2 Insurance Claims Specialist -Primary Care Jobs in Watertown, SD

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Insurance Claims Specialist -Primary Care

Prairie Lakes Healthcare System

Watertown, SD | Full Time

$39k-50k (estimate)

5 Months Ago

Insurance Claims Specialist – Home Health/Hospice Full Time

Prairie Lakes Healthcare System

Watertown, SD | Full Time

$36k-43k (estimate)

7 Months Ago

Insurance Claims Specialist -Primary Care

$39k-50k (estimate)

Full Time 5 Months Ago

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Prairie Lakes Healthcare System is Hiring an Insurance Claims Specialist -Primary Care Near Watertown, SD

Insurance 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 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.

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 drug screen and pre-employment background screening as a condition of employment.

Job Summary

JOB TYPE

Full Time

SALARY

$39k-50k (estimate)

POST DATE

12/10/2023

EXPIRATION DATE

05/28/2024

WEBSITE

prairielakes.com

HEADQUARTERS

WATERTOWN, SD

SIZE

25 - 50

FOUNDED

1986

REVENUE

<$5M

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About Prairie Lakes Healthcare System

Prairie Lakes Healthcare System is a leader in regional healthcare for northeastern South Dakota and western Minnesota. Caring for a ten-county service area of 90,000 people, the health professionals of Prairie Lakes are dedicated to excellence. That commitment has made Prairie Lakes one of the most innovative rural healthcare systems in the nation. Prairie Lakes has been a dynamic model for rural health, achieving consistently high scores for value and quality. We've served as a "show site" for patient care technology and diagnostic equipment, and we're unchallenged in our uncompromising care... for patients and their families. Healthcare is constantly changing, and we believe not only in keeping up with those changes, but keeping ahead of them. That's one of the reasons we offer a wide variety of healthcare services with advanced equipment. It's why we seek out the most skilled physicians and compassionate staff. It's because our commitment to quality healthcare is our first priority. It's what our patients deserve. More
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