What are the responsibilities and job description for the Insurance Claims Specialist position at Prairie Lakes Healthcare System?
Insurance Specialist
Workplace Details
Join our team and see why Prairie Lakes Healthcare System continues to be named a Top Rural and Community Hospital year after year. Be a part of our mission to make a positive difference in the health of the patients and communities we serve by delivering accessible, high-quality, affordable, and compassionate healthcare. Prairie Lakes Healthcare System is an independent, non-profit rural healthcare system serving 10 counties in northeastern South Dakota and west-central Minnesota.
Job Summary
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: $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 Insurance
- Dental Insurance
- Vision Insurance
- Life Insurance
- Flexible Spending Account
- Adoption Assistance
- Education Loan Program
- Professional Development Opportunities
- Community 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.
Salary : $17 - $25
