Key Facts

Remote From:

Iowa (USA) , Minnesota (USA) , North Dakota (USA) , South Dakota (USA)

Full time

English

Hard Skills

Medical Insurance Claims Clinical Documentation Cash Register Account Management Payment Processing Accounts Receivable Verification And Validation Billing Inquiries Billing

Other Skills

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Troubleshooting (Problem Solving)
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Problem Reporting
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Communication
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Time Management
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Customer Service
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Detail Oriented
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Problem Solving

Roles & Responsibilities

High school diploma or equivalent preferred
Previous billing experience preferred

Requirements:

Process and monitor unpaid third-party insurance, Medicare, Medicaid or government-assisted program accounts for proper reimbursement (primarily prebilled accounts).
Prepare and submit claims to payers electronically or by paper; secure necessary medical documentation requested by payers.
Perform account follow-up on outstanding insurance balances and take necessary action for account resolution in accordance with federal and state regulations.
Process daily workflow changes (e.g., eligibility verification, information verification, payment postings, initiating refunds, month-end processing, denials resolution, reporting, initial billings and re-billings, scanning and indexing documents) and act as a point of contact to provide assistance; ensure accounts are set up accurately and timely.

Sanford Health

About Sanford Health

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Headquartered in Sioux Falls, South Dakota, the organization serves more than one million patients and 220,000 health plan members across 250,000 square miles. The integrated health system has 47 medical centers, 2,800 Sanford physicians and advanced practice providers, 170 clinical investigators and research scientists, more than 200 Good Samaritan Society senior care locations and world clinics in 8 countries around the globe. Learn more about Sanford Health's commitment to shaping the future of rural health care across the lifespan at sanfordhealth.org or Sanford Health News.

Company type: Large

Founded: 2018

Company size: 10001

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Job description

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.

Work Shift:

8 Hours - Day Shifts (United States of America)

Scheduled Weekly Hours:

Salary Range: $15.00 - $23.00

Union Position:

Department Details

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.

Job Description

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.

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.