Patient Billing & Insurance Specialist

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

Benefits offered by this job

PTO available day 1 for eligible hires

Up to 5% employer matching retirement

Career development guided by hands-on

Mentorship

Job summary

Avera Downtown Building-Sioux Falls is seeking a Billing Specialist to join our multidisciplinary team with a focus on securing or providing information about patients' financial statuses and insurance coverage for bills. You will work to ensure accuracy and compliance across daily billing workflows.

Responsibilities include verifying admissions/discharges for billing, handling calls, posting cash receipts, confirming payment reversals against contracts, and processing cost estimates and

Qualifications

• High School or GED Equivalent is required.
• Preferred: Associate's in Business Administration, Accounting or related field.
• 1-3 years relevant experience.

Responsibilities

• 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.

Education

High School or GED Equivalent

Associate's Business Administration, Accounting or a related field.

Job description

Avera Downtown Building-Sioux Falls is seeking a Billing Specialist to join our multidisciplinary team with a focus on securing or providing information about patients' financial statuses and insurance coverage for bills. You will work to ensure accuracy and compliance across daily billing workflows.

Responsibilities include verifying admissions/discharges for billing, handling calls, posting cash receipts, confirming payment reversals against contracts, and processing cost estimates and