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2 results for Insurance Referral Coordinator in St. Paul, MN

Insurance Verification Specialist

Minneapolis, MN
remote
Temporary / Contract
18 - 21 USD / Hourly
We are looking for a detail-oriented Insurance Verification Specialist to support patient access and coverage verification for healthcare services. Looking for candidates with prior authorization experience, preferably focused on medication prior authorizations.Ideal candidates will have experience submitting authorization requests through payer portals and documenting/communicating within Epic.Strong understanding of insurance verification, pharmacy or medical authorization workflows, and payer guidelines preferred.Candidates should be detail-oriented, comfortable working in fast-paced healthcare environments, and able to effectively follow up on pending or denied authorizations. Responsibilities:• Review insurance benefits, referral conditions, and authorization guidelines to determine coverage requirements before scheduled services.• Work through payer websites and communication channels to submit authorization requests and provide supporting clinical details when needed.• Record verification and authorization outcomes in the patient record using accurate medical terminology and complete documentation.• Update coverage information in health records to reflect the most current insurance details obtained during review activities.• Arrange pre-authorizations, pre-certifications, and additional approvals for inpatient and outpatient services across multiple departments and care settings.• Identify delays or obstacles that may affect authorization approval and escalate issues promptly to support continuity of patient care.• Communicate clearly with internal teams, payers, and other stakeholders to resolve coverage questions and support service readiness.• Participate in virtual training and follow established workflows, policies, and quality standards while handling assigned tasks.
2026-05-15T00:00:00Z

Arbitration Coordinator

Minneapolis, MN
onsite
Permanent / Full Time
50000 - 60000 USD / Yearly
Our client is an innovator in the design, automation, and management of processing solutions for complex regulatory and legal dispute resolution programs. They specialize in translating complex regulations into clear program rules, developing customized workflow systems, and efficiently managing high volumes of transactions to deliver proven results for their clients. They are seeking a detail-oriented and professional Case Coordinator to support the day-to-day administration of arbitration cases and administrative hearings. This role is well-suited for someone with prior legal or paralegal experience who thrives in a fast-paced environment, can manage multiple priorities, work independently within a collaborative team, and provide exceptional service to external parties. In this role, you will be responsible for administering arbitration cases from initiation through resolution, ensuring strict compliance with established rules, procedures, and deadlines throughout the process. Key Responsibilities<ul><li>Manage a caseload of arbitration matters in accordance with established rules and procedures</li><li>Accurately enter and maintain case information in a proprietary case management system</li><li>Review legal filings and documents for procedural compliance</li><li>Identify and evaluate case management issues and escalate complex matters as appropriate</li><li>Draft professional correspondence guiding parties through the arbitration process (without providing legal advice)</li><li>Monitor, collect, and record payments for arbitration services</li><li>Schedule and administer conferences, arbitrations, and mediations with parties and appointed neutrals</li><li>Respond to inquiries via phone, email, and mail in a timely, respectful, and accurate manner</li><li>Communicate effectively with internal team members and external parties</li><li>Provide backup support for administrative staff, including mail handling and case entry, as needed</li></ul>
2026-05-15T00:00:00Z