Insurance Claims Specialist -Primary Care

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 a 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 position (1.0 status or 40 hours weekly) performs the submission and follow-up of insurance claims for all service lines. Ensures billing procedures are followed to maximize cash and minimize accounts receivable.

Wage Range:

$18.66-$27.59 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. 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. Benefits Prairie Lakes Healthcare System offers comprehensive benefits for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 403(b)-retirement plan, and generous paid time off to maintain a healthy home-work balance. Additional benefits for those qualifying include: Flexible Spending Account Employee Assistance Program for mental health Education Loan Program Community discounts including the Prairie Lakes Wellness Center Prairie Lakes Healthcare System has a Drug Free Workplace Policy. An accepted offer will require positive reference checks and pre-employment background screening as a condition of employment.