Insurance Representative

2 days ago

🇺🇸 United States – Remote

🌾 North Dakota – Remote

Although this job is listed in North Dakota, this company may be open to hiring remote in other states.

❄️ Minnesota – Remote

Although this job is listed in Minnesota, this company may be open to hiring remote in other states.

+1 more states

🌾 North Dakota – Remote ❄️ Minnesota – Remote 🗿 South Dakota – Remote

💵 $15 - $23 / hour

⏰ Full Time

🟢 Junior

🚫👨‍🎓 No degree required

🦅 H1B Visa Sponsor

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Sanford Health

WebsiteLinkedInAll Job Openings

Cancer • Children's • Heart • Orthopedics & Sports Medicine • Women's

10,000+ employees

Founded 1894

⚕️ Healthcare Insurance

Description

• Processes and monitors unpaid third party insurance, Medicare, Medicaid or government-assisted program accounts for proper reimbursement. • 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. • Keeps updated on all state/federal billing requirements and changes for insurance types within area of responsibility. • Understands edits and appropriate department procedures to effectively submit and/or correct errors on claims. • Processes and resolves denials. • Uses advanced knowledge and understanding to process payer rejections. • Conducts trend analyses, appeals and resolves low payment or underpaid accounts. • Provides input for payer-specific meetings. • Handles difficult account situations and resolves issues delaying or preventing payments from payers. • Performs miscellaneous job related duties as requested. • Consistently demonstrates accuracy in correcting (identified through pre-edits) and submitting claims to payers. • Ensures accounts are billed in timely manner. • Consistently reports to a manager any accounts that cannot be finished in a timely manner. • When claims are disputed, consistently utilizes the correct resources to ensure the completion of the claim. • Accurately and completely follows claim through entire billing process. • Ensures all claims consistently meet compliance regulations. • Demonstrates accountability by consistently using appropriate resources and channels to problem solve issues. • Consistently demonstrates ability to input data accurately into the computer system. • Consistently answers the telephone courteously. • Maintains and updates computer skills as needed for work assignments. • Demonstrates the ability to utilize software applications for maximum efficiency. • Consistently ensures verbal communication is courteous, complete, and professional whether using phone or personal contact. • Consistently ensures written communication is accurate, complete and professional in presentation whether word processing or using email. • Identifies and promptly resolves billing complaints. • Directs issues to supervisor when unable to resolve. • Documents in computer system all contacts regarding patient accounts. • Depending on location, may verify demographics, identify appropriate third-party insurance/payers, set up insurance, initiate patient financial assistance. • Contact the insured or financially responsible party to obtain missing information. • Verify, create or update patient accounts for billing, prepare insurance claims forms or related documents, and verify completeness and accuracy.

Requirements

• High school diploma or equivalent preferred; • Post-secondary or trade courses in accounting, business, and communications would be helpful for this position. • Six months' related work experience required. • Computer skills essential. • When applicable and if desired, leadership may require related experience to the Associate Insurance Representative at Sanford Health for internal applicants.