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Claims Specialist

4 months ago

Brookings, United States Brookings Health System Full time

Brookings Health System is seeking a Claims Specialist to join our team and be part of the Brookings Health System mission: To provide high quality, compassionate, personalized health care.

This full-time, benefit eligible 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.