Associate Insurance Representative - Patient Financial Services
Company: Sanford Health
Location: Sioux Falls
Posted on: January 23, 2023
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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:** Day **Job Schedule:** Full time
**Weekly Hours:** 40.00 **Salary Range:** $15.00 -
$20.00**Department Details**Flexible Working Hours**Job
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. 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 and Point Click Care
experience preferred.**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-0130236 **Job Function:** Revenue
Cycle **Featured:** No
Keywords: Sanford Health, Sioux Falls , Associate Insurance Representative - Patient Financial Services, Other , Sioux Falls, South Dakota
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