What are the responsibilities and job description for the Claims Specialist position at Avera?
Location:
Brookings, SDWorker Type:
RegularWork Shift:
Day Shift (United States of America)Consider joining an Award Winning Health Care System - The National Rural Hospital Association has named Brookings Health System a Top 20 Rural Community Hospital in the nation! We were also rated five-stars by the Centers for Medicare and Medicaid Services, the highest possible score for all hospitals nationwide! We are looking for the right candidate to provide high quality, compassionate, personalized health care.
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!
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!
This position will be expected to process third party insurance including commercial insurance, Medicare, Medicaid or government-assisted programs & will be expected to comply with all regulatory bodies and agencies. Some of the duties include submitting claims, ensuring compliance with internal and external customers via verbal and written communication, processing payments, performing follow-up on claims when necessary, and appealing claims when denied or downgraded.
Qualifications:
Bachelors Degree or equivalent experience in medical insurance billing and claims processing.
A minimum of two years experience in medical insurance claim processing or medical insurance billing is preferred.
Knowledge of proper customer service and previous health care experience is preferred.
Excellent phone, communication, organizational skills, computer skills and mathematical skills are required.
The ability to maintain patient confidentiality is required.
Must be able to multitask, pay attention to detail, and read documents and manuals.
The ability to produce written communication through letters and memos is required.
The incumbent must have the ability to make accurate and independent decisions based upon information available to them.
JOB TYPE:
Full time, benefit eligible
Day position
On-site position located in Brookings, SD
COMPENSATION:
Starting at $18.78 per hour, based on experience
Salary : $19
