Associate Insurance Representative | Patient Financial Services

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States.

We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

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Facility: GSS National Campus

Location: Sioux Falls, SD

Address: 4800 W 57th St, Sioux Falls, SD 57108, USA

Shift: Day

Job Schedule: Full time

Weekly Hours: 40.00

Department Details

Flexible hours

Job Summary

The Associate Insurance Representative processes and monitors unpaid third party insurance, Medicare, Medicaid or government-assisted program accounts for proper reimbursement; primarily but not limited to prebilled accounts.

Prepares and submits claims to payers either electronically or by paper.

Secures necessary medical documentation required or requested by payers.

Performs account follow-up on outstanding insurance balances and takes the necessary action for account resolution in accordance with established federal and state regulations.

Processes daily workflow changes that depending on department may include, eligibility verification, verification of information, payment postings, initiating refunds, processing month end, resolving and troubleshooting incidents, reporting, initial billings and re-billings of claims, scanning and indexing of documents, and be the point of contact to provide assistance as needed.

Responsible for assuring accounts are set up correctly with the information available is completed timely and accurately.

Completes work within authorized time to assure compliance with departmental standards.

Keeps updated on all state/federal billing requirements and changes for insurance types within area of responsibility.

Understands edits and appropriate department procedures to effectively submit and/or correct errors on claims.

Processes and resolves denials that are technical in nature (i.e.: records required denials).

Performs miscellaneous job related duties as requested.

Qualifications

High school diploma or equivalent preferred.

Previous billing experience preferred.

Benefits

Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees.

Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, sick leave and paid time off.

To review your benefit eligibility, visit https://sanfordhealth.jobs/benefits .

Sanford is an EEO/AA Employer M/F/Disability/Vet.

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .

Sanford Health has a Drug Free Workplace Policy.

An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

Job Function: Revenue Cycle

Req Number: R-47672

Featured: Yes