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Medical Billing / Insurance Claims Specialist

PHA Health

McCook County, SD

Job Description

Job Description

PHA Health specializes in providing high-quality, low-cost healthcare to members through our benefit plans. Our commitment to our team and clients is to provide a benefit plan for employers and their employees that is sustainable, affordable, and promotes well-being. Our team members must possess the company's core values:

  • Put People First
  • Do the Right Thing
  • Be Humbly Confident
  • Be Resilient

PHA Health is looking for a full-time Medical Billing / Insurance Claims Specialist.

Essential Duties and Responsibilities:

  • Answer member benefit questions
  • Review member EOB's and member bills to ensure accurate processing
  • Work closely with TPAs for claim processing issues
  • Assist provider offices and facilities with claims status questions
  • Data Entry
  • Filter/disperse incoming claims to appropriate TPAs
  • Create and track invoices
  • Respond to calls and emails in a timely manner
  • Provide excellent customer service

Pay: DOE

Work Location: In person or remote

Job type: Full-Time day shift Monday through Friday

Benefits

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Health insurance
  • Vision insurance
  • AFLAC benefit package
  • Paid time off
Apply
Vacancy posted 28 days ago
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