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Claims Representative at Sanford Health - ApplyBlast

Claims Representative

Sanford Health

2 months ago

3.4 on Glassdoor

Remote

Full Time

Junior

0 applicants

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About this role

The Claims Representative processes health insurance claims submitted by providers and members, ensuring accuracy, completeness, and compliance with cost‑sharing, limitations, and eligibility guidelines. The role validates claims, determines benefit levels, releases payments, and coordinates with other Sanford Health Plan departments while maintaining confidentiality and high attention to detail.

Responsibilities

Release health insurance claims for payment according to workflows
Validate claims for completeness, accuracy, and eligibility
Respond to information requests and refer complex claims to senior staff

Skills

About Sanford Health

sanfordhealth.org

Headquarters

Sioux Falls, South Dakota, United States

Company Size

10001+ employees

View Profile

Sanford Health is the largest rural health system in the United States, headquartered in Sioux Falls, South Dakota, serving over 2 million patients across 320,000 square miles. The integrated health system operates 58 medical centers, 289 clinic locations, 145 senior living centers, and over 1,100 active clinical trials. Sanford Health also offers health insurance plans, genetic medicine, and world clinic locations, with a mission to transform the healthcare experience in America's heartland.