Insurance Specialist
Sanford Health - Sioux Falls, SD

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Full-Time 80 hrs ppp

The Insurance Specialist will be expected to process third party insurance, Medicare, Medicaid or government-assisted programs. Insurance Specialists will be expected to comply with all regulatory bodies of agencies. Some of the duties expected are, but not limited to: submit claims, ensures compliance with internal and external customers via verbal and written communication, and performs follow-up on claims when necessary, and appeals claims when denied or downgraded.

Must have excellent customer service skills to communicate with internal and external customers.

Will be expected to use electronic billing.

Must be accessible to other departments upon demand for inquires regarding reimbursement.

Must demonstrate critical thinking skills to manage day to day basic operations or the ability to seek assistance when needed. Must be able to do work steadily, efficiently and show constant vigilance to the details of the work.

Must be able to utilize all office equipment including personal computer and application software, printer, FAX, copier, multi-line telephone system.

Must have good working knowledge of all insurance and/or government claims submittal and appeal processes.

Must have excellent written and oral communication skills, including English usage, grammar, punctuation, and style.

Must be able to use appropriate reference materials when needed.

Should be able to multi-task when needed.

When students are providing patient care, treatment, and/or services as a part of their training, any/all employees may be asked to supervise the students.

Required Skills

Minimum of high school education, however, some trade course classes in accounting, business and communications would be very helpful in this position. Previous experience in medical billing preferred. Computer skills essential.

Work is performed in an office environment. Work hours vary according to the workload and supervisory schedule.

Required Experience

About this company
73 reviews
Sanford Health-MeritCare was created from the 2009 merger of two Dakota health care legends: South Dakota's Sanford Health and North...