Accounts Receivable Representative - Patient Financial Services - LTC
Company: Sanford Health
Location: Sioux Falls
Posted on: January 16, 2021
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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.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: 40.00Job
SummaryThe 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.\#crosspostDepartment DetailsFlexible hours Monday
through Friday, no weekends or holidays. Potential to work from
home after 1 year in the department.This position is responsible
for processing self pay statements, working with facilities to
determine eligibility, answering service questions, and accounts
receivable. Must be able to understand and execute process up to
the point of billing out insurance.QualificationsHigh school
diploma or high school equivalency required.Previous billing
experience preferred.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, 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-30560
Featured: No
Keywords: Sanford Health, Sioux Falls , Accounts Receivable Representative - Patient Financial Services - LTC, Other , Sioux Falls, South Dakota
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