Patient Billing & Insurance Specialist

Avera Health; Sioux Falls (SD); On-site; USD 2,686,000 - 3,513,000; Full time

Benefits offered by this job

PTO from day 1

Employer matching retirement plan up 5

Career development and mentorship

Job summary

Avera Health is seeking a Billing/Accounts Receivable professional in Sioux Falls to secure and provide information related to patients' financial statuses and insurance coverage for bills. You will verify daily admissions and postings, handle inquiries, and ensure payments align with contracts.

Essential duties include posting receipts, reconciling insurance payments, processing prior authorizations, and researching credits.

Qualifications

• High School or GED equivalent required.
• Associate's degree in Business Administration, Accounting or related field preferred.
• 1-3 years relevant experience.

Responsibilities

• Verifies daily admissions/discharges to ensure all billing information is properly completed and organized into daily batches for input into the system.
• Answers and addresses phone calls and messages, routing to the necessary individual as 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 and payment errors and processes refunds.

Skills

Effective communication

Team collaboration

Education

High School or GED Equivalent

Associate's Business Administration, Accounting or related field

Job description

Avera Health is seeking a Billing/Accounts Receivable professional in Sioux Falls to secure and provide information related to patients' financial statuses and insurance coverage for bills. You will verify daily admissions and postings, handle inquiries, and ensure payments align with contracts.

Essential duties include posting receipts, reconciling insurance payments, processing prior authorizations, and researching credits.