Associate Insurance Representative - Remote IA, MN, ND, SD

📋 Description

• • Sanford Health, a leading not-for-profit health system renowned for its rapid growth and expansive reach across the United States, is seeking a dedicated Associate Insurance Representative to join its dynamic team. With a commitment to fostering development and advancement opportunities for its nearly 50,000 employees, Sanford Health offers a supportive environment for professionals passionate about health and healing.
• • This full-time, 8-hour day shift position operates on a 40-hour work week, offering a competitive salary range of $15.00 to $23.00 per hour. The role is remote and open to candidates residing in Iowa, Minnesota, North Dakota, and South Dakota.
• • As an Associate Insurance Representative, your primary responsibility will be the meticulous processing and diligent monitoring of unpaid third-party insurance, Medicare, Medicaid, or government-assisted program accounts. Your focus will be on ensuring proper reimbursement, with a particular emphasis on pre-billed accounts.
• • You will be instrumental in preparing and submitting claims to various payers, utilizing both electronic and paper submission methods. This involves ensuring all necessary medical documentation is secured and accurately submitted as required or requested by payers, playing a crucial role in the revenue cycle management of the organization.
• • A key aspect of this role involves proactive account follow-up on outstanding insurance balances. You will be empowered to take the necessary actions to resolve these accounts efficiently and effectively, always in strict accordance with established federal and state regulations, ensuring compliance and maximizing reimbursement.
• • The daily workflow will be varied and engaging, potentially encompassing tasks such as eligibility verification, confirming the accuracy of patient and insurance information, accurately posting payments received, initiating refunds when necessary, processing month-end reports, and resolving complex billing incidents.
• • You will also be involved in initial billings and re-billings of claims, as well as the scanning and indexing of essential documents. Furthermore, you will serve as a vital point of contact, providing assistance and support to colleagues and other departments as needed, contributing to a collaborative and efficient work environment.
• • A significant part of your role will be to ensure that all accounts are set up correctly from the outset, with all necessary information completed accurately and in a timely manner. This foundational accuracy is critical for successful claim processing and reimbursement.
• • You will be expected to complete your assigned work within authorized timeframes, consistently meeting and exceeding departmental standards for productivity and quality. This requires strong organizational skills and the ability to manage multiple tasks effectively.
• • Continuous learning and adaptation are essential. You will be responsible for staying updated on all state and federal billing requirements and any changes related to the insurance types within your purview. This includes understanding claim edits and adhering to appropriate departmental procedures to effectively submit claims and correct any errors that may arise.
• • You will also play a key role in processing and resolving denials, particularly those that are technical in nature, such as denials related to missing or incorrect documentation. Your ability to troubleshoot and find solutions will be invaluable.
• • This position offers a unique opportunity to contribute to the financial health of a leading healthcare organization while developing your skills in a supportive and growth-oriented environment. You will gain valuable experience in healthcare billing, insurance processing, and revenue cycle management, making a tangible impact on Sanford Health's mission.