SiouxFallsRecruiter Since 2001
the smart solution for Sioux Falls jobs

Insurance Representative - Sioux Falls Patient Financial Services Home Health

Company: Sanford Health
Location: Sioux Falls
Posted on: April 10, 2021

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. See yourself at Sanford! 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 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, sick leave and paid time off. To review your benefit eligibility, visit . 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- or send an email to . 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-44455 Featured: No

Keywords: Sanford Health, Sioux Falls , Insurance Representative - Sioux Falls Patient Financial Services Home Health, Healthcare , Sioux Falls, South Dakota

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Healthcare Jobs


Occupational Therapist
Description: Travel Occupational Therapist - OT Travel Jobtrustaff currently has a travel position available for an Occupational Therapist. This assignment is for an immediate start with a reputable facility seeking (more...)
Company: trustaff
Location: Clark
Posted on: 04/14/2021

Caregiver / Companion for Seniors - Madison Area
Description: Caregiver / Companion for Seniors--Home Instead is currently hiring compassionate and reliable caregivers to support older adults living in their own homes. If you are a ldquopeople person rdquo who (more...)
Company: Home Instead
Location: Sioux Falls
Posted on: 04/14/2021

Travel Registered Respiratory Therapist (RRT)
Description: Respiratory Therapist RRT, CRT Locum Tenens Travel Assignments br Looking for that perfect Respiratory Therapist Job, this is the best resource. One quick More Info Request gets you in front of the (more...)
Company: HealthCare Traveler (Allied Health)
Location: Sioux Falls
Posted on: 04/14/2021


Ultrasound Tech - Ultrasound
Description: Fortus Healthcare Resources is seeking a Travel Ultrasound Ultrasound Tech for an immediate opening in Sioux Falls, SD .When you join the Fortus team, you become part
Company: Fortus Healthcare Resources
Location: Sioux Falls
Posted on: 04/14/2021

Otolaryngology (ENT) - Hospital Employed - South Dakota-160950
Description: Otolaryngology opening in Sioux Falls, South Dakota. This and other physician jobs brought to you by DocCafe.com COMPENSATION AND BENEFITS Otolaryngology ENT ul li Salary: Highly Competitive Salary (more...)
Company: The Delta Companies
Location: Sioux Falls
Posted on: 04/14/2021

Gastroenterology in SD - Gastroenterology With or Without ERCP/EUS in SD
Description: Gastroenterology opening in Sioux Falls, South Dakota. This and other physician jobs brought to you by DocCafe.com An exciting gastroenterology career is now available. A major academic health system (more...)
Company: CompHealth
Location: Sioux Falls
Posted on: 04/14/2021

Occupational Therapist - Travel Contract
Description: br Jackson Therapy Partners is currently seeking a licensed Occupational Therapist for a contract position at a state-of-the-art facility where expert therapy professionals help patients with injuries, (more...)
Company: Jackson Therapy Partners
Location: Armour
Posted on: 04/14/2021

Physical Therapist - Skilled - (PT - Skilled)
Description: Job Description RequirementsPhysical Therapist - Skilled - PT - Skilled StartDate: 02/22/2021Pay Rate: 1400.00 - 1800.00A Skilled Nursing Home is looking for a highly-motivated and passionate Physical (more...)
Company: Club Staffing
Location: Huron
Posted on: 04/14/2021

Hospice Physician Job in Worthington, MN
Description: Hospice/Palliative Medicine opening in Worthington, Minnesota. This and other physician jobs brought to you by DocCafe.com DirectShifts is seeking a Hospice Physicians to work in Durant, OK. This is a (more...)
Company: DirectShifts
Location: Worthington
Posted on: 04/14/2021

Neurosurgery Opportunity - Sioux Falls, SD (Heart of America - Borders Iowa & Minnesota)
Description: Surgery-Neurosurgery opening in Sioux Falls, South Dakota. This and other physician jobs brought to you by DocCafe.com Neurosurgery Opportunity - Sioux Falls, SD Heart of America - Borders Iowa Minnesota (more...)
Company: Permanent Placement Resources, LLC
Location: Sioux Falls
Posted on: 04/14/2021

Log In or Create An Account

Get the latest South Dakota jobs by following @recnetSD on Twitter!

Sioux Falls RSS job feeds