Insurance Representative
Sanford Health, Madison, WI, United States
Position Details
Facility: Remote WI
Location: Remote, WI
Shift: 8 Hours – Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $16.00 – $25.50
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 work accounts throughout the entire revenue cycle. Prepares and submits claims to payers electronically or by paper, secures necessary documentation, proactively follows up on outstanding balances, and resolves accounts in accordance with federal and state regulations. Performs trend analyses, appeals, and resolves low‑payment or underpaid accounts. Handles difficult situations and performs miscellaneous duties as requested.
Responsibilities
Process and monitor unpaid third‑party insurance, Medicare, Medicaid, or government‑assisted program accounts.
Prepare and submit electronic or paper claims to payers.
Secure required medical documentation and follow up on outstanding insurance balances.
Resolve denials and process payer rejections using advanced knowledge.
Conduct trend analyses, appeals, and resolve low‑payment or underpaid accounts.
Provide input for payer‑specific meetings and handle difficult account situations.
Maintain accurate data entry, customer communication, and documentation in the computer system.
Verify demographics, insurance eligibility, and patient financial assistance as required.
Qualifications
High school diploma or equivalent preferred; post‑secondary or trade courses in accounting, business, or communications helpful.
At least six months related work experience.
Computer skills essential.
Ability to work independently and comply with federal and state regulations.
Strong verbal and written communication skills.
Benefits
Health insurance, dental insurance, vision insurance, life insurance.
401(k) retirement plan.
Work/life balance benefits and generous time‑off package.
Additional benefits as part of Total Rewards (https://sanfordcareers.com/benefits).
Equal Employment Opportunity 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, 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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Facility: Remote WI
Location: Remote, WI
Shift: 8 Hours – Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Salary Range: $16.00 – $25.50
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 work accounts throughout the entire revenue cycle. Prepares and submits claims to payers electronically or by paper, secures necessary documentation, proactively follows up on outstanding balances, and resolves accounts in accordance with federal and state regulations. Performs trend analyses, appeals, and resolves low‑payment or underpaid accounts. Handles difficult situations and performs miscellaneous duties as requested.
Responsibilities
Process and monitor unpaid third‑party insurance, Medicare, Medicaid, or government‑assisted program accounts.
Prepare and submit electronic or paper claims to payers.
Secure required medical documentation and follow up on outstanding insurance balances.
Resolve denials and process payer rejections using advanced knowledge.
Conduct trend analyses, appeals, and resolve low‑payment or underpaid accounts.
Provide input for payer‑specific meetings and handle difficult account situations.
Maintain accurate data entry, customer communication, and documentation in the computer system.
Verify demographics, insurance eligibility, and patient financial assistance as required.
Qualifications
High school diploma or equivalent preferred; post‑secondary or trade courses in accounting, business, or communications helpful.
At least six months related work experience.
Computer skills essential.
Ability to work independently and comply with federal and state regulations.
Strong verbal and written communication skills.
Benefits
Health insurance, dental insurance, vision insurance, life insurance.
401(k) retirement plan.
Work/life balance benefits and generous time‑off package.
Additional benefits as part of Total Rewards (https://sanfordcareers.com/benefits).
Equal Employment Opportunity 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, 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.
#J-18808-Ljbffr