Associate Insurance Representative

Associate Insurance Representative

Facility: 45th St Bus Ctr

Location:

Fargo, ND
Address: 300 45th St S, Fargo, ND 58103, USA

Shift: 8 Hours - Day Shifts

Job Schedule:

Full Time
Weekly

Hours:

40.00
Salary Range: $15.00 - $23.00 per hour

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 that depending on department may include 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 acts as the point of contact to provide assistance as needed. Responsible for assuring accounts are set up correctly with the information available is 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.

• High school diploma or equivalent preferred.

Sanford Health offers an attractive benefits package for qualifying full‑time and part‑time employees. According to 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

Sanford Health 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 talent.

An accepted offer will require a drug screen and pre‑employment background screening as a condition of employment.

R-0246306