2 results for Credentialing Specialist in St. Paul, MN

Credit Specialist

Apple Valley, MN
onsite
Temporary
22.8 - 26.4 USD / Hourly
We are looking for a detail-oriented Credit Specialist to join our team in Apple Valley, Minnesota. In this long-term contract role, you will play a pivotal part in managing and resolving negative account balances while ensuring compliance with established credit policies. This position offers the opportunity to work in the financial services industry, leveraging your expertise to address backlog issues and maintain operational efficiency. Responsibilities: • Review and analyze accounts to identify negative balances caused by Courtesy Pay transactions. • Calculate fees and losses associated with negative accounts and process charge-offs accordingly. • Manage general ledger entries and ensure proper documentation and transfer of financial data. • Close accounts with negative balances and notify customers through formal communication channels. • Verify open credit cards and assess limits to determine necessary account closures. • Maintain accurate records in spreadsheets and generate letters to inform customers of account status. • Support the team in catching up on backlog caused by increased negative accounts. • Ensure consistent adherence to company policies and procedures regarding credit management. • Collaborate with team members to streamline processes and improve efficiency in handling accounts. • Perform additional duties as assigned to support the credit management function.
2026-04-07T00:00:00Z

Patient Accounts Insurance Specialist

Minneapolis, MN
remote
Temporary
27.7115 - 32.087 USD / Hourly
We are looking for a Patient Accounts Insurance Specialist to join our team on a contract basis. In this role, you will play a vital part in ensuring the accurate billing and processing of insurance claims while adhering to established guidelines and procedures. This position requires strong attention to detail, excellent communication skills, and a thorough understanding of medical billing and coding practices. This role is part time, approximately 10 hours a week. Responsibilities:• Prepare and submit insurance claims using appropriate codes and ensure compliance with billing guidelines.• Review new patient admissions to accurately bill based on facility, state, funding plan, and contract requirements.• Maintain detailed knowledge of coding systems such as ICD-10 and claim field requirements for both facility and detail-oriented services.• Utilize electronic claim submission systems and clearinghouses efficiently.• Interpret and adhere to billing policies and procedures specific to the organization's facilities and states.• Communicate effectively with patients, guarantors, and insurance companies to clarify billing processes and resolve concerns.• Coordinate conference calls to address complex insurance issues involving patients and insurance representatives.• Perform regular account reviews and follow up on outstanding claims in accordance with established procedures.• Ensure claims are processed accurately by researching insurance payments and performing detailed reviews.• Work collaboratively with managed care staff for precertification needs and appeals processes.
2026-04-02T00:00:00Z