Avera Health

The Insurance Specialist is responsible for verifying insurance eligibility, obtaining necessary authorizations, and ensuring accurate documentation to prevent claim denials. They also educate patients on their financial responsibilities, collect payments, and assist with charity applications.

The Registered Nurse Quality Specialist guides the department in improving clinical effectiveness and compliance with national and state evidence-based indicators. They lead quality improvement initiatives, manage data submission, and collaborate with leadership to implement best practices.

The Registered Nurse Scheduler is responsible for managing centralized scheduling for outpatient diagnostic orders and surgical procedures. They coordinate with physician offices to ensure accurate medical documentation, insurance verification, and timely patient scheduling.

The Clinical Informatics Analyst provides system-level support for clinical and medication information systems, including installation, configuration, and maintenance. They collaborate with operational leaders and IT staff to design, implement, and optimize workflows within the electronic health record to ensure safe and efficient patient care.

Responsible for the timely and accurate assignment of diagnostic and procedural codes for inpatient charts across various facilities. This includes determining appropriate DRGs and querying clinical staff to ensure complete clinical records.