Associate Insurance Representative - Remote IA, MN, ND, SD

Sanford Health; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

An established industry player in healthcare is seeking an Associate Insurance Representative to join their dedicated team. In this role, you will be responsible for processing and monitoring unpaid third-party insurance accounts, ensuring proper reimbursement for services rendered. You'll prepare and submit claims, secure necessary medical documentation, and follow up on outstanding balances while adhering to federal and state regulations. This position offers a chance to contribute to a vital service in the community, with opportunities for professional growth and a supportive work environment. If you're detail-oriented and have a passion for helping others, this role is perfect for you.

Qualifications

• High school diploma or equivalent preferred.
• Previous billing experience preferred.

Responsibilities

• Processes and monitors unpaid insurance accounts for reimbursement.
• Prepares and submits claims to payers electronically or by paper.
• Performs account follow-up on outstanding insurance balances.

Skills

Billing Experience

Medical Documentation

Account Resolution

Eligibility Verification

Education

High School Diploma

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.

Work Shift:

Scheduled Weekly Hours: 40

Salary Range: $15.00 - $22.00

Union Position: No

Department Details

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.

Job Description

1. Prepares and submits claims to payers either electronically or by paper.
2. Secures necessary medical documentation required or requested by payers.
3. Performs account follow-up on outstanding insurance balances and takes the necessary action for account resolution in accordance with established federal and state regulations.
4. Processes daily workflow changes that 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 being the point of contact to provide assistance as needed.
5. Responsible for assuring accounts are set up correctly with the information available is completed timely and accurately.
6. Completes work within authorized time to assure compliance with departmental standards.
7. Keeps updated on all state/federal billing requirements and changes for insurance types within area of responsibility.
8. Understands edits and appropriate department procedures to effectively submit and/or correct errors on claims.
9. Processes and resolves denials that are technical in nature (i.e.: records required denials).
10. Performs miscellaneous job related duties as requested.

Qualifications

1. High school diploma or equivalent preferred.
2. Previous billing experience preferred.

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 [e-mail].