Insurance Representative - Equip Billing Sioux Falls - FT - Days

Company: Sanford Health
Location: Sioux Falls
Posted on: March 17, 2023

Job Description:

Job Description:

Job Description Create Your Career With Us!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 Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40. 00 Salary Range: $15.00 - $22.50 Pay Info: You will be eligible for an 8% increase after 6 months in the position!Department DetailsThis department offers a variety of opportunities which include:Preparing claims to bill insuranceAppealing denialsWorking aged claimsSending documentation to physiciansIn this role you will be able to learn the life cycle of billing within the durable medical equipment world as well as interact with a variety of people. No prior billing experience required!If you like to stay busy, can navigate multiple computer systems, and have strong customer service skills, this position is for you!The hours for this position are typically 8:00 a.m. - 5:00 p.m. Monday through Friday, however some flexibility is available.Job SummaryThe 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.QualificationsHigh 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.Remote/Work from home upon completion of training and with manager approval.BenefitsSanford 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-0119292 Job Function: Revenue Cycle Featured: No

Keywords: Sanford Health, Sioux Falls , Insurance Representative - Equip Billing Sioux Falls - FT - Days, Accounting, Auditing , Sioux Falls, South Dakota