Program Assistant II

Agency:
Human Services Center

Location:

Yankton, SD
Salary: $24.42 Hourly, depending on qualifications
Pay Grade: H
Closing Date:
Open Until Filled

This is a Full-Time 40 Hours Weekly position with the Human Services Center. For more information on the Human Services Center, please visit (Use the "Apply for this Job" box below)..

This position submits Medicare, Medicaid and private health insurance claims for patients who reside at the Human Services Center. It includes collecting billing information from various sources to determine the appropriate CPT and ICD codes to apply to claims, entering appropriate information to claims software or paper forms, and electronically filing or mailing the claims. The incumbent receives the explanation of benefits (EOB), remittance, or payment and adjusts patient accounts accordingly.

The incumbent will also dispute and resolve denials when necessary. This position tracks claims submitted and payments for accounts receivable purposes, reports revenue, and claim status information on a monthly basis. The incumbent also performs accounts payable activities to include approving and/or coordinating the payment of outside medical services for patients at the Human Services Center. This position assists the Finance Manager by evaluating, revising, and/or establishing new work processes to determine the most effective and efficient office procedures.

The position assists the Finance Manager with monthly and year-end reports by gathering statistical data from various sources within the Human Services Center. Other duties as assigned may be performed.

Knowledge of CPT and ICD codes. A certified coder is preferred but not required. The candidate will also have experience with electronic medical records.

• Centers for Medicare and Medicaid (CMS) rules and regulations;
• experience with filing insurance claims;
• familiarity with applicable state and federal laws.

• navigate computer systems and applications, including using a test environment to process transactions with new or expanded computer programs.

• exercise independent judgement in evaluating situations and making decisions;
• problem solve;
• communicate information effectively;
• maintain effective working relationships with providers, department officials and the public.

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

Successful applicant(s) will be required to undergo a background investigation. An arrest/conviction record will not necessarily bar employment.

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

Must apply online:  You must apply online; emailed resumes or submissions will not be accepted.

South Dakota Bureau of Human Resources
Telephone:
Email: careers.us
/workforus

'An Equal Opportunity Employer'