Avera Downtown BuildingSioux Falls
Worker Type:
Regular
Work Shift:
Day Shift (United States of America)
Pay Range:
The pay range for this position is listed below. Actual pay rate dependent upon experience.
$19.25 $25.00
Position Highlights
You Belong at Avera
Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
A Brief OverviewAccountable for having a high level of knowledge of the Avera Medical Group patient accounts responsibilities for the Avera Medical Group Clinics. They are responsible for complete followup of patient accounts working closely with insurance companies and internal team members to resolve account issues.
What you will do
- Responsible for followup on accounts receivable by contacting insurance companies.
- Closely follows the appropriate procedures and practices.
- Responsible for account review and follow up of unpaid overpaid/over adjusted and denied claims.
- Reviews analyzes and appeals denials received relative to claims processing issues with insurance payers.
- Communicates with internal and external customers involved in the claims resolution process to ensure timely claims processing. Identifies the need to rebill claims through account review and completes claim refiling as well as submits secondary claims not auto generated through the system.
- Assist with patient responsibility followup as needed.
- Responsible for being available to answer direct patient inquiries.
- Support any on site facility needs as determined by leadership.
Essential QualificationsThe individual must be able to work the hours specified. To perform this job successfully an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others hear understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge skills and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions as long as the accommodations do not cause undue hardship to the employer.
Preferred Education License/Certification or Work Experience:
- Associates or technical degree.
- 13 years of related experience.
Expectations and Standards
- Commitment to the daily application of Averas mission vision core values and social principles to serve patients their families and our community.
- Promote Averas values of compassion hospitality and stewardship.
- Uphold Averas standards of Communication Attitude Responsiveness and Engagement (CARE) with enthusiasm and sincerity.
- Maintain confidentiality.
- Work effectively in a team environment coordinating work flow with other team members and ensuring a productive and efficient environment.
- Comply with safety principles laws regulations and standards associated with but not limited to CMS The Joint Commission DHHS and OSHA if applicable.
Benefits You Need & Then Some
Avera is proud to offer a wide range of benefits to qualifying parttime and fulltime employees. We support you with opportunities to help live balanced healthy lives. Benefits are designed to meet needs of today and into the future.
PTO available day 1 for eligible hires.
Free health insurance options for fulltime single coverage on Avera High Deductible Health Plan
Up to 5 employer matching contribution for retirement
Career development guided by handson training and mentorship
Avera is an Equal Opportunity Employer Qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability Veteran Status or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application please callor send an email to .
Required Experience:
Unclear Seniority