Sanford Health Jobs

Job Information

Sanford Health Coordination of Benefits Representative - Health Plan in Fargo, North Dakota

Job Title: Coordination of Benefits Representative | Health Plan | Fargo

City: Fargo

State: ND

Department : Health Plan Operations - Fargo

Job Schedule: Full Time

Shift: Days

Hours Per Shift: 8 hr

JOB SUMMARY

Responsible for gathering member coordination of benefit information and making accurate determinations.

Initiates contact with members, providers, and other insurance companies. Consolidates the activities that support the collection, management, and reporting of other insurance coverage. Interacts with other departments including but not limited to: Claims, Enrollment, and IT. Possesses an understanding of coordination of benefits rules. Must be able to work independently, manage priorities, work in fast-paced environment and manage stress well. Able to analyze data with a strong attention to detail. Must have excellent written and oral communication skills. Maintains accurate documentation of member/provider contact. Requires familiarity with standard concepts, practices and procedures related to coordination of benefits rules.

POSITION RESPONSIBILITIES

Delivers written and oral communication, responds to questions and concerns, and produce specific outcomes and impact.;Investigates beneath the surface of an issue to focus systematically on root causes.;Uses key tools, systems and processes to support business insurance operations.;Distributes internal and external correspondence to appropriate recipients.;Reviews and verifies data and reports for accuracy.;Analyzes complex reports as revealed by the data.;

QUALIFICATIONS

High School diploma or equivalent required.

Experience with a Health Plan preferred.

About Sanford Health:

At Sanford Health, we are dedicated to the work of health and healing.

Every day, we show that commitment by delivering the highest quality of care to the communities we serve.

We are leaders in health care and strive to provide patients across the region with convenient access to expert medical care, leading-edge technologies and world-class facilities.

In addition to strong clinical care, we are also committed to research, education and community growth.

We engage in medical research to not only discover innovative ways to provide care, but also cures for common diseases.

We continuously seek new ways to achieve our vision of improving the human condition here in your community, across the region and around the world.

The entire team at Sanford Health recognizes the value of healthy families and communities.

We continue to gain momentum and expand our reach. Together, we can make a positive difference now, and in the future.

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 talent@sanfordhealth.org .

City: Fargo

State: ND

Job Function: Health Plan

Job Schedule: Full Time

Shift: Days

Req Number: WD07606

DirectEmployers