Billing Associate

Avera•Sioux Falls, SD

3d•Remote

About The Position

The Billing Associate verifies, submits, and adjudicates patient billing information; submits claim forms; and reconciles accounts receivable remittances while documenting tracking information to customer accounts. The role also verifies and corrects billing inputs for claim processing and reconciles Point of Sale cash flow. The associate provides customer service to internal and external customers and handles billing inquiries and follow-up to support accurate, timely account resolution. This position is based at Avera Downtown Building in Sioux Falls, with an opportunity to work remotely from South Dakota, Nebraska, Iowa, Minnesota, or North Dakota. The role is regular and day shift. The listed pay range is $18.50–$24.25, with the actual rate dependent on experience.

Requirements

Ability to work the hours specified for the position.
Ability to perform essential job functions satisfactorily, including adequate visual acuity for position duties and the ability to communicate effectively, hear, understand, and distinguish speech and other sounds.
Commitment to applying Avera’s mission, vision, core values, and social principles in service to patients, families, and the community.
Promote compassion, hospitality, and stewardship.
Uphold Avera’s Communication, Attitude, Responsiveness, and Engagement (CARE) standards.
Maintain confidentiality and work effectively in a team environment.
Comply with applicable safety principles, laws, regulations, and standards.

Nice To Haves

Associate's technical degree or 1–2 years of related experience.
1–3 years of related experience.

Responsibilities

Respond to internal and external customer concerns about accounts in a timely and accurate manner.
Investigate reports and follow up by correcting information as needed to ensure account accuracy; communicate verified corrections and document changes for patients and appropriate departments.
Investigate and report current reimbursement developments on third-party remittances and maintain compliance with coding and billing requirements.
Direct the preparation, completion, and filing of third-party insurance reimbursement claims in electronic and paper formats.
Process explanations of Medicare Benefits for supplemental insurance.
Verify bill accuracy and review accounts to initiate appeal information when appropriate.
Collaborate with other departments to support follow-up and timely resolution.
Interpret organizational policies and procedures and maintain records for compliance and audit purposes.
Correspond with appropriate departments to obtain necessary billing information.
Reconcile cash management and coordinate daily deposits for applicable areas.
Maintain confidentiality and work effectively with team members to coordinate workflow.
Comply with applicable safety principles, laws, regulations, and standards, including CMS, The Joint Commission, DHHS, and OSHA requirements.