resolution.</p><p>• Follow payer policies, regulatory standards, and internal procedures to maintain compliant authorization and verification practices.</p><p>• Partner with front office, billing, and care teams to help maintain efficient patient access and revenue cycle operations.</p><p><br></p><p><strong>Benefits: </strong>Health, Dental, Vision, 401k, and Sick Time Off.</p>
- 2026-11-13T00:00:00Z
- Minnetonka, MN
- onsite
- Temporary / Contract
- 40 - 45 USD / Hourly
- We are looking for a Leave of Absence Analyst II to support leave administration for a health insurance organization in Minnetonka, Minnesota. This Long-term Contract opportunity is ideal for someone who is detail oriented and can interpret leave policies, apply federal and state regulations, and guide employees and leaders through complex absence-related matters. The person in this role will work closely with HR, management, legal partners, and an external leave administrator while delivering responsive, accurate service in a fast-paced environment.<br><br>Responsibilities:<br>• Oversee employee leave cases from initial request through resolution, confirming eligibility, certifications, and required actions in accordance with company guidelines and applicable laws.<br>• Maintain accurate case records by organizing and uploading documentation to the appropriate employee files and ensuring information is current and complete.<br>• Act as the primary contact between employees, HR teams, managers, and the external leave vendor to resolve issues efficiently and support a smooth leave experience.<br>• Monitor leave activity related to disability, family and medical leave, statutory leave, and workers’ compensation, escalating complex situations to leadership when needed.<br>• Explain leave policies and return-to-work expectations to employees and supervisors, including participation in interactive discussions when accommodations or case-specific guidance are required.<br>• Partner with payroll, benefits, employee relations, management, and legal stakeholders to address case impacts and maintain compliant administration practices.<br>• Identify opportunities to strengthen leave processes and collaborate with the third-party administrator on improvements and implementation efforts.<br>• Use reporting tools, Excel, and ticketing systems to track cases, review trends, and support daily operational needs, project work, and other assigned responsibilities.
- 2026-11-02T00:00:00Z
- Cambridge, MN
- onsite
- Temporary / Contract
- 20 - 22 USD / Hourly
- We are looking for a Patient Access Representative to join a healthcare team in Cambridge, Minnesota on a Contract basis. This position plays an important role in creating a smooth arrival experience for patients while supporting accurate registration, insurance validation, and financial clearance activities. The ideal candidate will bring strong communication skills, attention to detail, and the ability to manage administrative tasks efficiently in a fast-paced clinical setting.<br><br>Responsibilities:<br>• Welcome patients and visitors professionally, creating a positive and supportive front-desk experience.<br>• Complete patient intake by entering and updating demographic, insurance, and contact information with a high degree of accuracy.<br>• Confirm coverage details, eligibility, and benefit information to help prevent billing issues and delays in care.<br>• Collect copayments, deductibles, and other patient-responsible amounts in accordance with established procedures.<br>• Guide patients through available financial assistance options and support them with required application steps.<br>• Maintain registration records, forms, and signatures within Epic and other relevant systems to ensure complete documentation.<br>• Investigate and correct account discrepancies or registration errors to support clean claim submission and efficient follow-up.<br>• Coordinate appointment scheduling changes and updates when needed to support patient access operations.
- 2026-11-13T00:00:00Z