Associate Insurance Representative
Sanford Health, Marshfield, WI, United States
Facility
Marsh Security Health Plan Location
Marshfield, WI Address
1515 N St Joseph Ave, Marshfield, WI 54449, USA Shift
8 Hours - Day Shifts Job Schedule
Full time Weekly Hours
40.00 Salary Range
$15.00 - $23.00 Job Summary
The Associate Insurance Representative processes and monitors unpaid third party insurance, Medicare, Medicaid or government-assisted program accounts for proper reimbursement; primarily but not limited to prebilled accounts. Prepares and submits claims to payers either electronically or by paper. Secures necessary medical documentation required or requested by payers. Performs account follow-up on outstanding insurance balances and takes the necessary action for account resolution in accordance with established federal and state regulations. Processes daily workflow changes such as eligibility verification, verification of information, payment postings, initiating refunds, processing month end, resolving and troubleshooting incidents, reporting, initial billings and re-billings of claims, scanning and indexing of documents, and provides assistance as needed. Responsible for assuring accounts are set up correctly and completed timely and accurately. 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 that are technical in nature (i.e.: records required denials). Performs miscellaneous job related duties as requested. Qualifications
High school diploma or equivalent preferred. Benefits
Sanford offers an attractive benefits package for qualifying full-time and part-time employees. The benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. Previous billing experience preferred. EEO and Diversity Statement
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 1-877-673-0854 or email talent@sanfordhealth.org. Sanford has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
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Marsh Security Health Plan Location
Marshfield, WI Address
1515 N St Joseph Ave, Marshfield, WI 54449, USA Shift
8 Hours - Day Shifts Job Schedule
Full time Weekly Hours
40.00 Salary Range
$15.00 - $23.00 Job Summary
The Associate Insurance Representative processes and monitors unpaid third party insurance, Medicare, Medicaid or government-assisted program accounts for proper reimbursement; primarily but not limited to prebilled accounts. Prepares and submits claims to payers either electronically or by paper. Secures necessary medical documentation required or requested by payers. Performs account follow-up on outstanding insurance balances and takes the necessary action for account resolution in accordance with established federal and state regulations. Processes daily workflow changes such as eligibility verification, verification of information, payment postings, initiating refunds, processing month end, resolving and troubleshooting incidents, reporting, initial billings and re-billings of claims, scanning and indexing of documents, and provides assistance as needed. Responsible for assuring accounts are set up correctly and completed timely and accurately. 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 that are technical in nature (i.e.: records required denials). Performs miscellaneous job related duties as requested. Qualifications
High school diploma or equivalent preferred. Benefits
Sanford offers an attractive benefits package for qualifying full-time and part-time employees. The benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. Previous billing experience preferred. EEO and Diversity Statement
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 1-877-673-0854 or email talent@sanfordhealth.org. Sanford has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
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