Associate Claims Representative

**Careers With Purpose**
**Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.**
**Facility:** Amber Valley
**Location:** Fargo, ND
**Address:** 4840 23rd Ave S #201, Fargo, ND 58104, USA
**Shift:** 8 Hours - Day Shifts
**Job Schedule:** Full time
**Weekly Hours:** 40.00
**Job Summary**
Responsible for processing health insurance claims submitted via paper or electronically by providers and members. Ability to release health insurance claims for payment according to the defined workflows. Validates health insurance claims with an understanding of health insurance cost sharing, limitations, and exclusions. Reviews claims for completeness and accuracy, apply medical necessity and/or eligibility guidelines to determine coverage, work assigned pend and error reports, determine the benefit level to be pa...