Top 155 Insurance Jobs in Pierre, Sd

Insurance Specialist
Avera —Pierre, SD
- $19.50 - $25.50 an hour
- Online Application
- OSHA
- Hospital
- HIPAA
- Paid time off
7d
Claims Analyst - REMOTE
Ryder System —Pierre, SD
- $90,000 - $100,000 a year
- Full-time
- Remote
- Bachelor's degree
- Experience equivalent to degree accepted
- Senior level
- Disability insurance
- Health insurance
Senior Claims Representative - REMOTE
Ryder System —Pierre, SD
- $75,000 - $80,000 a year
- Remote
- Management
- 5 years
- Bachelor's degree
- Disability insurance
- Health insurance
7d
Claims Adjuster - Pierre, SD
FMNE Insurance Company —Fort Pierre, SD
- Full-time
- Hybrid work
- Clean driving record
- Ability to walk for extended periods
- Mid-level
- Health insurance
- 401(k)
13d
Insurance Sales Agent
Farm Bureau Financial Services - Rapid City —Pierre, SD
- $100,000 a year
- Computer literacy
- Mid-level
- US work authorization
Quick Apply
Claims Specialist, Commercial Casualty - Remote
CSAA Insurance Services, Inc. —Pierre, SD
- $62,460 - $83,400 a year
- Weekends as needed
- Remote
- Bachelor of Science
- Mid-level
- High school diploma or GED
- 401(k) matching
1d
Benefits Outreach Specialist
South Dakota State Government —Pierre, SD
- $21.41 - $26.00 an hour
- Online Application
- Microsoft Outlook
- Writing skills
- Mid-level
- Paid holidays
- Health insurance
11d
Sr. Claims Specialist, Commercial Casualty - Remote
CSAA Insurance Services, Inc. —Pierre, SD
- $74,295 - $99,050 a year
- Full-time
- Remote
- Spanish
- Bachelor of Science
- 3 years
- 401(k) matching
1d
Business Solutions Analyst III (Guidewire) - Remote
CSAA Insurance Services, Inc. —Pierre, SD
- $89,865 - $119,800 a year
- Full-time
- Remote
- Bachelor's degree
- US work authorization
- Senior level
- 401(k) matching
4d
Financial Representative - Entry Level
Mason District - Modern Woodmen of America —Pierre, SD
- $97,000 - $192,000 a year
- Full-time
- Hybrid work
- Management
- High school
- Recruiting
- Health insurance
- Dental insurance
Quick Apply
13d
Licensed Sales Professional (LSP) - SD
Allstate —South Dakota
- $36,000 - $100,000 a year
- Full-time
- In-person
- Communication skills
- Entry level
Senior P&C Insurance Agent – Remote
Sales Fence Marekting —South Dakota
- $20 - $22 an hour
- Full-time
- Remote
- Mid-level
- Communication skills
Quick Apply
Litigation Operations Consultant, Projects & Technology – Remote
CSAA Insurance Services, Inc. —Pierre, SD
- $110,700 - $147,500 a year
- Full-time
- 8 years
- US work authorization
- Senior level
- 401(k) matching
7d
Senior Data Science Consultant, Insurance - Remote
CSAA Insurance Services, Inc. —Pierre, SD
- $160,155 - $213,550 a year
- Full-time
- 7 years
- US work authorization
- Experience equivalent to degree accepted
- 401(k) matching
Corporate Development Principal - Remote
CSAA Insurance Services, Inc. —Pierre, SD
- $152,010 - $202,550 a year
- Full-time
- 7 years
- US work authorization
- Organizational skills
- 401(k) matching
8d
Commercial Casualty Litigation Adjuster - Remote
CSAA Insurance Services, Inc. —Pierre, SD
- $80,865 - $107,900 a year
- Full-time
- Remote
- Bilingual
- Bachelor of Science
- 3 years
- 401(k) matching
1d
Sr. Litigation Specialist -Remote
CSAA Insurance Services, Inc. —Pierre, SD
- $89,865 - $119,800 a year
- Extended hours
- Remote
- Bilingual
- Bachelor of Science
- High school diploma or GED
- 401(k) matching
13d
Sr. Account Executive
CVS Health —Pierre, SD
- $46,988 - $121,543 a year
- Full-time
- Mid-level
- 3 years
- Bachelor's degree
- Health insurance
- Dental insurance
13d
Independent Property Field Adjuster
RYZE Claim Solutions —Pierre, SD
- Contract
- Remote
- Mid-level
- High school diploma or GED
- Construction experience
Quick Apply
12d
Commercial Pricing Actuary (Mobility) - Remote
CSAA Insurance Services, Inc. —Pierre, SD
- $122,850 - $164,000 a year
- Full-time
- Remote
- Bachelor of Science
- 3 years
- Analysis skills
- 401(k) matching
1d

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Insurance Specialist

Avera -
Pierre, SD

Apply Now

Job Details

Full-time
$19.50 - $25.50 an hour
7 days ago

Benefits

Paid time off

Qualifications

TJC
In-person patient registration
Health insurance co-pays
Overseeing health insurance pre-certification
OSHA
Managed care
Maintaining patient confidentiality
CMS
Regulatory compliance
Patient demographics
HIPAA
Associate's degree in finance
Mid-level
Patient financial aid assistance
Finance
Medicaid health insurance
Clinical data entry
Clinical information systems
Health information regulatory compliance
Emergency Medical Treatment and Labor Act (EMTALA)
Medicaid regulations
Medicaid
Health insurance referral requirements
1 year
Medical billing regulations compliance
Patient collections management

Full Job Description

Location:

Avera St Mary's Hospital

Worker Type:

Regular

Work Shift:

Day Shift (United States of America)

Pay Range:

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

$19.50 - $25.50

Position Highlights

You Belong at Avera

Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. Work where you matter.

A Brief Overview

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. 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 Specialist will calculate and communicate to the patient a financial responsibility estimation, provide charity applications and/or direct the patient to the business office for payment and assistance options. The Specialists will collect patient liability prior to service and attempt to collect prior balances. The Specialist collaborates with various other departments to ensure proper reimbursement on accounts. The 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.

What you will do

Process eligibility and secure full benefit coverage information (including COBRA when applicable) with insurance companies and employers, confirm all demographic information is correct, and ensure coordination of benefit (COB) and insurance plan codes are accurate. Specialists must verify insurance coverage immediately for inpatient and outpatient accounts that are same day and next day add-ons.
Identify all payment sources for accurate primary and secondary payer coverage and required authorizations to prevent denials and/or reduction in payment for patients entering the facility for care.
Obtain necessary paper/electronic referrals, authorizations and pre-certifications from Primary Care Physician and/or Specialty Physician when required by payers, Managed Care, and traditional Medicaid and enters information into the health information system.
Collects and validates accurate patient demographic and insurance information, verifies insurance, obtains pre-certification/authorization as required and enters all necessary information.
Calculate and communicate patient estimates for hospital services utilizing a deposit matrix or patient payment estimator to determine estimated patient responsibility and communicates financial expectations to the patient.
Educates patients on their benefits, offers the patient/family the opportunity to pay their estimated patient responsibility prior to services rendered, and identifies methods of payment available. Identifies patients in need of financial assistance and provides charity applications and referrals to the business office as necessary.
Responsible to screen all self pay patients for potential payer coverage and directs applicable accounts to the advocacy team for further review. Assure all payer requirements are met, including non-coverage waivers, Advance Beneficiary Notices, sterilization forms, and other forms as applicable.
Provide communication concerning change of insurance coverage, prior to billing, from Registration staff and/or Patient Advocate/Billing staff.
Maintain professional development by attending workshops, in-services, and webinars to remain up-to-date on insurance rules and regulations in addition to changes within the industry.

Essential Qualifications

The individual must be able to work the hours specified. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. These requirements and those listed above are representative of the knowledge, skills, and abilities required to perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions, as long as the accommodations do not cause undue hardship to the employer.

Required Education, License/Certification, or Work Experience:

1-3 years Related experience in billing, insurance or registration.
1-3 years Healthcare experience

Preferred Education, License/Certification, or Work Experience:

Associate's finance, business or healthcare.

Expectations and Standards

Commitment to the daily application of Avera’s mission, vision, core values, and social principles to serve patients, their families, and our community.
Promote Avera’s values of compassion, hospitality, and stewardship.
Uphold Avera’s standards of Communication, Attitude, Responsiveness, and Engagement (CARE) with enthusiasm and sincerity.
Maintain confidentiality.
Work effectively in a team environment, coordinating work flow with other team members and ensuring a productive and efficient environment.

Benefits You Need & Then Some

Avera is proud to offer a wide range of benefits to qualifying part-time and full-time employees. We support you with opportunities to help live balanced, healthy lives. Benefits are designed to meet needs of today and into the future.

PTO available day 1 for eligible hires.
Up to 5% employer matching contribution for retirement
Career development guided by hands-on training and mentorship

Avera is an Equal Opportunity Employer - Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, Veteran Status, or other categories protected by law. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-605-504-4444 or send an email to [email protected] .

Apply Now

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