Award Winning Health Care: Avera has been named among the nation’s 15 Top Health Systems, Forbes list of America’s Best-in-State Employers and Level 10 Most Wired Health Care Organization by CHIME.
Culture: Be part of a multidisciplinary team built on teamwork, with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.
You Belong at Avera: Competitive pay, front-loaded PTO and options for free health insurance, various shifts to fit your lifestyle and opportunities for career growth.
Join Avera as an Insurance Specialist and join a mission driven organization with a great company culture, and team environment.
Are you a student looking to start your career in Healthcare, then we have an exciting opportunity for you!!
Position Highlights:
Will have the option to work remotely after completion of training.
Work Environment: Collaborate with a great team in a fast paced area that offers variety.
Career Growth: Gain healthcare experience while furthering your education in healthcare.
Job Satisfaction: You will positively impact the lives of the patients & families we serve.
Job Summary
The Insurance Specialist is accountable for ensuring insurance eligibility, benefit verification, and the authorization processes are complete in the time allowed by the insurance companies to prevent denials or penalties.
Specialists are responsible for documenting accurate insurance information and authorization details to optimize reimbursement from both the payer and patient.
The Specialist must maintain strong working knowledge of insurance plans, contract requirements, and resources to facilitate appropriate insurance verification and authorization.
Financial Clearance Specialists must determine if pre-certification, pre-authorization or a referral is required for insurance companies and obtain if applicable.
Specialists must also be able to understand and interpret patient liability and benefits for all payer types including copays, co-insurance, and out-of-pocket responsibilities in order to provide patients and families with information on their financial responsibility.
The PreArrival Management Specialist will calculate and communicate to the patient a financial responsibility estimation, provide charity applications and/or direct the patient to the business office for payment and assistance options.
Specialists will collect patient liability prior to service and attempt to collect prior balances.
The Specialist also collaborates with the Utilization Review, Business Office and the Patient Advocates to ensure proper reimbursement on accounts.
Specialists are to conduct all transactions appropriately and consistently, and complete government regulatory forms accurately with the patient or patient’s representative.
Specialists must maintain compliance with government regulations (i.e. EMTALA and HIPAA) as it pertains to the insurance process.
Education and/or Experience
High School Diploma or GED required.
Equivalent combination of education and experience required.
One to two years related experience in billing, insurance or registration required.
Healthcare experience required (1-2 years)
Work Schedule
Monday-Friday: 8:00 am - 4:30 pm, no weekend/holiday; 80 hours every 2 weeks
Pay
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.
$18.25-$22.50 per hour
What Makes Avera Special?
Location: Avera St. Luke's · ASL Central Scheduling
Schedule: Full Time, Day Shift, Monday-Friday: 8:00am-4:30pm, no wknd/hol; 80hrs/2wks
Avera Health
view jobsAbout Avera Health
No matter where you live across the Upper Midwest, count on Avera Health, an integrated health system based in Sioux Falls, SD, for the same top-quality health services you’d find at major medical centers and regional referral facilities.
Avera serves South Dakota and surrounding areas of Minnesota, Iowa, Nebraska and North Dakota through six regional centers in Aberdeen, Mitchell, Pierre, Sioux Falls and Yankton, SD, and Marshall, MN. We serve you through 37 hospitals, 215 primary and specialty care clinics, 40 senior living facilities in addition to home care and hospice, sports and wellness facilities, home medical equipment outlets and more.
You’ll benefit not only from the highest quality expertise and technology, but also from an emotional and spiritual connection with Avera caregivers.
Avera seeks to heal the whole person – body, mind and spirit – in community. When you see the name Avera, you can be confident of the health care system that provides high-quality care at more than 300 locations and more than 100 communities in the five-state region. With more than 13,000 employees and physicians, Avera is South Dakota’s largest private employer. Avera is rated A1 by Moody's and AA- by Standard and Poor's.
No matter where you live across the Upper Midwest, count on Avera Health, an integrated health system based in Sioux Falls, SD, for the same top-quality health services you’d find at major medical centers and regional referral facilities.
Avera serves South Dakota and surrounding areas of Minnesota, Iowa, Nebraska and North Dakota through six regional centers in Aberdeen, Mitchell, Pierre, Sioux Falls and Yankton, SD, and Marshall, MN. We serve you through 37 hospitals, 215 primary and specialty care clinics, 40 senior living facilities in addition to home care and hospice, sports and wellness facilities, home medical equipment outlets and more.
You’ll benefit not only from the highest quality expertise and technology, but also from an emotional and spiritual connection with Avera caregivers.
Avera seeks to heal the whole person – body, mind and spirit – in community. When you see the name Avera, you can be confident of the health care system that provides high-quality care at more than 300 locations and more than 100 communities in the five-state region. With more than 13,000 employees and physicians, Avera is South Dakota’s largest private employer. Avera is rated A1 by Moody's and AA- by Standard and Poor's.
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Avera Health
About
No matter where you live across the Upper Midwest, count on Avera Health, an integrated health system based in Sioux Falls, SD, for the same top-quality health services you’d find at major medical centers and regional referral facilities.
Avera serves South Dakota and surrounding areas of Minnesota, Iowa, Nebraska and North Dakota through six regional centers in Aberdeen, Mitchell, Pierre, Sioux Falls and Yankton, SD, and Marshall, MN. We serve you through 37 hospitals, 215 primary and specialty care clinics, 40 senior living facilities in addition to home care and hospice, sports and wellness facilities, home medical equipment outlets and more.
You’ll benefit not only from the highest quality expertise and technology, but also from an emotional and spiritual connection with Avera caregivers.
Avera seeks to heal the whole person – body, mind and spirit – in community. When you see the name Avera, you can be confident of the health care system that provides high-quality care at more than 300 locations and more than 100 communities in the five-state region. With more than 13,000 employees and physicians, Avera is South Dakota’s largest private employer. Avera is rated A1 by Moody's and AA- by Standard and Poor's.
