Insurance Representative - EQUIP - Remote MN, ND, SD

Sanford Health

380d • $31,200 - $47,840 • Remote

About The Position

The Insurance Representative at Sanford Health is responsible for processing and monitoring unpaid third-party insurance accounts, including Medicare and Medicaid, to ensure proper reimbursement. This role involves preparing and submitting claims, securing necessary medical documentation, and proactively following up on outstanding balances. The representative must maintain compliance with federal and state regulations while effectively resolving denials and payment issues.

Requirements

• High school diploma or equivalent preferred; post-secondary or trade courses in accounting, business, and communications are helpful.
• Six months' related work experience required.
• Essential computer skills.

Nice To Haves

• Leadership experience may be required for internal applicants seeking advancement.

Responsibilities

• Process and monitor unpaid third-party insurance accounts for proper reimbursement.
• Prepare and submit claims to payers electronically or by paper.
• Secure necessary medical documentation required by payers.
• Proactively identify and perform account follow-up on outstanding insurance balances.
• Complete work within authorized time to assure compliance with departmental standards.
• Stay updated on state/federal billing requirements and changes for insurance types.
• Understand edits and department procedures to submit and correct errors on claims.
• Process and resolve denials and payer rejections.
• Conduct trend analyses, appeals, and resolve low payment or underpaid accounts.
• Provide input for payer-specific meetings and handle difficult account situations.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Life insurance
• 401(k) retirement plan
• Work/life balance benefits
• Generous time off package

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Hospitals
• Education Level: High school or GED
• Number of Employees: 10,001+ employees