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Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.
Facility: Stevens Center Building
Location:Sioux Falls, SD
Address: 900 East 54th St N, Sioux Falls, SD 57104, USA
Job Schedule: Full time
Weekly Hours: 40. 00
Salary Range: $16 - $23
Department Details
The Sanford Laboratories Reference Lab Billing department is opening a new opportunity to work with external laboratory partners like Mayo, Quest and LabCorp to efficiently process financial statements for work sent to these laboratories from Sanford Health. This remote position requires a high attention to detail, self-motivation and understanding of laboratory billing practices in regards to reference laboratory charges.
Job Summary
Serves as an expert liaison regarding billing, compliance, cashiering, and collections. Must have good working knowledge of all insurance and/or government claims processing. Primary responsibilities require working with various external laboratory invoices and posting charges back to patient or laboratory client accounts. Must be well-versed in understanding Medicaid and Medicare regulations regarding responsible billing parties for reference laboratory work.
Must be well-versed on electronic billing. Must make decisions regarding payment plans upon demand. Must be accessible to other departments upon demand for inquiries regarding reimbursement. Must be a good problem solver and decision-maker regarding the billing questions and procedures. Must have strong communication skills verbally and written and be able to use proper English, grammar, punctuation, and style. Must be able to utilize all office equipment including personal computer and application software (esp. Microsoft Office). Must have strong multi-tasking skills. Must be able to use appropriate reference materials.
Runs analysis reports, identifies issues, and seeks efficiencies. Works with applications support to fix specific issues. Collaborates with facility to clarify denials (e.g. medical necessity, prior authorization). Completes Medicare bad debts and uses software to look through categories to make determination if it qualifies for Medicare bad debt resolution. Serves as a liaison between business office and network sites. May facilitate connection on complex issues between network and correct Professional Financial Services (PFS) service or may make direct referral to correct PFS service. Responsible for monthly denial reports to provide to network sites. Shows write-offs from previous month and provides PFS transparency to network sites. Serves on departmental projects on as needed basis.
Qualifications
High school diploma or equivalent is preferred.
Two years of related experience is preferred.
Benefits
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to talent@sanfordhealth.org .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
Req Number: R-0171663
Job Function: Revenue Cycle
Featured: No
