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Prairie Lakes Healthcare System

Insurance Claims Specialist -Primary Care

Prairie Lakes Healthcare System, Watertown, South Dakota, United States, 57201


Insurance Claims Specialist

Job Summary

Join our team and be a part of our mission to deliver accessible, high-quality, affordable, and compassionate healthcare. Prairie Lakes Healthcare System is an independent, non-profit healthcare system serving 10 counties in northeastern South Dakota and west-central Minnesota. Our team at Prairie Lakes makes a difference in the lives of patients and their loved ones.

This

full-time (1.0 status or 40 hours weekly)

position will perform the submission and follow-up of insurance claims for the Brown Clinic Primary Care department to ensure billing procedures are followed to maximize cash and minimize accounts receivable. The position will be primarily at the PLHS Brown Clinic Primary Care Main location.

Wage range: $17.25-$25.04

Responsibilities include:Complete all edits to ensure claim submissions are compliant with federal and state regulations.Process all secondary claims to seek reimbursement primary insurance payment.Research and resolve requests from insurance companies, patients, and third-party payors.Assist co-workers with problem resolution and team projects to decrease accounts receivable.Work with patient account specialists on private pay accounts.Assist patients with insurance-related questions and problem.Resolve billing problems and assists interdepartmentally with billing issues.Benefits

We value our employees' contributions and show our gratitude by proudly offering competitive compensation and benefits package. At Prairie Lakes, we understand that working in the healthcare industry can be tasking on your mental health. To better support our employees, PLHS recently included mental health programs into our benefits package, as well as employee recognition programs. Benefits are available to qualifying employees working part-time or full-time.

A variety of the benefits for those qualifying can include:

Health InsuranceDental InsuranceVision InsuranceLife InsuranceFlexible Spending AccountAdoption AssistanceEducation Loan ProgramProfessional Development OpportunitiesCommunity Discounts Including the Prairie Lakes Wellness Center

Qualifications

High school diploma or general education degree (GED); or equivalent combination of education and experience.

One year prior medical or general office experience is preferred. Previous billing and computer experience desirable.

Prairie Lakes Healthcare System has a Drug Free Workplace Policy. An accepted offer will require a pre-employment background screening and reference check as a condition of employment.