Insurance Representative
2 weeks ago
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.
Work Shift:
Day (United States of America)Scheduled Weekly Hours:
40Salary Range: $ $25.50Union Position:
NoDepartment Details
Flexible scheduling after training is completed. Fully remote/work from home.Summary
The Insurance Representative processes and monitors unpaid third party insurance, Medicare, Medicaid or government-assisted program accounts for proper reimbursement.Job Description
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. 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.
Qualifications
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.
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 or send an email to
-
Insurance Representative
2 weeks ago
City of Westminster, Greater London, United Kingdom Sanford Health Full time $16 - $26Sanford 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. Work Shift:Scheduled Weekly Hours:40Salary Range: $...
-
Insurance Representative
4 days ago
City of Westminster, Greater London, United Kingdom Sanford Health Full time £22,000 - £42,000 per yearSanford 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. Work Shift:Day (United States of America)Scheduled...
-
General Practitioner
2 weeks ago
City of Westminster, Greater London, United Kingdom Bupa Full time £60,000 - £120,000 per yearJob Description:General PractitionerNew Victoria Hospital, KT2 7EGCompetitive Salary and Fantastic Benefits Minimum 4x sessions per weekWe make health happen.As an experienced Doctor, you'll be making a difference every day. At Bupa, feel less pressured in a flexible and dynamic role.With a supportive network and a healthy work-life balance, expect autonomy...
-
General Practitioner
6 days ago
City of Westminster, Greater London, United Kingdom Bupa Full time £60,000 - £120,000 per yearJob Description:General Practitioner London Medical, W1U 5HJCompetitive Salary and Fantastic Benefits Minimum of 6 sessions per weekWorking on Monday, Tuesday and ThursdayWe make health happen.As an experienced Doctor, you'll be making a difference every day. At Bupa, feel less pressured in a flexible and dynamic role.With a supportive network and a healthy...
-
Expression of Interest Adviser
2 weeks ago
City of Westminster, Greater London, United Kingdom Seetec Full time £27,820 - £35,000 per yearJob Role Are you passionate about helping people overcome barriers to employment? Do you thrive in a frontline role where empathy, organisation, and community engagement are key? If so, we'd love to hear from youWe're looking for a proactive and compassionate Expression of Interest Adviser to join our Connect to Work programme. This vital role is the first...
-
Technical Project Manager
4 days ago
City of Westminster, Greater London, United Kingdom Netcraft Full timeThe CompanyNetcraft is the global leader in cybercrime detection and disruption. We're a trusted partner for three of the four largest companies in the world, twelve of the fifty largest banks, and 8 of the largest world governments. We've blocked almost 200 million cyber-attacks to date, and we take down around 33% of the world's phishing attacks.Our...
-
Claims Surveyor
2 weeks ago
City of Westminster, Greater London, United Kingdom Westminster City Council Full time £40,000 - £60,000 per yearAbout Us:THE EXTRAORDINARY STORY OF THE IMPOSSIBLE DREAM Housing and Commercial Partnerships in Westminster City Council is a world of extraordinary stories. Where people use their vision and commitment to open doors for the next generations. Nothing beats the feeling of helping someone find their passion. At Westminster City Council, our City Lions team...
-
City of Westminster, Greater London, United Kingdom Tate and Lyle Full timeAbout Us Tate and Lyle is a successful organisation with a clear purpose, ambition, strategy, and strong expert talent, solely focused on achieving its' ambition as a world class ingredients solutions provider. We have expanded our plant-based footprint beyond corn into tapioca, stevia leaf, chickpea protein and soluble fibre to explore wider platforms for...
-
Chef De Partie
1 week ago
City of Westminster, Greater London, United Kingdom WSH Group Full time £30,000 - £60,000 per yearCompany Description Title: Chef de PartieLocation: London - Channel 4, 124 Horseferry Road, SW1P 2TXSalary: £30K p/aBenefits: 28 Days holiday including bank holidaysPlus your birthday off3 volunteering days3 days grandparent leave24 week's enhanced maternity leaveSecondary carer leaveWedding/commitment day leaveFree meals on shiftBespoke training and...
-
EMEA Digital Campaign and Content Manager
2 weeks ago
City of Westminster, Greater London, United Kingdom Tate and Lyle Full time £60,000 - £100,000 per yearAbout Us Tate and Lyle is a successful organisation with a clear purpose, ambition, strategy, and strong expert talent, solely focused on achieving its' ambition as a world class ingredients solutions provider. We have expanded our plant-based footprint beyond corn into tapioca, stevia leaf, chickpea protein and soluble fibre to explore wider platforms for...
