Sanford Health
Insurance Representative - Remote IA, MN, ND, SD
Sanford Health, Sioux Falls, South Dakota, United States
Insurance Representative - Remote IA, MN, ND, SD
Join to apply for the Insurance Representative - Remote IA, MN, ND, SD role at Sanford Health.
Career Overview 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.
Location & Schedule
Facility: Remote SD (Central Time)
Location: Remote, SD
Shift: Day
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $15.00 - $22.00
Job Summary The Insurance Representative processes and monitors unpaid third‑party insurance, Medicare, Medicaid, or government-assisted program accounts for proper reimbursement. Must understand and be able to work accounts throughout the entire revenue cycle. Prepares and submits claims to payers either electronically or by paper. Secures necessary medical documentation required or requested by payers. Proactively identifies and performs account follow‑up on outstanding insurance balances and takes the necessary action for account resolution in accordance with established federal and state regulations. Completes work within authorized time to assure compliance with departmental standards.
Responsibilities include:
Keep updated on all state/federal billing requirements and changes for insurance types within area of responsibility.
Understand edits and appropriate department procedures to effectively submit and/or correct errors on claims.
Process and resolve denials, use advanced knowledge to process payer rejections.
Conduct trend analyses, appeals, and resolve low payment or underpaid accounts.
Provide input for payer‑specific meetings.
Handle difficult account situations and resolve issues delaying or preventing payments from payers.
Perform miscellaneous job‑related duties as requested.
Maintain accurate and complete data entry into the computer system.
Answer the telephone courteously and maintain professional verbal and written communication.
Qualifications
High school diploma or equivalent preferred; post‑secondary or trade courses in accounting, business, and communications would be helpful.
Six months related work experience required.
Computer skills essential.
Benefits Sanford Health offers an attractive benefits package for qualifying full‑time and part‑time employees, including health, dental, vision, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time‑off package.
EEO Statement Sanford Health 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 1-877-673-0854 or email talent@sanfordhealth.org.
Drug Free Workplace Policy All accepted offers will require a drug screen and pre‑employment background screening as a condition of employment.
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Career Overview 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.
Location & Schedule
Facility: Remote SD (Central Time)
Location: Remote, SD
Shift: Day
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $15.00 - $22.00
Job Summary The Insurance Representative processes and monitors unpaid third‑party insurance, Medicare, Medicaid, or government-assisted program accounts for proper reimbursement. Must understand and be able to work accounts throughout the entire revenue cycle. Prepares and submits claims to payers either electronically or by paper. Secures necessary medical documentation required or requested by payers. Proactively identifies and performs account follow‑up on outstanding insurance balances and takes the necessary action for account resolution in accordance with established federal and state regulations. Completes work within authorized time to assure compliance with departmental standards.
Responsibilities include:
Keep updated on all state/federal billing requirements and changes for insurance types within area of responsibility.
Understand edits and appropriate department procedures to effectively submit and/or correct errors on claims.
Process and resolve denials, use advanced knowledge to process payer rejections.
Conduct trend analyses, appeals, and resolve low payment or underpaid accounts.
Provide input for payer‑specific meetings.
Handle difficult account situations and resolve issues delaying or preventing payments from payers.
Perform miscellaneous job‑related duties as requested.
Maintain accurate and complete data entry into the computer system.
Answer the telephone courteously and maintain professional verbal and written communication.
Qualifications
High school diploma or equivalent preferred; post‑secondary or trade courses in accounting, business, and communications would be helpful.
Six months related work experience required.
Computer skills essential.
Benefits Sanford Health offers an attractive benefits package for qualifying full‑time and part‑time employees, including health, dental, vision, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time‑off package.
EEO Statement Sanford Health 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 1-877-673-0854 or email talent@sanfordhealth.org.
Drug Free Workplace Policy All accepted offers will require a drug screen and pre‑employment background screening as a condition of employment.
#J-18808-Ljbffr