Medical Claims Processor

Sdsoybean; Pierre (SD); On-site; USD 26,000 - 29,000; Full time

Benefits offered by this job

Health insurance

Paid holidays

Vacation and sick leave

Job summary

Department of Social Services - Finance in Pierre, SD is hiring a Medical Travel Specialist for a full-time 40-hour work week. The role supports Non-Emergency Medicaid Travel (NEMT) providers and recipients, handling travel claims, responding to inquiries, and ensuring accurate processing using Excel, Word, and Outlook.

The ideal candidate will have a high school diploma or GED and strong attention to detail, customer service skills, and the ability to communicate clearly.

Qualifications

• High school education or GED preferred.
• Knowledge of claims processing practices and procedures (preferred).
• Ability to use Microsoft Word, Excel and Outlook.

Responsibilities

• Respond to emails and calls from providers and recipients to identify and resolve issues related to submitted claims.
• Process and billings for payment of travel claims.

Skills

Customer service

Attention to detail

Communication

Education

High school diploma or GED

Tools

Microsoft Excel

Microsoft Word

Microsoft Outlook

Job description

18.90 - 21.17 US per hour

Description

Agency: Department of Social Services - Finance
Location:Pierre, SDSalary:$18.90 - $21.17 Hourly, depending on qualifications
Pay Grade:E
Closing Date:11/11/26

This is a Full-Time 40 Hours Weekly position with the Department of Social Services. For more information on DSS, please visit https://dss.sd.gov/ .

The Division of Finance, Office of Electronic Benefits Transfer (EBT) is seeking a Medical Travel Specialist 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.

The Ideal Candidate Will Have:

• a high school education or GED preferred.

Knowledge, Skills, and Abilities:

Knowledge of:

• claims processing practices and procedures (preferred but not required);
• working knowledge of the following computer applications: Microsoft Word, Excel and Outlook.

Skill to:

math skills sufficient to add, subtract, multiply, divide and calculate percentages using a calculator;

proficient keyboarding skills (typing and 10-key).

Ability to:

• 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;
• establish and maintain effective working relationships with others.

This position is eligible for Veterans’ Preference per ARSD 55:10:02:08.

NCRC:If you possess a National Career Readiness Certificate, please submit the certificate with your application. For more information on how to acquire a National Career Readiness Certificate contact a South Dakota Department of Labor and Regulation Job Service Office.A certificate is not necessary to be considered.

The State of South Dakota does not sponsor work visas for new or existing employees. All persons hired will be required to verify identity and eligibility to work in the United States and complete an Employment Eligibility Verification, Form I-9.The State of South Dakota as an employer will be using E-Verify to complete employment eligibility verification upon hire.

The State of South Dakota offers $0 premium employee health insurance option plus eleven paid holidays, generous vacation and sick leave accrual, dental, vision, and other insurance options, and retirement benefits. You can view our benefits information here .This position is a member of Class A retirement under SDRS.