Business Office Representative | HME

Sioux Center Health; Sioux Falls (SD); On-site; USD 26,000 - 34,000; Full time

Benefits offered by this job

PTO from day 1

Employer retirement match up to 5%

Career development mentorship

Job summary

Avera Downtown Sioux Falls is seeking a Billing Clerk to secure or provide information related to patients' financial statuses and insurance coverage for their bills. The role involves verifying admissions/discharges, handling calls, posting receipts, and ensuring accurate insurance reimbursements.

The position emphasizes attention to detail, confidentiality, and teamwork to support patients and the care team within a compassionate multispecialty setting.

Qualifications

• High school diploma or GED required.
• 1–3 years of relevant experience preferred.
• Associate's degree in Business Administration, Accounting or related field preferred.

Responsibilities

• Verifies daily admissions/discharges to ensure billing info is complete and organized for input.
• Answers and routes phone calls and messages to appropriate personnel.
• Posts cash receipts in accounts receivable for self-pay and third-party payments.
• Verifies payments are reimbursed correctly according to insurance contracts.
• Runs cost estimates for patients and completes prior-auth for service approval.
• Researches credit balances, payment errors, and refund issuers.

Skills

Communication skills

Attention to detail

Teamwork

Education

High school or GED

Associate degree in Business Administration or related field

Job description

Pay Range

The pay range for this position is listed below. Actual pay rate dependent upon experience.

Location:

Avera Downtown Building-Sioux Falls

Worker Type

Regular

Work Shift

Day Shift (United States of America)

Pay Range

The pay range for this position is listed below. Actual pay rate dependent upon experience.

$19.50 - $25.50

Position Highlights

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

Accountable for securing or providing information relative to patients financial statuses or insurance coverage as needed in reference to patients bills.

What You Will Do

• Verifies daily admissions/discharges to ensure all billing info is properly completed and organized into daily batches to input into system.
• Answers and addresses phone calls and messages, routing to necessary individual if needed.
• Posts cash receipts in accounts receivable for self-pay and third party payments received.
• Verifies that payments received are reimbursed correctly according to insurance contracts.
• Runs cost estimates for patients and completes prior-authorization to ensure patients are approved for services.
• Researches credit balances payment errors and refund issuers.

Essential Qualifications

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License/Certification, Or Work Experience

• High School or GED Equivalent

Preferred Education, License/Certification, Or Work Experience

• Associate's Business Administration, Accounting or a related field.
• 1-3 years relevant experience

Expectations and Standards

• Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
• Promote Avera’s values of compassion, hospitality, and stewardship.
• Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
• Maintain confidentiality.
• Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.
• Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA if applicable.

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

• PTO available day 1 for eligible hires.
• Up to 5% employer matching contribution for retirement
• Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to [e-mail].