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Careers With Purpose

Sanford Health is one of the largest and fastest-growing not-for-profit health systems in the United States. We're proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint.

**Facility:** GSS National Campus

**Location:** Sioux Falls, SD

**Address:** 4800 W 57th St, Sioux Falls, SD 57108, USA

**Shift:** 8 Hours - Day Shifts

**Job Schedule:** Full time

**Weekly Hours:** 40.00

**Starting Rate:** $17.50 - $28.00

Department Details

Monday - Friday schedule, ability to work from home after 6 months, health insurance background preferred but not required, and the ability to apply skills and knowledge from other positions to support a first-in-class member experience.

Job Summary

The Senior Premium Billing and Enrollment Coordinator serves as a subject matter expert to other team members, answering escalated billing and enrollment issues with both internal and external customers and clients. Responsible for the receiving, processing, reviewing and maintaining all types of enrollment. Performs testing for new processes and updates in systems. Monitors group inventory. Tracks and documents group set up and renewal workflow, supervises the process for timeliness and verifies accuracy of completed process. Identifies performance gaps and reports to Operations Leadership any opportunities for workflow efficiency and process improvement. Provides training and education to team members as needed. Must be detail oriented with the ability to investigate and problem solve. Relies on experiences to recognize enrollment and eligibility discrepancies. Must be able to effectively communicate, verbally and written, with internal departments and clients/members regarding enrollment processes and procedures, eligibility inquires and verification of data. Demonstrates analytical ability in processing electronic enrollment files. Assimilates large amounts of information to maintain a broad knowledge base. Exercises good judgment in determining best methods of solving problems. Maintains a positive and professional relationship with internal staff, clients, members and vendors. Maintains confidentiality.

Qualifications

High school diploma or equivalent required. Associate degree preferred.

Two years’ experience in health insurance, healthcare billing or similar industry including enrollment and eligibility preferred. Experience with Medicare, COBRA and ERISA highly desirable. Computer proficiency required.

Benefits

Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to [email protected] .

Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

**Req Number:** R-0240666

**Job Function:** Customer Support Services

**Featured:** No