Lead Insurance Representative

Everything we do is underscored by a why — and that why is one another. Location: Altru Health System PO Box 6002 Grand Forks, ND 58201 Pay Range: $18.82 - $28.23 Summary: The Lead Insurance Representative assists patients with inquiries for the clinic and hospital billing system and reviews and submits insurance claims. The Representative processes and monitors insurance unpaid third party insurance. Must understand and be able to work account throughout the entire revenue cycle, ensuring proper payment is made. Secures necessary medical documentation require or requested by payers. This position is a resource and trainer for new and existing staff. They make sure to notify management when there are significate changes coming with payers. They report issues with the Epic system to supervisor so the system can be updated. Essential Job Functions: First contact with insurance companies to address issues with claims. First contact for all questions submitted via customer service ticketing system. Review payer updates and bring forth changes to update Epic system. Facilitate training and be a resource for insurance representatives. Reviews and monitors insurance unpaid third party insurance and denials to ensure proper payment. Evaluates and analyzes unpaid third party payments for trends. Tracks pending eligibilities and unpaid claims from the work queue. Works credit balances and under payment work queues. Reviews, edits, prepares and submits insurance claims to the appropriate party. Keeps up to date on all state/federal billing requirements and updates proper departments to ensure all processes are updated accordingly. Assists patients with their written, telephone or in person inquiries for the clinic and hospital billing system. Performs other duties as assigned or needed to meet the needs of the department/organization. Education: • Preferred: Associates - Business Work Experience: • Required: A minimum of 2 years Related Experience Language Requirements: This position requires proficiency in reading, writing, and speaking English to ensure effective communication in the workplace and with patients, families, and team members. Physical Demands : • Sit: Frequently (34-66%) • Stand: Occasionally (5-33%) • Walk: Occasionally (5-33%) • Stoop/Bend: Occasionally (5-33%) • Reach: Frequently (34-66%) • Crawl: Not Applicable • Squat/Crouch/Kneel: Occasionally (5-33%) • Twist: Occasionally (5-33%) • Handle/Finger/Feel: Continuously (67-100%) • See: Continuously (67-100%) • Hear: Continuously (67-100%) Weight Demands: • Lift -Floor to Waist Level: Sedentary (<10 pounds) • Carry: Sedentary (<10 pounds) • Push/Pull: Sedentary (<10 pounds) • Slide/Transfer: Not Applicable Working Conditions: • Indoor: Continuously (67-100%) • Outdoor: Not Applicable • Extreme Temperature: Not Applicable Driving Requirement Definitions: Professional Drivers: Persons who drive as their main responsibility OR transport passengers or hazardous materials. Frequent Drivers: Persons whose main responsibility is not driving, but drive daily or almost daily. Occasional Drivers : Persons who drive from once per month to as frequently as once per week. Infrequent Drivers: Persons who are generally not expected to drive. Driving Requirement for this position: Infrequent Driver Reference ID: R8010 Making a real difference. For one another. To take the best care of our patients and community — including friends, family, and neighbors — we need people who are committed to growth, excellence, and one another. At Altru, you’ll find a culture where support and teamwork are at the heart of what we do. You’ll have opportunities to advance your skills, work with the latest technologies, experience the fulfillment that comes from giving back, and take your career wherever you want it to go. Join our team and be a part of a small community with a big heart. Altru offers a comprehensive benefits package to its full- and part-time employees. Excellent benefits include a health plan and 401(k) retirement plan. Other benefits include a dental plan, vision plan, life and disability insurance, education assistance, paid time off (PTO)