A Claims Adjuster or Specialist investigates and evaluates insurance claims. Specializes in a particular type of insurance. Inspects property damage, including damage to homes, buildings and cars; reviews claims after they are submitted; may authorize or deny payment for claims. May work directly for insurers or on behalf of claimants.
Day Shift (United States of America) Position Highlights Consider joining an Award Winning Health Care System - Brookings Health System is a nationally awarded rural community health system, recognized for delivering high-quality care and personalized service. Brookings Health System is seeking a Claims Specialist to join our team! Compensation range for this position is $19.48 to $28.84, depending on experience. This position will have full benefits that include, but is not limited to, South Dakota Retirement, Employee discounts on services, gym membership reimbursement (and on-site fitness center), eligible for public service loan forgiveness, cafeteria discounts, life insurance and so much more. We also have comprehensive medical benefits, dental and vision insurance, flexible reimbursement plans and more! As a Claims Specialist, you'll play a vital role in submitting and following up on insurance claims across all service lines. More than just processing claims, our specialists provide compassionate guidance to support patients in navigating the complexities of medical billing with clarity, empathy, and expertise. If you haven't worked in Medical Billing specifically, we will provide the training and support you need to succeed.
RESPONSIBILITIES
Complete all claim edits to ensure claim submissions are compliant with federal and state regulations Research and resolve requests from insurance companies, patients, and third-party payors. Assist co-workers with problem resolution and completing team projects. Assist patients with insurance-related questions. Resolve billing problems and assists interdepartmentally with billing issues
JOB TYPE
Full time, benefit eligible Day position On-site position located in Brookings, SD Brookings Health System is a non-profit, city-owned health system that serves the health care needs of our local communities. Our team members embody the spirit of teamwork: working together and across disciplines to care for local patients and residents. We treat patients and residents like our own family by living our mission to provide high-quality, compassionate, personalized health care.
