Sanford Health Associate Insurance Representative - PFS Billing - Clinic in Sioux Falls, South Dakota
Job Title: Associate Insurance Representative | PFS Billing - Clinic | Multi-City
City: Sioux Falls
Department : PFS Billing - Clinic
Job Schedule: Full Time
Hours Per Shift: 8 hr
The Associate Insurance Representative will be expected to process third party insurance, Medicare, Medicaid or government-assisted programs. The Representative will be expected to comply with all regulatory bodies of agencies. Some of the duties expected are, but not limited to: submit claims, ensures compliance with internal and external customers via verbal and written communication, and performs follow-up on claims when necessary, and appeals claims when denied or downgraded.
Must have excellent customer service skills to communicate with internal and external customers. Will be expected to use electronic billing. Must be accessible to other departments upon demand for inquires regarding reimbursement. Must demonstrate critical thinking skills to manage day to day basic operations or the ability to seek assistance when needed. Must be able to do work steadily, efficiently and show constant vigilance to the details of the work. Must be able to utilize all office equipment including personal computer and application software, printer, FAX, copier, multi-line telephone system. Must have good working knowledge of all insurance and/or government claims submittal and appeal processes. Must have excellent written and oral communication skills, including English usage, grammar, punctuation, and style. Must be able to use appropriate reference materials when needed. Should be able to multi-task when needed.
The hours for this position are Monday-Friday, between the hours of 7 a.m. to 7 p.m. There is some flexibility as to when the employee can begin their shift. This position can sit in Fargo, ND or Sioux Falls, SD.
Some trade course classes in accounting, business and communications would be very helpful in this position. Previous experience in medical billing preferred. Computer skills essential.
About Sanford Health:
At Sanford Health, we are dedicated to the work of health and healing. Every day, we show that commitment by delivering the highest quality of care to the communities we serve. We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.
In addition to strong clinical care, we are also committed to research, education and community growth. We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases. We continuously seek new ways to achieve our vision of improving the human condition here in your community, across the region and around the world.
The entire team at Sanford Health recognizes the value of healthy families and communities. We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.
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 email@example.com .
In compliance with federal law requiring employers to verify new employees' U.S.
employment eligibility, Sanford participates in E-Verify. To learn more click here for English Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterEnglish.pdf or here for Spanish Version at https://e-verify.uscis.gov/emp/media/resourcesContents/EverifyPosterSpanish.pdf .
Job Function: Revenue Cycle
Job Schedule: Full Time
Req Number: req19945