Join the team at Avera!
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, sign-on bonuses, various shifts to fit your lifestyle and opportunities for career growth.
Exciting opportunity to join Avera as an Insurance Specialist!
Position Highlights:

• Paid Time Off (PTO) available on Day 1!
• Options for Free Health Insurance!

• Positive Work Environment: Be part of an organization where we practice the mission in our daily operations.
• Career Growth opportunities with the largest employer in South Dakota.

Job Summary

• PreArrival Management Specialist is responsible 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 communicates to the patient a financial responsibility estimation, provide charity applications and/or direct the patient to the buisness 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 Offce 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 general education degree required.
• Associate's Degree in finance, business or healthcare preferred.
• One to two years related experience in billing, insurance or registration required.
• Healthcare experience required.

Work Schedule

• Monday-Friday, 8:00am-4:30pm, occas call; 80hrs/2wks

Pay
The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

• $18.25 - $23.00 per hour

What Makes Avera Special?