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Claims examiner Jobs in Sioux Falls, SD

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Claims examiner • sioux falls sd

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Billing Assistant

United Surgical Partners International Inc (USPI)Sioux Falls, SD, US
$30.00 hourly
Full-time

The Billing Assistant provides support to the billing & collections department in an effort to expedite case management.The billing assistant’s primary responsibility is to mail clean cla... Show more

Senior Auditor (Hybrid)

The BancorpSioux Falls, SD, United States
Full-time

Conducts financial, operational, compliance, and information security audits for assigned processes, departments, or divisions throughout the organization.At The Bancorp, we've spent over 20 years ... Show more

Account Associate - State Farm Agent Team Member

Tyler Baker - State Farm AgentSioux Falls, SD, US
$40,000.00 yearly
Full-time

As a account associate for Tyler Baker State Farm, you are vital to our daily business operations and customers’ success.You grow our agency through meaningful customer relations and acting as a li... Show more

Body Shop Glass Estimator & CSR $40k - $55k

Sioux Falls FordSioux Falls, SD, US
$40,000.00 yearly
Full-time

Auto body / collision repair experience preferred.Be the Reason Customers Leave Relieved, Not Stressed.Accidents and vehicle damage are stressful—we’re looking for someone who can turn that experie... Show more

Outside Sales Representative

True North Group LLC.Sioux Falls, SD, US
Full-time

Join Our Team at True North Group.Position: Outside Sales Representative.Number of Openings: 1 Territory Role Available.At True North Group, we're more than an insurance agency—we're trusted partne... Show more

Medical Diagnostic Sales TM Dakotas

SMR Group LtdSioux Falls - Fargo, USA
Permanent

Our client is a global leading provider of forensic toxicology, healthcare and molecular diagnostic services, providing toxicology and consulting services to sports organizations, medical examiner ... Show more

Client Service Manager Associate

GallagherSioux Falls, South Dakota
$70,000.00 yearly
Full-time

At Gallagher, we’re all about building strong relationships and delivering exceptional service.As a Client Manager Associate, you’ll manage a portfolio of client accounts, ensuring they receive the... Show more

 • New!

Account Associate - State Farm Agent Team Member

Ty Teveldal - State Farm AgentSioux Falls, SD, US
$75,000.00 yearly
Full-time

As Account Associate - State Farm Agent Team Member for Ty Teveldal - State Farm Agent, you are vital to our daily business operations and customers’ success.You grow our agency through meaningful ... Show more

Yard Operations Team Member

ALLIED MIDWEST MERCHANDISERS INCSioux Falls, SD, US
Full-time

Allied Midwest Merchandisers (AMMI) – Sioux Falls, SD.Allied Midwest Merchandisers is a regional building materials distributor serving lumber dealers across our market.We operate in a structured, ... Show more

Commercial Auto Claims Adjuster / Examiner - REMOTE

Work At Home Vintage ExpertsSioux Falls, SD, US
Remote
Full-time +2
Quick Apply

Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional... Show more

Claims Consultant Claims

Mercer FranceSioux Falls, SD, United States
Full-time

Award-winning, inclusive, Top Workplace culture doesn't happen overnight.It's a result of hard work by extraordinary people.The industry's brightest talent drive our efforts to deliver purposeful w... Show more

Claims Consultant Claims

Marsh & McLennanSioux Falls, SD, United States
Full-time

Award-winning, inclusive, Top Workplace culture doesn't happen overnight.It's a result of hard work by extraordinary people.The industry's brightest talent drive our efforts to deliver purposeful w... Show more

Claims Team Lead - Claims

US012 Marsh & McLennan Agency LLCCherapa,Sioux Falls
Full-time

Award-winning, inclusive, Top Workplace culture doesn’t happen overnight.It’s a result of hard work by extraordinary people.The industry’s brightest talent drive our efforts to deliver purposeful w... Show more

Senior Worker's Compensation Claims Professional

SFM Mutual Insurance CompanySioux Falls, SD, United States
Full-time

Senior Worker's Compensation Claims Professional.Job Category: Claims Requisition Number: SENIO001629.Full-Time Salary Range: $74,497 USD to $104,295 USD Sioux Falls, SD 57106, USA.DOQ Ranked #8 To... Show more

Property Claim Representative

IMT InsuranceSioux Falls, SD, United States
$55,000.00 yearly
Full-time

IMT Insurance is now taking applications for the position of a Property Claim Representative in Sioux Falls, South Dakota area.This individual will conduct investigations and attempt settlement of ... Show more

Wholesale Parts Associate (Sioux Falls, SD)

Billion AutomotiveSioux Falls, SD, United States
Full-time

Wholesale Parts Associate (Sioux Falls, SD).Sioux Falls - Sioux Falls, SD 57106.Position Type Full Time Category Automotive.The Wholesale Parts Associate is responsible for supporting the dealershi... Show more

Title Examiner

The Title Resource NetworkSioux Falls, SD, United States
Full-time

The Title Examiner position plays a crucial supportive role in real estate transactions.This role is responsible for entering orders and data, managing customer service inquiries, and conducting de... Show more

Claims Consultant Claims

Oliver Wyman, LLCSioux Falls, SD, United States
Full-time

Award-winning, inclusive, Top Workplace culture doesn't happen overnight.It's a result of hard work by extraordinary people.The industry's brightest talent drive our efforts to deliver purposeful w... Show more

Claims Representative (Surety)

CNASioux Falls, SD, United States
Full-time

You have a clear vision of where your career can go.And we have the leadership to help you get there.At CNA, we strive to create a culture in which people know they matter and are part of something... Show more

Medical Billing and Coding - Entry Level Training Program

DreamboundSioux Falls, South Dakota, United States
Full-time

Note : This is an educational program, not a job.Successful completion of the program does not guarantee employment but will equip you with valuable skills for the healthcare job market.Looking to ... Show more

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Billing Assistant

Billing Assistant

United Surgical Partners International Inc (USPI)Sioux Falls, SD, US
21 days ago
Salary
$30.00 hourly
Job type
  • Full-time
Job description

Description:

The Billing Assistant provides support to the billing & collections department in an effort to expedite case management. The billing assistant’s primary responsibility is to mail clean claims in a timely manner with the appropriate documentation to the payor responsible.

Responsibilities:

  • Responsible for mailing paper claims for 30-35 Centers with an average monthly volume of 10K-15k.
  • Review Clearinghouse EDI Payer ID's and EMR system to see if claim can be sent electronically vs paper.
  • Print all paper claims from Vision/AdvantX, review claims for accuracy including modifiers, payers, claims addresses, and additional pertinent information included.
  • Ensure overall claim alignment and claim formatting, per payer guidelines.
  • Gather all supporting documentation such as operative notes, block reports, implant logs, etc. which MUST be attached with mailed claims.
  • Scan and upload claims & supporting documentation to the daily work folder and/or claims management system.
  • Notate in the EMR system with date claim was sent, mailing address, and supporting documentation mailed with claim.
  • Manage claim queues to ensure that cases are assigned to the correct team member for processing.
  • Collaborate as a team to mail overpayment letters and review returned mail twice a week.
  • Monitor communication and automation between various systems to ensure documents are getting to the coding team in a timely manner.
  • Coordinate with the billing team to update corrections that need to be addressed in greater detail are completed.
  • Complete additional duties as assigned.


Required Skills

Requirements:

  • 1-2 years’ experience in medical billing and/or accounts receivables preferably in an ASC setting.
  • Knowledge of CPT & ICD-10.
  • Strong attention to detail.
  • Ability to complete independent assignments with minimal supervision.
  • Basic knowledge of payers, EOB’s and claims processing.
  • Basic knowledge of billing software, vendors, and clearinghouses.
  • High School Diploma or equivalent.


Required Experience

Requirements:

  • 1-2 years’ experience in medical billing and/or accounts receivables preferably in an ASC setting.
  • Knowledge of CPT & ICD-10.
  • Strong attention to detail.
  • Ability to complete independent assignments with minimal supervision.
  • Basic knowledge of payers, EOB’s and claims processing.
  • Basic knowledge of billing software, vendors, and clearinghouses.
  • High School Diploma or equivalent.