United States Job Openings
Sanford Health
Insurance Representative - Full-Time - EQUIP
Sioux Falls
FULL TIME
September 1, 2024
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.
Facility: GSS National Campus
Location: Sioux Falls, SD
Address: 4800 W 57th St, Sioux Falls, SD 57108, USA
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $15.00 - $23.00
Job Summary
The Insurance Representative processes and monitors unpaid third party insurance, Medicare, Medicaid or government-assisted program accounts for proper reimbursement. Must understand and be able to work accounts throughout the entire revenue cycle. Prepares and submits claims to payers either electronically or by paper. Secures necessary medical documentation required or requested by payers. Proactively identifies and performs account follow-up on outstanding insurance balances and takes the necessary action for account resolution in accordance with established federal and state regulations. 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. Uses advanced knowledge and understanding to process payer rejections. Conducts trend analyses, appeals and resolves low payment or underpaid accounts. Provides input for payer-specific meetings. Handles difficult account situations and resolves issues delaying or preventing payments from payers. Performs miscellaneous job related duties as requested.
Consistently demonstrates accuracy in correcting (identified through pre-edits) and submitting claims to payers. Ensures accounts are billed in timely manner. Consistently reports to a manager any accounts that cannot be finished in a timely manner. When claims are disputed, consistently utilizes the correct resources to ensure the completion of the claim. Accurately and completely follows claim through entire billing process. Ensures all claims consistently meet compliance regulations. Demonstrates accountability by consistently using appropriate resources and channels to problem solve issues.
Consistently demonstrates ability to input data accurately into the computer system. Consistently answers the telephone courteously. Maintains and updates computer skills as needed for work assignments. Demonstrates the ability to utilize software applications for maximum efficiency. Consistently ensures verbal communication is courteous, complete, and professional whether using phone or personal contact. Consistently ensures written communication is accurate, complete and professional in presentation whether word processing or using email. Identifies and promptly resolves billing complaints. Directs issues to supervisor when unable to resolve. Documents in computer system all contacts regarding patient accounts.
Depending on location, may verify demographics, identify appropriate third-party insurance/payers, set up insurance, initiate patient financial assistance. Contact the insured or financially responsible party to obtain missing information. Verify, create or update patient accounts for billing, prepare insurance claims forms or related documents, and verify completeness and accuracy.
Qualifications
High school diploma or equivalent preferred; post-secondary or trade courses in accounting, business, and communications would be helpful for this position.
Six months' related work experience required. Computer skills essential.
When applicable and if desired, leadership may require related experience to the Associate Insurance Representative at Sanford Health for internal applicants.
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, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/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.
Req Number: R-0197383
Job Function: Revenue Cycle
Featured: No
New Job Alerts
Carnegie Mellon University
Parking Security Officer - Facilites Management & Campus Services - Parking and Transportation Services
Pittsburgh
FULL TIME
November 14, 2024
View Job Description
Simply Right Inc.
Construction Cleaning Regional Manager
Salt Lake City
FULL TIME
November 14, 2024
View Job Description
Federal Bureau of Investigation
PARALEGAL SPECIALIST CDC
Anchorage
FULL TIME
November 14, 2024
View Job Description
Stellar Virtual
Secondary Teacher, Mathematics (Grades 6-12)
Indianapolis
FULL TIME
November 14, 2024
View Job Description
Uber
Senior Strategic Client Partner, Department of Defense - Uber for Business
Chicago
November 14, 2024
View Job Description
Children’s Hospital of Philadelphia
Clinical Research Coordinator - GI Nutrition
Philadelphia
FULL TIME
November 14, 2024
View Job Description
Serco North America
DOL VETS TAP: Employment Facilitator (Part-time) - Fort Wainwright, AK
Fort Wainwright
PART TIME
November 14, 2024
View Job DescriptionLooking for similar job?
AIS Insurance Specialists
Insurance Customer Service Representative - REMOTE
Los Angeles
FULL TIME
August 28, 2024
View Job Description
Colonial Life & Accident Insurance Co.
Insurance Sales Representative
Mount Vernon
FULL TIME & CONTRACT
August 29, 2024
View Job Description
Williams & Connolly LLP
Claims Counsel (Insurance Defense Counsel)
Washington
September 1, 2024
View Job DescriptionTwenty First Services
Insurance Field Inspector New Port News & Surrounding
Newport News
CONTRACT
August 28, 2024
View Job DescriptionAB&C for State of Delaware
Unemployment Insurance Tax Operations Supervisor
Wilmington
FULL TIME
August 30, 2024
View Job DescriptionSee What’s New: Sanford Health Job Opportunities
Sanford Health
Clinical Applications Support Analyst - Ambulatory
Fargo
FULL TIME
November 9, 2024
View Job Description
Sanford Health
Corporate Administration Assistant - Health Plan
Sioux Falls
FULL TIME
November 9, 2024
View Job Description
Sanford Health
Cashier/Receptionist - AF | ED/Admissions Afternoons | 32hrs/week
Bemidji
FULL TIME
November 9, 2024
View Job Description
Sanford Health
Corporate Administration Assistant - Health Plan
Sioux Falls
FULL TIME
November 9, 2024
View Job Description
Sanford Health
Supervisor, Patient Access | Orthopedic & Sports Medicine | 40hrs/week
Sioux Falls
FULL TIME
November 9, 2024
View Job DescriptionNew Job Alerts
Carnegie Mellon University
Parking Security Officer - Facilites Management & Campus Services - Parking and Transportation Services
Pittsburgh
FULL TIME
November 14, 2024
View Job Description
Simply Right Inc.
Construction Cleaning Regional Manager
Salt Lake City
FULL TIME
November 14, 2024
View Job Description
Federal Bureau of Investigation
PARALEGAL SPECIALIST CDC
Anchorage
FULL TIME
November 14, 2024
View Job Description
Stellar Virtual
Secondary Teacher, Mathematics (Grades 6-12)
Indianapolis
FULL TIME
November 14, 2024
View Job Description
Uber
Senior Strategic Client Partner, Department of Defense - Uber for Business
Chicago
November 14, 2024
View Job Description
Children’s Hospital of Philadelphia
Clinical Research Coordinator - GI Nutrition
Philadelphia
FULL TIME
November 14, 2024
View Job Description
Serco North America
DOL VETS TAP: Employment Facilitator (Part-time) - Fort Wainwright, AK
Fort Wainwright
PART TIME
November 14, 2024
View Job Description