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 all service lines to ensure billing procedures are followed to maximize cash and minimize accounts receivable.
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.