Benefits:

SD State Retirement Matching
Competitive salary
Dental insurance
Flexible schedule
Health insurance
Paid time off
Training & development
Vision insurance

Faulkton Area Medical Center is seeking a detail‑oriented Medical Claims Specialist to join our Patient Financial Services team. This full‑time, hourly position plays a key role in ensuring accurate insurance billing, timely claims resolution, and strong financial performance for the organization.

Key Responsibilities

Analyze and process health insurance claims
Identify, investigate, and resolve claim denials
Research and resolve aged accounts
Assist the CFO with financial audits
Maintain patient confidentiality and compliance with all policies and procedures

Qualifications

High school diploma required
Strong communication, organization, and critical‑thinking skills
Working knowledge of basic accounting or bookkeeping
Proficiency with financial and office computer software
Ideal candidates will have experience with health insurance claims processing, medical terminology, or basic medical coding

Work Environment & Schedule

Full-time, non-exempt; weekday schedule
Primarily remote work from a home office, with occasional on-site meetings or training
Self-directed role requiring the ability to prioritize tasks with minimal supervision

Physical Requirements

Primarily sedentary with extended periods of sitting
Occasional standing, walking, and light lifting (up to 10 lbs)

Flexible work from home options available.

Compensation: $20.00 - $25.00 per hour

Faulkton Area Medical Center is an independent, non-profit, 12-bed Critical Access Hospital and Rural Health Clinic. We are located along SD HWY 212 in Faulkton, SD serving a diverse population of 3,000 within a 60 mile radius. FAMC is one of the few independent hospitals left in the state of South Dakota. We offer a wide range of services to all ages. Our hospital is also designated by the state as a Level V trauma receiving facility.

Employees of FAMC are our greatest assets from the housekeeping department to our medical and executive leadership. We offer competitive wages, excellent benefits, and lucrative time off banks. We also understand life happens and how important family is which is why our scheduling models allow for that coveted work-life balance. Education is very important. We require staff to have various life support certifications which is why we have internal instructors to help achieve those credentials. We even will consider assisting with student loan reimbursement and continuing education expenses. Here at FAMC, employees are not just numbers but respected and valued professionals. Our COMPASS model promotes a culture of nurture, skill, engagement, and willingness - conduct you can expect from your coworkers and leadership.

Apply here.

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Modern facility complete with state-of-the-art equipment

On site training for BLS, PALS, ENPC, TNCC, and ACLS

Employee Benefits

Employees who work 30 hours or more a week qualify for the full benefit package. Those who work 20 or more hours per week will participate in retirement and paid time off. Those who work less than 20 hours per week may accrue and earn paid time off.

Wellmark Blue Cross and Blue Shield Health Insurance

For employees working 30 or more hours per week, the single employee premium is 100% covered by FAMC. Employee has the option of choosing the low or high deductible health plan. The high deductible health plan includes a Health Savings Account. Employee will be covered the first of the month following 30 days of full-time employment.

Aflac Supplemental Insurance

Supplemental plans such as short/long-term disability, accident, critical illness, cancer, vision, dental, and more available at the employee's expense. Premiums may be deducted either pre or post tax depending on plan.

Kansas City Life Insurance

A basic, term life insurance policy of $15,000 is given to all full-time employees working 30 or more hours a week. Additional voluntary life insurance for employee, spouse, and/or dependents is available at the employee's expense. No underwriting is required upon initial enrollment.

Paid Time Off

Includes separate banks for vacation, holiday, and sick time. Time accrues based on hours worked. Holiday and sick time can be used as soon as it is earned. Vacation accrues but will not be earned to be used until completion of 6 months of employment. Over 200 hours may be accrued during the first 12 months of employment. Sick time may be used for employee or to care for spouse, parent, or dependent child.

Optilegra Vision Membership Plan

Vision membership plans for employee and spouse/dependents are available at the employee's expense. There are three different plan options available: Silver, Gold, and Platinum.

South Dakota Retirement

For employees working 20 or more hours per week, participation with the SD Retirement system is mandatory. Employee's contribution is 6% and FAMC matches that contribution on a pre-tax basis. Employees are considered vested after 3 years of employment. SDRS offers retirement education and additional supplemental retirement options.

Delta Dental of South Dakota

Dental plan for employee and spouse/dependents is available at the employee's expense. The plan covers a high percentage of diagnostic and preventive services and portions of endodontics and periodontics, major services and orthodontics.

Education and Student Loan Reimbursement

FAMC provides in house instruction and certification for the following: BLS, ACLS, PALS, ENPC, and TNCC. Medical Staff host multidisciplinary quarterly education sessions with Coffee, Donuts, and Codes. Student loan reimbursement options are available for most positions through facility and state programs (approval and acceptance required). South Dakota programs include RHFRAP and SLRP. Federal programs include NHSC and Nurse Corps. FAMC is also a Build Dakota Scholarship industry sponsor.

Additional Perks

Employee Discount on FAMC Emergency Room Copay, COBRA, Worker’s Compensation, Identity Theft Protection, Business Travel Expenses Reimbursement, Discounted FAMC Wellness Programs, 24 HR Access to Exercise Equipment in Therapy, Avera Employee Assistance Program (EAP), Flexible Scheduling for Work-Life Balance, Popcorn Thursdays, Employee Sunshine Committee