Insurance Follow Up Representative

The University of Minnesota School of Dentistry is hiring Medical and Dental Insurance Follow-Up Representatives to join our team!

• The pay range for this position is $23.08 - $25.00/hour (or $48,000 - $52,000/year) depending on your experience and qualifications.

In this job, your main focus will be to acquire maximum reimbursement for all insurance claims from third party payers.

You'll be responsible for:

• preparing and submitting timely and accurate insurance claims to third party payers,
• assisting in the implementation of payer regulations,
• ensuring compliance to the regulatory requirements,
• verifying payments and adjustments are appropriately applied to accounts based on government, contract or other regulations or agreements, and
• following up on all medical and dental accounts pending payments from all third party payers.

The Insurance Follow Up Representative is a member of the Patient Accounting team. We rely on each other to make the strongest team possible! We support the mission of the School of Dentistry, which is to advance health through scientific discovery, innovative education, and the highest-quality care for all communities.

• Comprehensive and competitive benefits package that includes medical, vision, dental, and pharmacy coverage; life insurance; retirement; long-term care insurance; and disability coverage - see below for more.
• Come. Work. Stay. Play. The U of M is conveniently accessible by light rail, bus, and bike. And we offer discounted bus/train transportation through our "U-Pass" program.
• The University of Minnesota embraces diversity and equal opportunity. We are committed to forming a team that represents a variety of backgrounds, perspectives, and skills!

Account Management and Problem Solving - 35%

• Responsible for submission of timely and accurate medical and dental claims to primary, secondary, and tertiary insurances for both electronic and paper submissions.
• Ensures that medical and dental claims have the appropriate information on them for submission to insurance carriers, by reviewing errors or other prebilling insurance reports/work-lists.
• Contacts patients for additional information in order to have claims processed and paid in a timely manner as needed.
• Analyzes and reviews claims to ensure that payer regulation and requirements are met.
• Generates telephone calls to insurance carriers or accesses insurance carrier's website to follow up on claims using work-lists and reports generated for this purpose.
• Evaluates and investigates action to be taken in order to reconcile patient accounts receivable.
• Follows up on all unpaid claims through telephone contact or written correspondence to ensure that no account reaches no more than 180 days old from the date of service and is still unpaid by insurance.
• Advises Supervisor of any billing errors, third party payer trends, denials or payment fluctuations to ensure accurate handling and escalation of issue(s) when needed.
• Other duties as assigned.

Auditing - 65%

• Performs regular and consistent follow up, denial management, correction and/or reprocessing claims as necessary to ensure timely resolution.
• Uses all resources, including electronic inquiries to verify eligibility and claim status.
• Audits accounts by verifying that reimbursement amounts are appropriate.
• Coordinates refunds, when needed.
• Coordinates adjustments on patient accounts when necessary.
• Submits claims appeals or resubmissions.
• Completes accurate payment posting of third party payments on patient accounts.
• Moves balances from insurance responsibility to patient responsibility when appropriate.
• Reviews and resolves credit balances.
• Completes work on projects assigned such as claims that have been touched, but not resolved, new and untouched claims, high dollar claims, claim edits and clearinghouse issues, secondary payers, and specific denial types.
• Reviews and completes work on spreadsheets such as refunds, unclaimed property, aging reports such as 60+ and 120+ days.
• Other duties as assigned.

Required Qualifications - Please detail all the required qualifications on your application materials

• High School Diploma or GED.
• Experience working with Explanations of Benefits (EOB).
• Four years of office experience and/or training beyond high school to include:
  • customer service (phone and in-person),
  • experience with computers,
  • bookkeeping (accounts receivable), and
  • cash handling and/or fee collections.
• Intermediate digital literacy skills, including email, word processing and spreadsheets

The University of Minnesota School of Dentistry is the state's only dental school and the only dental school in the northern tier of states between Wisconsin and the Pacific Northwest. We are a regional resource to five states for dental education, consulting services, patient treatment, and ongoing continuing dental education.

The School of Dentistry educates general dentists, dental specialists, dental therapists, dental hygienists, dental educators and research-scientists. For more than two decades, we've offered specialty training in six ADA-recognized disciplines: Endodontics, Oral and Maxillofacial Surgery, Orthodontics, Pediatric Dentistry, Periodontics and Prosthodontics.

We also offer an advanced education program in TMD and orofacial pain, oral biology, dental hygiene, and oral health for older adults.

Dentists who are graduates of dental schools outside of the United States and Canada wishing to practice in the United States train here, as well. A novel, interdisciplinary Dentist-Scientist Training Program rounds out our educational offerings.

Our work affects nearly every person in Minnesota. We educate 73% of the state's practicing dentists, 68% of Minnesota's licensed dental therapists, and 49% of its dental hygiene educators. Our researchers develop and test dental materials used by every dentist in the state and around the world.

Our students and faculty treat patients: 105,260 patient-visits each year in our Twin Cities' campus clinics and 48,700 in outreach sites located in underserved communities throughout the state. We provide continuing dental education for 7,100 practicing dental professionals each year.

The School of Dentistry is dedicated to creating a diverse, equitable, and inclusive workplace. Diverse teams, perspectives, and backgrounds create a strong and creative team that best serves the University's many communities, on campus and beyond. The University is an Equal Opportunity Employer. Black, Indigenous, people of color, LGBTQIA+, women, veterans, and members of historically underrepresented communities are highly encouraged to apply.

For more information, please visit our website,.

Working at the University

At the University of Minnesota, you'll find a flexible work environment and supportive colleagues who are interested in lifelong learning. We prioritize work-life balance, allowing you to invest in the future of your career and in your life outside of work.

The University also offers a comprehensive benefits package that includes:

• Competitive wages, paid holidays, and generous time off
• Continuous learning opportunities through professional training and degree-seeking programs supported by the
• Low-cost medical, dental, and pharmacy plans
• Healthcare and dependent care flexible spending accounts
• University HSA contributions
• Disability and employer-paid life insurance
• Employee wellbeing program
• Excellent retirement plans with employer contribution
• Public Service Loan Forgiveness (PSLF)
• Financial counseling services
• Employee Assistance Program with eight sessions of counseling at no cost

Please visit the for more information regarding benefits.

Applications must be submitted online. To be considered for this position, please click the Apply button and follow the instructions. You will have the opportunity to complete an online application for the position and attach a cover letter and resume.

Additional documents may be attached after application by accessing your "My Job Applications" page and uploading documents in the "My Cover Letters and Attachments" section.

To request an accommodation during the application process, please e-mail employ@umn.edu or call (612) 624-UOHR (8647).

The University recognizes and values the importance of diversity and inclusion in enriching the employment experience of its employees and in supporting the academic mission. The University is committed to attracting and retaining employees with varying identities and backgrounds.

The University of Minnesota provides equal access to and opportunity in its programs, facilities, and employment without regard to race, color, creed, religion, national origin, gender, age, marital status, disability, public assistance status, veteran status, sexual orientation, gender identity, or gender expression. To learn more about diversity at the U: .

Any offer of employment is contingent upon the successful completion of a background check. Our presumption is that prospective employees are eligible to work here. Criminal convictions do not automatically disqualify finalists from employment.

Please note: All employees at the University of Minnesota are required to comply with the University's Administrative Policy: COVID-19 Vaccination and Safety Protocol by either providing proof of being fully vaccinated on their first day of employment, or complete a request for an exemption for medical exemption or religious reasons. To learn more please visit:

The University of Minnesota, Twin Cities (UMTC)

The University of Minnesota, Twin Cities (UMTC), is among the largest public research universities in the country, offering undergraduate, graduate, and professional students a multitude of opportunities for study and research. Located at the heart of one of the nation's most vibrant, diverse metropolitan communities, students on the campuses in Minneapolis and St. Paul benefit from extensive partnerships with world-renowned health centers, international corporations, government agencies, and arts, nonprofit, and public service organizations.