Billing Associate

Location and Compensation Location: Avera Downtown Building - Sioux Falls Work Shift: Day Shift (United States of America) Pay Range: $18.50 - $24.25 (actual pay dependent upon experience) Responsibilities Verify, submit, and adjudicate patient billing information, submit necessary claim forms, and reconcile accounts receivable remittances appropriately; document tracking information to customer accounts. Verify and correct billing input for claim processing and reconcile point‑of‑sale cash flow. Provide excellent customer service to external and internal customers; respond to customer concerns regarding accounts in a timely and accurate manner. Investigate reports and correct information necessary for complete accuracy; document changes and provide them to the patient and other appropriate departments. Investigate and report on current reimbursement developments on third‑party remittances and maintain compliance with coding/billing requirements. Direct the preparation, completion, and filing of third‑party payor insurance reimbursement claims, both electronic and paper formats. Process explanations of Medicare Benefits for supplemental insurances. Verify bill accuracy and review to initiate appeal information when appropriate. Collaborate with other departments for follow‑up and timely resolution. Comprehend and interpret organization policies, procedures, and maintain appropriate records for compliance and audit purposes. Correspond with other appropriate departments for necessary billing information. Reconcile cash management and coordinate daily deposits for all applicable areas. Essential Qualifications The individual must be able to work the specified hours and perform each essential job function satisfactorily, which includes having adequate visual acuity, and the ability to communicate effectively with others, hear, understand, and distinguish speech and other sounds. These requirements represent 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. Preferred Education, License/Certification, or Work Experience Associate’s degree or technical degree, or 1 to 2 years of related experience; 1-3 years of related experience preferred. Expectations and Standards Commit 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 workflow with other team members and ensuring a productive and efficient environment. Comply with safety principles, laws, regulations, and standards associated with, but not limited to, CMS, The Joint Commission, DHHS, and OSHA (where applicable). Benefits Paid Time Off (PTO) available day 1 for eligible hires. Up to 5% employer matching contribution for retirement. Career development guided by hands‑on training and mentorship. Other benefits designed to meet needs of today and into the future. Equal Opportunity Employer 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 View phone number on click.appcast.io or send an email to View email address on click.appcast.io. #J-18808-Ljbffr