Premium Billing and Enrollment Coordinator

40000 Sanford Health Plan; United States; In loco; USD 22.000 - 34.000; Tempo pieno

Descrizione del lavoro

Sanford Health is seeking a Premium Billing and Enrollment Coordinator in the United States to manage the daily enrollment and billing processes in line with contracts, certificates and regulatory entities.

You will ensure accurate entry of individual and business enrollments, resolve billing variances, respond to internal and external inquiries, and maintain confidentiality while supporting data integrity across systems.

Competenze

• High school diploma or equivalent required; 2 years experience in health insurance or similar industry including enrollment and eligibility preferred.
• Detail oriented with ability to communicate clearly with internal and external customers.
• Experience with billing processes and regulatory entities.

Mansioni

• Maintain enrollments and billing in accordance with contracts, member certificates and regulatory entities.
• Research and resolve billing variances to maintain system accuracy; handle inquiries from internal and external customers.
• Process daily enrollment files, communicate requirements, and ensure data accuracy and confidentiality.
• Assist in generating enrollment letters and reporting as needed.

Conoscenze

Microsoft Office

Attention to detail

Customer service

Formazione

High school diploma or equivalent

Descrizione del lavoro

About Sanford Health

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

Work Shift: 8 Hours - Day Shifts (United States of America) Scheduled Weekly Hours: 40 Compensation: Salary Range: $16.00 - $25.50 Union Position: No

Job Summary

The Premium Billing and Enrollment Coordinator is responsible for the timely and accurate maintenance of enrollments and the billing processes in accordance with contracts, member certificates and regulatory entities.

Job Description

Responsible for the daily process of the individual and business enrollments ensuring they are entered timely and accurately and that all required documentation is received. Research and resolve billing variances to maintain system accuracy. Handle questions, issues and provide detailed information on requirements to our internal and external customers. Responsible for billing processes in accordance with contracts, member certificates and regulatory entities. Responsible for daily ad hoc discrepancy reports. Process and mail letters to our members for various reasons and other duties as assigned. Must be detail oriented with the ability to investigate and problem solve. Relies on experiences to recognize enrollment and eligibility discrepancies. Must be able to effectively communicate, verbally and written, with internal departments and clients/members regarding enrollment processes and procedures, eligibility inquires and verification of data. Demonstrates analytical ability in processing electronic enrollment files. Assimilates large amounts of information to maintain a broad knowledge base. Exercises good judgment in determining best methods of solving problems. Maintains a positive and professional relationship with internal staff, clients, members and vendors. Maintains confidentiality. Must have complete knowledge and skills with ability to be fully proficient in an administrative area, knowledge and understanding of different markets. Solid technical skills (Microsoft Office), strong written and verbal communication skills, strong drive for results and accountability, ability to work in a team environment, demonstrates attention to detail, strong drive for results and accountability, skilled in problem identification and resolution, exceptional judgement and decision-making abilities, maintains current billing processes and ensure accuracy of member's accounts, provides exceptional customer service to clients promptly and accurately, maintains confidentiality.

Qualifications

High school diploma, or equivalent required 2 years experience in health insurance or similar industry including enrollment and eligibility preferred.

EEO/DEI Statement

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 1-877-949-5678 or send an email to [e-mail].

About Sanford Health

The Sanford organization owns and manages multiple distinct brands, including Sanford Health, Marshfield Clinic, and Good Samaritan, as well as Lewis Drug, Sanford Health Equip, Solutions by Sanford, Great Shots, and Blue Rock Bar & Grill. Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland. Headquartered in Sioux Falls, South Dakota, the organization has 53,000 employees and serves over 2 million patients and nearly 425,000 health plan members across the upper Midwest including South Dakota, North Dakota, Minnesota, Wyoming, Iowa, Wisconsin and the Upper Peninsula of Michigan. The integrated nonprofit health system includes a network of 56 hospitals, 288 clinic locations, 147 senior care communities, 4,000 physicians and advanced practice providers and nearly 1,500 active clinical trials and studies. The organization’s transformational virtual care initiative brings patients closer to care with access to 78 specialties. Learn more about Sanford Health’s commitment to shaping the future of rural health care across the lifespan at sanfordhealth.org or Sanford Health News. Good Samaritan, one of the nation’s largest nonprofit providers of senior care and services, is committed to transforming the aging experience through innovation, compassion and personalized care. As part of Sanford Health, an integrated nonprofit health system headquartered in Sioux Falls, South Dakota, Good Samaritan serves 10,000 seniors and offers access to a full continuum of care, including 94 rehabilitation and skilled nursing centers, 56 assisted living and memory care facilities, 44 independent living locations and 37 home health and hospice agencies. The senior care provider delivers services across the upper Midwest, with 70% of residents living in rural communities. Learn more about Good Samaritan’s mission and commitment to delivering high quality senior care in rural America at good-sam.com.