Avera HealthPatient Services Representative - 69th and Cliff Avera HealthPatient Services Representative - 69th and CliffSioux Falls, SD$18–$23.25 / hourTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Required Education, License/Certification, or Work Experience: High School or GED Equivalent or 1-3 months related experience and/or training; or equivalent combination of education and experience.
Avera HealthNewPatient Services Representative - Comp Breast Care Avera HealthPatient Services Representative - Comp Breast CareSioux Falls, SD$18–$23.25 / hourTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Required Education, License/Certification, or Work Experience: High School or GED Equivalent or 1-3 months related experience and/or training; or equivalent combination of education and experience.
Sanford HealthNewPatient Access Representative | Surgical Associates | 40hrs/week Sanford HealthPatient Access Representative | Surgical Associates | 40hrs/weekSioux Falls, SD$16.25–$23 / hourFacility: Surgical Tower Location: Sioux Falls, SD Address: 1500 W 22nd St, Sioux Falls, SD 57105, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $16.25 - $23.00. Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule.
Sioux Falls Specialty HospitalPatient Access Representative - Front Office Sioux Falls Specialty HospitalPatient Access Representative - Front OfficeSioux Falls, SDThis role is responsible for greeting and directing callers and walk-ins; scheduling appointments; registering patients; verifying insurance eligibility and benefits; collecting payments; and assisting with required documentation. Additional responsibilities include maintaining HIPAA compliance, managing records, processing payments and mail, updating databases, completing reports, and maintaining office operations.
Orthopedic InstitutePatient Service Representative Orthopedic InstitutePatient Service RepresentativeSioux Falls, SDOur team of board-certified physicians and experienced staff are dedicated to providing high-quality, compassionate care to patients of all ages. We are seeking a compassionate and dedicated individual to join our team as a Patient Service Representative - Registration at the Orthopedic Institute in Sioux Falls, SD.
Sanford HealthPatient Access Representative | TEAMS | 21 hours/week Sanford HealthPatient Access Representative | TEAMS | 21 hours/weekWorthington, MN$16.25–$23 / hourSCHEDULING • Work with nursing team & providers to coordinate & schedule appointments to meet patients needs • Coordinate provider schedule • Obtain and coordinate referrals & conduct pre-authorization • Arrange interpreter services • Check patients in/out • Operate multi-line phone • May resolve work queue issues manage recall and waitlists & serve as switchboard operator calling codes and paging providers. REGISTRATION • Greet patients & verifies demographics • Creating scanning & routing documents or electronic forms • Inform patients what the document is & capture signatures on necessary paperwork • Establishes and assigns financial responsibility and assists with arrangements while adhering to appropriate policies and procedures • Collects co-payments pre-payments and payments on account balances • May work through the registration work queue to address and resolve registration errors or denied insurance claims.
Sanford HealthNewPatient Access Representative | Cancer Center | 40 hrs/wk Sanford HealthPatient Access Representative | Cancer Center | 40 hrs/wkSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **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.**.
Sanford HealthPatient Access Representative | ENT Clinic | 40hrs/week| Sanford HealthPatient Access Representative | ENT Clinic | 40hrs/week|Sioux Falls, SD$16.25–$23 / hourREGISTRATION Greet patients & verifies demographics Creating, scanning & routing documents or electronic forms Inform patients what the document is & capture signatures on necessary paperwork Establishes and assigns financial responsibility and assists with arrangements while adhering to appropriate policies and procedures Collects co-payments, pre-payments, and payments on account balances May work through the registration work queue to address and resolve registration errors or denied insurance claims SCHEDULING Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule Obtain and coordinate referrals & conduct pre-authorization Arrange interpreter services Check patients in/out Operate multi-line phone May resolve work queue issues, manage recall and waitlists, & serve as switchboard operator calling codes and paging providers ADDITIONAL DUTIES MAY INCLUDE Preparation & coordination of charts Organize supporting provider documents Initiation & collaboration of patient financial assistance Track patient visits & health information management on patient accounts Compile, distribute, administer, and score assessments Coordination of Telemed appointments Reminder calls for appointments Hospital admission * Office duties, such as make copies or send faxes Qualifications High school diploma or equivalent preferred. Facility: Talley Building Location: Sioux Falls, SD Address: 1310 W 22nd St, Sioux Falls, SD 57105, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $16.25 - $23.00 Department Details Sanford Ear, Nose, Throat and Audiology is currently located in the Talley Building on the Sanford Campus.
Avera HealthNewPatient Access Representative | Avera Heart Hospital Avera HealthPatient Access Representative | Avera Heart HospitalSioux Falls, SDPosition Summary: Assist all patients and public who enter Avera Heart Hospital needing registration for services to be provided by Avera Heart Hospital and/or North Central Heart. Our commitment to excellence has earned us the distinction of being one of only a handful of hospitals nationwide - out of more than 4,000 - to achieve a double 5-star rating from the Centers for Medicare and Medicaid Services.
Sanford HealthLead Patient Access Representative | Acute Care | 40 hrs/week Sanford HealthLead Patient Access Representative | Acute Care | 40 hrs/weekSioux Falls, SD$18.50–$25.50 / hourAs a Patient Access Lead, you will play a key role in guiding frontline patient registration and access operations in a fast-paced acute care environment while partnering with clinical, financial, and administrative teams to support patient flow, staff development, and revenue cycle accuracy. This role offers the opportunity to help lead a dynamic Patient Access team supporting six acute care locations, providing broad exposure to operations across multiple sites.
Sanford HealthPatient Access Representative | Weight Management/Post Acute | 40 Hours/week Sanford HealthPatient Access Representative | Weight Management/Post Acute | 40 Hours/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **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.**.
Sanford HealthPatient Access Representative | Weight Management/Post Acute | 20 hours/week Sanford HealthPatient Access Representative | Weight Management/Post Acute | 20 hours/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **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.**.
Sanford HealthPatient Access Representative | Emergency Department | 38.5 hrs/week Sanford HealthPatient Access Representative | Emergency Department | 38.5 hrs/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **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.**.
Sanford HealthPatient Access Representative | Children's Specialty Clinic | 35 hrs/week Sanford HealthPatient Access Representative | Children's Specialty Clinic | 35 hrs/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **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.**.
Sanford HealthPatient Access Representative | Emergency Department | 40 hrs/week Sanford HealthPatient Access Representative | Emergency Department | 40 hrs/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **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.**.
Sanford HealthNewPatient Access Representative | Children's Specialty Clinic | 40 hrs/week Sanford HealthPatient Access Representative | Children's Specialty Clinic | 40 hrs/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **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.**.
Sanford HealthNewPatient Access Representative | Vandemark Outpatient Therapy | 40 hrs/week Sanford HealthPatient Access Representative | Vandemark Outpatient Therapy | 40 hrs/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **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.**.
Sanford HealthNewPatient Access Representative | Endocrinology | 40 hrs/week Sanford HealthPatient Access Representative | Endocrinology | 40 hrs/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **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.**.
Sanford HealthNewPatient Access Representative | Heart Hospital | 40 hrs/week Sanford HealthPatient Access Representative | Heart Hospital | 40 hrs/weekSioux Falls, SD$16.25–$23 / hourSanford 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.**. - Work with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule.
Sanford HealthPatient Access Representative | Sheldon Clinic | PRN Sanford HealthPatient Access Representative | Sheldon Clinic | PRNSheldon, IA$16.25–$23 / hourFacility: Sheldon Medical Center Location: Sheldon, IA Address: 118 N 7th Ave, Sheldon, IA 51201, USA Shift: Varies Job Schedule: PRN Weekly Hours: Varies Salary Range: $16.25 - $23.00. Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule.
Sanford HealthNewPatient Access Representative | Maternal Fetal Medicine | 40 hrs/week Sanford HealthPatient Access Representative | Maternal Fetal Medicine | 40 hrs/weekSioux Falls, SD$16.25–$23 / hourWork with nursing team & providers to coordinate & schedule appointments to meet patient’s needs, coordinate provider schedule. **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.**.
Sanford HealthNewPatient Access Representative | Pulmonology | 38 hrs/week Sanford HealthPatient Access Representative | Pulmonology | 38 hrs/weekSioux Falls, SD$16.25–$23 / hourFacility: Medical Building 2 Location: Sioux Falls, SD Address: 1205 S Grange Ave, Sioux Falls, SD 57105, USA Shift: Day Job Schedule: Full time Weekly Hours: 38.00 Salary Range: $16.25 - $23.00. Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule.
Sanford HealthNewPatient Access Representative | Luverne Medical Center | 32 hrs/week Sanford HealthPatient Access Representative | Luverne Medical Center | 32 hrs/weekLuverne, MN$16.25–$23 / hourFacility: Luverne Clinic Location: Luverne, MN Address: 1601 Sioux Valley Dr, Luverne, MN 56156, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 32.00 Salary Range: $16.25 - $23.00. Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule.
Sanford HealthPatient Access Representative | Children''s Specialty Clinic | 40 hrs/week Sanford HealthPatient Access Representative | Children''s Specialty Clinic | 40 hrs/weekSioux Falls, SD$16.25–$23 / hourFacility: Children"s Hospital Location: Sioux Falls, SD Address: 1600 W 22nd St, Sioux Falls, SD 57105, USA Shift: 8 Hours - Day Shifts Job Schedule: Full time Weekly Hours: 40.00 Salary Range: $16.25 - $23.00. Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule.
Sanford HealthPatient Access Representative | Sheldon Medical Center | 32 hrs/week Sanford HealthPatient Access Representative | Sheldon Medical Center | 32 hrs/weekSheldon, IA$16.25–$23 / hourFacility: Sheldon Medical Center Location: Sheldon, IA Address: 118 N 7th Ave, Sheldon, IA 51201, USA Shift: Rotating Job Schedule: Full time Weekly Hours: 32.00 Salary Range: $16.25 - $23.00. Work with nursing team & providers to coordinate & schedule appointments to meet patient's needs, coordinate provider schedule.
Professional Service BureauNewFT - Patient Account Representative - Work From Home Professional Service BureauFT - Patient Account Representative - Work From HomeSioux Falls, SDPatient Service / Remote] - Anywhere in U.S. / Competitive Hourly Pay / Comprehensive Benefits Package - As a Patient Account Representative, you will: Manage and maintain patient accounts by accurately inputting and updating information; Resolve any billing inquiries or discrepancies in a timely and professional manner; Communicate effectively with patients, healthcare providers, and insurance companies to ensure proper billing and payment processes; Utilize electronic billing systems to submit and track claims; Conduct research and analysis to identify and resolve any billing errors or issues; Collaborate with team members to meet productivity and quality goals. Hiring Immediately >> .
Sanford HealthSenior Patient Access Representative | Surgery Administration | 40 hrs/week Sanford HealthSenior Patient Access Representative | Surgery Administration | 40 hrs/weekSioux Falls, SD$18.25–$25.50 / hourRequires depth of knowledge of service line to proficiently review procedure/surgery orders, as well as appropriately schedule all necessary resources to perform the procedure/surgery. Specific duties vary by location and may include the following: Collaborates with multi-disciplinary team to ensure medical services are appropriately scheduled for patient.
Sanford HealthSenior Patient Access Representative | Vascular | 40 hrs/week Sanford HealthSenior Patient Access Representative | Vascular | 40 hrs/weekSioux Falls, SD$18.25–$25.50 / hourRequires depth of knowledge of service line to proficiently review procedures, surgery orders, as well as appropriately schedule all necessary resources to perform the procedures. Specific duties vary by location and may include the following: • Collaborates with multi-disciplinary team to ensure medical services are appropriately scheduled for patient.
Avera HealthPatient Services Coordinator - Internal Medicine Avera HealthPatient Services Coordinator - Internal MedicineSioux Falls, SD$19.50–$25.50 / hourResponsible for scheduling, maintaining, and disseminating an accurate staff schedule, including acquisition, retention, and organization of documentation, and will provide clerical services for the clinic as indicated. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Avera HealthPatient Care Assistant | MCK Gastroenterology Avera HealthPatient Care Assistant | MCK GastroenterologySioux Falls, SD$18–$23.25 / hourAssists the provider and nurse scheduling of tests and procedures and with other support duties as time allows, including but not limited to: making copies, opening mail, completion of disabilities forms, death certificates, completing DME forms, and fax items as requested. Serves as a member of the provider''s Care Team in coordinating the flow of patients through assisting provider with various responsibilities as requested, managing supplies and equipment, fielding and triaging phone call, and other front office tasks.
Avera HealthPatient Care Technician (PCT) | Pre Post-Recovery | Avera Specialty Hospital Avera HealthPatient Care Technician (PCT) | Pre Post-Recovery | Avera Specialty HospitalSioux Falls, SD$18–$23.50 / hourResponsible for providing routine patient care and support services in accordance with established policies and procedures, and as may be directed by the nurse or physician, to assure that the highest degree of quality patient care is maintained at all times. Greets all persons coming to the area assigned, answer inquiries, may direct and assist them, take and relay messages, assist with gifts, flowers, and mail for patients, run errands for department staff.
Avera HealthPatient Support Technician Avera HealthPatient Support TechnicianSioux Falls, SD$18–$23.50 / hourTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. The position includes two major areas of support to patient care: Transportation of patients and equipment and providing supportive 1:1 care for patients requiring a sitter.
Sanford HealthSenior Patient Access Rep | Edith Sanford Cancer Center | 40hrs/week Sanford HealthSenior Patient Access Rep | Edith Sanford Cancer Center | 40hrs/weekSioux Falls, SD$18.25–$25.50 / hourRequires depth of knowledge of service line to proficiently review procedure/surgery orders, as well as appropriately schedule all necessary resources to perform the procedure/surgery. Specific duties vary by location and may include the following: Collaborates with multi-disciplinary team to ensure medical services are appropriately scheduled for patient.
CVS Health CorpNewCustomer Service Representative CVS Health CorpCustomer Service RepresentativeSD$17–$31.30 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. As the face of our company, you will care for our customers by researching issues, documenting outcomes, resolving inquiries and delivering a high level of customer satisfaction.
CVS Health CorpCustomer Service Representative - Behavioral Health (Monday-Friday 11:00AM-7:30PM EST) CVS Health CorpCustomer Service Representative - Behavioral Health (Monday-Friday 11:00AM-7:30PM EST)SD$17–$31.30 / hourOur teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. This role provides advocate care to assist the member with a clear path to care, claims understanding and resolution and educates the member with online resources.
Cota Coaching and ConsultingClient Service Representative Cota Coaching and ConsultingClient Service RepresentativeSioux Falls, SDAs the face of Upleash, the Client Service Representative (CSR) welcomes clients, manages the clinic schedule, and guides the customer experience from arrival to checkout. Working closely with the Hospital Manager, the CSR provides crucial administrative support to keep the hospital running efficiently and ensures every client leaves with a great impression.
BeMobileWireless Sales Representative BeMobileWireless Sales RepresentativeHarrisburg, SDWhether it’s hitting your sales targets, achieving team goals, or completing a big project, you’ll enjoy team dinners, outings, and annual bonding events that bring everyone together to celebrate your hard work. You’ll keep up-to-date with ongoing promotions, new product launches, and updates to service features, ensuring you’re always able to provide customers with the most relevant information and the best available deals.
AbbVie IncSpecialty Representative Psychiatry - Sioux Falls SD Sioux City IA AbbVie IncSpecialty Representative Psychiatry - Sioux Falls SD Sioux City IASioux Falls, SDContinuously build understanding on customer needs and expectations, territory market landscape, competitors, market segments/dynamics, accounts, disease, product, clinical and sales expertise and share this market intelligence information with in-field team, brand team and sales manager to achieve alignment, to anticipate environmental changes and challenges and to optimize brand strategy and its execution. Execute brand strategy and tactics in field, sales performance, effectively manage assigned territory and targeted accounts, build strong customer relationships and customer needs solving capability to maximize short and long term sales performance placing the patient into the center of any efforts and operating within AbbVie's business code of conduct, policies and all applicable laws and regulations.
Sanford HealthNewInsurance Representative Sanford HealthInsurance RepresentativeSDRemote$16–$25.50 / hourVerify, create or update patient accounts for billing, prepare insurance claims forms or related documents, and verify completeness and accuracy. 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.
Mayo ClinicNewClinical Specialty Representative - South Dakota, North Dakota, Wyoming, Montana Mayo ClinicClinical Specialty Representative - South Dakota, North Dakota, Wyoming, MontanaSouth Dakota, SD$155,600–$192,416 / yearIn collaboration with Product Managers and the CSR Director, Regional Director of Sales, Regional Managers identify specific tests or groups of tests that are differentiated in the market and pursue upsells to targeted clients. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations.
National Veterinary AssociatesClient Services Representative National Veterinary AssociatesClient Services RepresentativeSioux Falls, SDHeather Ridge Pet Hospital is a full-service companion animal hospital dedicated to compassionate care for pets and exceptional service for clients. For positions based in Colorado, NVA provides eligible employees with paid sick and safe leave and public health emergency leave in accordance with the requirements of Colorado's Healthy Families and Workplaces Act.
SI-BONE, IncNewTerritory Representative SI-BONE, IncTerritory RepresentativeSioux Falls, SD$55,000–$80,000 / yearSalary range: The compensation range for this position is specific to the location and is in good faith what SI-BONE expects to pay for the position taking into account the wide variety of factors that are considered in making compensation decisions, including job-related knowledge; skillset; experience, education and training; certifications; and other relevant business and organizational factors. Responsible for marketing to all clinician groups within the patient referral network to create awareness and support educational activities around SI joint diagnosis and treatment to maximize the flow of patients to local trained iFuse surgeons.
Stryker CorpSales Representative - Nebraska, North Dakota, and South Dakota - Smart Care Stryker CorpSales Representative - Nebraska, North Dakota, and South Dakota - Smart CareSD$100,000–$105,000 / yearHowever, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information. Employees and new hires in sales and field roles that require access to customer accounts as a function of the job may be required, depending on customer requirements, to obtain the COVID-19 vaccination as an essential function of their role.
Performance BankersNewCollections Representative Performance BankersCollections RepresentativeSioux Falls, SDAt CAPITAL Services, our Collections team partners with customers to create collaborative payment solutions while delivering exceptional service. Our training includes hands-on learning, self-paced modules, and mentorship to help you build confidence and skills in your role.
Danaher CorpNewSenior Inside Sales Representative, Service Danaher CorpSenior Inside Sales Representative, ServiceSioux Falls, SD$109,280–$128,000 / yearThe amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. The Senior Inside Sales Representative, Service is accountable for delivering annual service contract orders, revenue, and renewal targets within an assigned territory (geography and/or product line).
Danaher CorpNewInside Sales Representative, Service Danaher CorpInside Sales Representative, ServiceSioux Falls, SD$84,320–$103,040 / yearThe amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. The Inside Sales Representative, Service is responsible for supporting the delivery of annual service contract orders, revenue, and renewal targets within an assigned territory (geography and/or product line).
Avera HealthPhlebotomist Avera HealthPhlebotomistSioux Falls, SD$18–$23.50 / hourLocation: Avera Acute Care Dawley Farm Worker Type: Regular Work Shift: Afternoon Shift (United States of America) Pay Range: The pay range for this position is listed below. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.