Insurance Representative
Sanford Health, Lansing, MI, United States
Position Details
Facility: Remote MI (Central Time)
Location: Remote, MI
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $16.00 - $25.50
Department Details: We are seeking a team member who is eager to learn and develop new skills. The position work schedule is Monday - Friday with flexibility in work start and stop times.
Job Summary The Insurance Representative processes and monitors unpaid third‑party insurance, Medicare, Medicaid or government‑assisted program accounts for proper reimbursement. 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.
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.
Benefits Sanford offers an attractive benefits package for qualifying full‑time and part‑time employees. Depending on eligibility, a variety of 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. For more information about Total Rewards, visit https://sanfordcareers.com/benefits.
Legal & EEO 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 send an email to 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.
Job Reference Req Number: R-0256048
Job Function Revenue Cycle
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Location: Remote, MI
Shift: 8 Hours - Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $16.00 - $25.50
Department Details: We are seeking a team member who is eager to learn and develop new skills. The position work schedule is Monday - Friday with flexibility in work start and stop times.
Job Summary The Insurance Representative processes and monitors unpaid third‑party insurance, Medicare, Medicaid or government‑assisted program accounts for proper reimbursement. 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.
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.
Benefits Sanford offers an attractive benefits package for qualifying full‑time and part‑time employees. Depending on eligibility, a variety of 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. For more information about Total Rewards, visit https://sanfordcareers.com/benefits.
Legal & EEO 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 send an email to 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.
Job Reference Req Number: R-0256048
Job Function Revenue Cycle
#J-18808-Ljbffr