Medical Claims Processor
About The Position
This is a Full-Time 40 Hours Weekly position with the Department of Social Services - Division of Finance. For more information, please visit https://dss.sd.gov/. The Division of Finance, Office of Electronic Benefits Transfer (EBT) is seeking a Medical Claims Processor who will assist Non-Emergency Medicaid Travel (NEMT) providers and recipients with their travel claims. Duties include responding to emails and calls from providers and recipients to identify and resolve issues related to submitted claims and processing claims and billings for payment. The desired candidate will possess attention to detail and computer skills including experience working with Microsoft Excel, Word, and Outlook. Our Team: Dependable. Committed. Compassionate. As a member of the Department of Social Services you will be part of a team of professionals who are dependable, committed and compassionate. We believe collaborative communication, teamwork, partnerships, and trust are foundational to the delivery of essential family services. We are looking for an articulate professional who is organized, energetic, motivated and dependable. This individual must be driving by our vision to build Strong Families, South Dakota's Foundation and Our Future.
Requirements
- High school education or GED.
- Knowledge of claims processing practices and procedures (preferred but not required)
- working knowledge of the following computer applications: Microsoft Word, Excel and Outlook.
- math skills sufficient to add, subtract, multiply, divide and calculate percentages using a calculator
- proficient keyboarding skills (typing and 10-key)
- demonstrate customer service, compassion, respect, courtesy and tact when interacting with others
- understand and apply written instructions
- communicate information clearly and concisely
- compare information and recognize discrepancies
- utilize computerized data systems
- establish and maintain effective working relationships with others
Nice To Haves
- Knowledge of claims processing practices and procedures
Responsibilities
- assist Non-Emergency Medicaid Travel (NEMT) providers and recipients with their travel claims
- responding to emails and calls from providers and recipients to identify and resolve issues related to submitted claims
- processing claims and billings for payment
Benefits
- $0 premium employee health insurance option
- eleven paid holidays
- generous vacation and sick leave accrual
- dental, vision, and other insurance options
- retirement benefits
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Industry
Executive, Legislative, and Other General Government Support
Education Level
High school or GED
Number of Employees
501-1,000 employees
