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, various shifts to fit your lifestyle and opportunities for career growth.

Join Avera as an Insurance Specialist and join a mission driven organization with a great company culture, and team environment.

Are you a student looking to start your career in Healthcare, then we have an exciting opportunity for you!!

Position Highlights:

• Will have the option to work remotely after completion of training.
• Work Environment: Collaborate with a great team in a fast paced area that offers variety.
• Career Growth: Gain healthcare experience while furthering your education in healthcare.
• Job Satisfaction: You will positively impact the lives of the patients & families we serve.

Job Summary

• The Insurance Specialist is accountable 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 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.
• Specialists will collect patient liability prior to service and attempt to collect prior balances.
• The Specialist also collaborates with the Utilization Review, Business Office 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 GED required.
• Equivalent combination of education and experience required.
• One to two years related experience in billing, insurance or registration required.
• Healthcare experience required (1-2 years)

Work Schedule

• Monday-Friday: 8:00 am - 4:30 pm, no weekend/holiday; 80 hours every 2 weeks

Pay

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

• $18.25-$22.50 per hour

What Makes Avera Special?