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Avera HealthPosted 3 weeks ago

Insurance Specialist

$40,560–$53,040 year

On-sitePierre, South Dakota, United States

Full TimeEnterpriseHealthcare

Job Summary

Process eligibility, verify benefits, and secure authorizations for inpatient and outpatient accounts to prevent denials. Confirm demographic data, coordinate benefits, and obtain pre-certifications from physicians. Calculate patient financial responsibility estimates and communicate copays, coinsurance, and out-of-pocket obligations. Collect patient liability prior to service, direct self-pay patients to the advocacy team, and provide charity applications. Maintain compliance with EMTALA, HIPAA, and government regulations while documenting all transactions accurately.

Required Qualifications

  • 1-3 years Related experience in billing, insurance or registration
  • 1-3 years Healthcare experience
  • Associate's finance, business or healthcare
  • visual acuity adequate to perform position duties
  • ability to communicate effectively with others
  • ability to hear, understand and distinguish speech and other sounds
  • ability to work the hours specified

Desired Qualifications

  • Associate's finance, business or healthcare

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