Insurance Representative - Remote IA, MN, ND, SD

Good Samaritan Society; Iowa (LA); Remote; Full time

Job summary

A leading health system is seeking an Insurance Representative to manage third-party insurance claims and ensure timely reimbursement. The role involves processing accounts, preparing claims, and maintaining compliance with regulations. Ideal candidates should have strong communication skills and relevant experience.

Benefits

Health Insurance

Dental Insurance

Vision Insurance

401(k) Plan

Generous Time Off

Qualifications

• Minimum of six months' related work experience required.
• Proficiency in computer systems is essential.

Responsibilities

• Process and monitor unpaid insurance accounts.
• Prepare and submit claims electronically or on paper.
• Ensure compliance with federal and state regulations.

Skills

Communication

Computer Skills

Education

High school diploma or equivalent

Post-secondary courses in accounting

Job description

Insurance Representative - Remote IA, MN, ND, SD | Sanford Careers

Sanford Health

Insurance Representative - Remote IA, MN, ND, SD

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: Remote IA
Location: Remote, IA
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $16.00 - $23.00

Job Summary

The Insurance Representative processes and monitors unpaid third-party insurance, Medicare, Medicaid, or other government-assisted program accounts for proper reimbursement. Responsibilities include understanding and managing accounts throughout the revenue cycle, preparing and submitting claims electronically or on paper, securing necessary medical documentation, and performing account follow-up on outstanding balances. The role requires compliance with federal and state regulations, staying updated on billing requirements, resolving denials, and conducting trend analyses and appeals for underpaid accounts. The representative handles difficult account situations and resolves issues delaying payments, ensuring accuracy and timeliness in billing processes.

The role also involves verifying demographics, identifying appropriate payers, setting up insurance, and contacting responsible parties to obtain missing information. Maintaining accurate documentation and ensuring all claims meet compliance standards are essential. The position requires proficiency in computer systems, excellent communication skills, and the ability to resolve billing complaints efficiently.

Qualifications

High school diploma or equivalent preferred; post-secondary courses in accounting, business, or communications are advantageous. A minimum of six months' related work experience is required, along with essential computer skills. Leadership roles may require additional experience for internal applicants.

Sanford Health offers a comprehensive benefits package for qualifying employees, including health, dental, vision, life insurance, a 401(k) plan, work/life balance benefits, and generous time off. For more details, visit Total Rewards.

Sanford is an EEO/AA Employer M/F/Disability/Vet. Accommodations for applicants with disabilities can be requested by calling 1-877-673-0854 or emailing [e-mail]. Employment is contingent upon passing a drug screen and background check as part of our Drug-Free Workplace Policy.