Insurance Claims Specialist
1 week ago
Insurance Claims 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 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: $18.66-$27.59
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.
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.
Benefits
Prairie Lakes Healthcare System offers comprehensive benefits for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 403(b)-retirement plan, and generous paid time off to maintain a healthy home-work balance.
Additional benefits for those qualifying include:
- Flexible Spending Account
- Employee Assistance Program for mental health
- Education Loan Program
- Community discounts including the Prairie Lakes Wellness Center
Prairie Lakes Healthcare System has a Drug Free Workplace Policy. An accepted offer will require positive reference checks and pre-employment background screening as a condition of employment.
-
Coding Compliance Specialist
1 week ago
Watertown, South Dakota, United States Prairie Lakes Healthcare System Full timeCoding Compliance SpecialistJob SummaryJoin 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...
-
Auto Body Parts Specialist/Estimator
10 hours ago
Watertown, South Dakota, United States Watertown Ford Chrysler Full timeIf you're looking to join a high performing team that is a leader in the automotive industry, Watertown Ford Chrysler is looking for youWe strive to make every customer a customer for life. Happy employees make happy customers, and we reward individuals who are ready to work hard and stay motivated.Every employee on the team is critical to our success. Our...
-
Auto Body Parts Specialist/Estimator
2 days ago
Watertown, South Dakota, United States Watertown Ford Chrysler Full timeIf you're looking to join a high performing team that is a leader in the automotive industry, Watertown Ford Chrysler is looking for youWe strive to make every customer a customer for life. Happy employees make happy customers, and we reward individuals who are ready to work hard and stay motivated.Every employee on the team is critical to our success. Our...
-
IT Field Support Technician_Watertown
2 weeks ago
Watertown, South Dakota, United States Gr8ttek, LLC Full time $40,000 - $80,000 per yearOur mission is simple: we want to partner with you to find the right position for your future. Our SWAT team approach is based on our ability to align your expertise with our clients' needs to forge long-lasting partnerships.Gr8ttek is looking for a regular Field Specialist to join its Infrastructure Delivery team. Reporting to the Territory Supervisor the...
-
Pharmacy Benefits Verification Specialist
3 days ago
Watertown, United States Onco360 Full timePharmacy Benefits Verification Specialist Location: Waltham, MA. Compensation & Benefits Salary: Starting at $25.00/hr and up**; quarterly incentive bonuses. Sign?On Bonus: $5,000 for employees starting before January 1, 2026. Benefits include: Medical, Dental & Vision insurance; 401k with a match; Paid Time Off and Paid Holidays; Tuition Reimbursement; Paid...
-
Pharmacy Benefits Verification Specialist
3 days ago
Watertown, MA, United States Onco360 Full timePharmacy Benefits Verification Specialist Location: Waltham, MA. Compensation & Benefits Salary: Starting at $25.00/hr and up**; quarterly incentive bonuses. Sign?On Bonus: $5,000 for employees starting before January 1, 2026. Benefits include: Medical, Dental & Vision insurance; 401k with a match; Paid Time Off and Paid Holidays; Tuition Reimbursement; Paid...
-
Pharmacy Benefits Verification Specialist
2 days ago
Watertown, MA, United States Onco360 Full timePharmacy Benefits Verification Specialist Location: Waltham, MA. Compensation & Benefits Salary: Starting at $25.00/hr and up**; quarterly incentive bonuses. Sign?On Bonus: $5,000 for employees starting before January 1, 2026. Benefits include: Medical, Dental & Vision insurance; 401k with a match; Paid Time Off and Paid Holidays; Tuition Reimbursement; Paid...
-
Billing Specialist
2 weeks ago
Watertown, WI, United States Illuminus Full timeJob Type Full-time Description Illuminus is seeking a highly motivated individual with excellent collaboration and organizational skills to join our team as a Billing Specialist In this role, you will responsible for obtaining authorization, timely and accurate release of claims and managing collections on private pay accounts. Summary Maintains and...
-
Pharmacy PA Specialist: Elevate Patient Access
10 hours ago
Watertown, United States CareMed Specialty Pharmacy Full timeA pharmacy specializing in patient care in Waltham, MA is seeking a Full-time Pharmacy Prior Authorization Specialist. This entry-level position involves ensuring patients receive medications that require pre-authorizations, addressing rejected claims, and performing third-party authorization requests. Candidates should have good interpersonal skills and be...
-
Commercial Lines Customer Service Specialist
6 days ago
Watertown, United States Stanton & Ingersoll Agency Inc Full timeBehind every successful business is a partner they can trust - someone who helps protect what theyve worked hard to build. Thats what we do at Stanton Insurance. For over a century, weve been helping companies safeguard their future with honesty, reliability, and expertise our clients can count on. Were seeking a Commercial Lines Customer Service Specialist...
-
Security Officer Front Desk Specialist
2 weeks ago
Watertown, Massachusetts, United States Allied Universal Full time $44,000 per yearOverview Allied Universal, North America's leading security and facility services company, offers rewarding careers that provide you a sense of purpose. While working in a dynamic, welcoming, and collaborative workplace, you will be part of a team that contributes to a culture that positively impacts the communities and customers we serve. Job Description As...
-
Vehicle Specialist
4 days ago
Watertown, Minnesota, United States Kayser Chrysler Center of Watertown Full time:We're looking for an experienced automotive professional to join our team as a Vehicle Specialist. This role focuses on helping customers make confident, informed decisions without the pressure of a traditional sales environment. You'll use your product knowledge, communication skills, and industry experience to guide customers through their vehicle...
-
Engagement Specialist
6 days ago
Watertown, United States ACR Health Full timeJob Title: Engagement Specialist Location: Syracuse, Utica, Watertown Salary: $23.00 – $25.00/hourly Classification: Non-Exempt, full-time, thirty-five-hour (35.0) week; occasional evenings and weekends required for meetings, workshops, conferences, and seminars. Position Summary: The OASAS Engagement Specialist on the mobile unit conducts direct...
-
Vehicle Specialist
3 days ago
Watertown, WI, United States Kayser Chrysler Center of Watertown Full timeDescription: We’re looking for an experienced automotive professional to join our team as a Vehicle Specialist. This role focuses on helping customers make confident, informed decisions without the pressure of a traditional sales environment. You’ll use your product knowledge, communication skills, and industry experience to guide customers through their...