Job Description
Job Description
Everything we do is underscored by a why - and that why is one another.
Location: Altru Health System
PO Box 6002Grand Forks, ND 58201
Pay Range: $17.07 - $25.60
Summary: The Insurance Representative assists patients with inquiries for the clinic and hospital billing system and reviews and submits insurance claims. The Representative processes and monitors insurance unpaid third-party insurance. Must understand and be able to work account throughout the entire revenue cycle, ensuring proper payment is made. Secures necessary medical documentation require or requested by payers. This position tracks pending and unpaid claims and works credit balances and payment work queues.
Work Schedule/Hours: 40 hours per week; Monday-Friday 8am - 5pm CST (Hybrid or Remote)
Essential Job Functions: - Reviews and monitors insurance unpaid third party insurance and denials to ensure proper payment.
- Keeps up to date on all state/federal billing requirements and updates proper departments to ensure all processes are updated accordingly.
- Reviews, edits, prepares and submits insurance claims to the appropriate party.
- Assists patients with their written, telephone or in person inquiries for the clinic and hospital billing system.
- Tracks pending eligibilities and unpaid claims from the work queue. Works credit balances and under payment work queues.
- Completes work within authorized time to assure compliance with departmental standards.
- Communicates effectively with payers and departmental staff to remove barriers to claim payment and to answer any questions relative to benefits of our billings as well as prior authorization issues.
- Submits and receives prior authorizations.
- Reacts to necessary changes by staying up-to-dates on payer requirements and systems capabilities.
- Performs other duties as assigned or needed to meet the needs of the department/organization.
#Altru
Education: •Preferred: Associates - Business
Work Experience: •Preferred: A minimum of 1 year Related Experience
Language Requirements: This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members.
Physical Demands : •Sit: Frequently (34-66%)
•Stand: Occasionally (5-33%)
•Walk: Occasionally (5-33%)
•Stoop/Bend: Occasionally (5-33%)
•Reach: Frequently (34-66%)
•Crawl: Not Applicable
• Squat/Crouch/Kneel: Occasionally (5-33%)
•Twist: Occasionally (5-33%)
• Handle/Finger/Feel: Continuously (67-100%)
•See: Continuously (67-100%)
•Hear: Continuously (67-100%)
Weight Demands: •Lift -Floor to Waist Level: Sedentary (< 10 pounds)
•Carry: Sedentary (< 10 pounds)
•Push/Pull: Sedentary (< 10 pounds)
•Slide/Transfer: Not Applicable
Working Conditions: •Indoor: Continuously (67-100%)
•Outdoor: Not Applicable
•Extreme Temperature: Not Applicable
Driving Requirement Definitions: - Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials.
- Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily.
- Occasional Drivers : Persons who drive from once per month to as frequently as once per week.
- Infrequent Drivers: Persons who are generally not expected to drive.
Driving Requirement for this position: Infrequent Driver
Reference ID: R6282
Making a real difference. For one another. To take the best care of our patients and community - including friends, family, and neighbors - we need people who are committed to growth, excellence, and one another.
At Altru, you'll find a culture where support and teamwork are at the heart of what we do. You'll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go.
Join our team and be a part of a small community with a big heart.
Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)PandoLogic. Keywords: Insurance Agent, Location: Grand Forks, ND - 58202
Job Tags
Full time, Part time, Work experience placement, Remote work, 1 day per week, Monday to Friday,