Medical Claims Processor

South Dakota State Government; Pierre (SD); On-site; USD 26,000 - 29,000; Full time

Benefits offered by this job

Health insurance

Paid holidays

Vacation & sick leave

Dental

Vision

Other insurance options

Retirement benefits

Job summary

South Dakota State Governmentis seeking a Medical Travel Specialist for the Department of Social Services - Finance in Pierre, SD. This full-time (40 hours weekly) role focuses on assisting NEMT providers and recipients with travel claims and processing payments.

The ideal candidate will handle emails and calls with accuracy and a customer-service mindset. Required skills include attention to detail and proficiency with Microsoft Excel, Word, and Outlook.

Qualifications

• High school education or GED preferred.
• Knowledge of claims processing practices (preferred).
• Experience with Microsoft Word, Excel and Outlook.

Responsibilities

• Assist NEMT providers and recipients with travel claims and billing for payment.
• Respond to emails and calls to identify and resolve issues with submitted claims.
• Process and bill claims for payment with attention to accuracy.

Skills

Customer service

Attention to detail

Microsoft Excel

Microsoft Word

Microsoft Outlook

Claims processing

Education

High school education or GED

Tools

Excel

Word

Outlook

Job description

Job ID: 38202

Agency: Department of Social Services - Finance

Location: Pierre, SD Salary: $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;
• utilize computerized data systems;
• 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.

• $0 premium employee health insurance option
• eleven paid holidays
• generous vacation and sick leave accrual
• dental
• vision
• other insurance options
• retirement benefits

This position is a member of Class A retirement under SDRS.

South Dakota Bureau of Human Resources and Administration

Telephone: [phone] Email: [e-mail]

http://bhr.sd.gov/workforus

'An Equal Opportunity Employer'