Prairie States Enterprises, Inc.

Medical Claims Analyst (full-time / remote / hybrid) MEDICAL CLAIMS ANALYST (FULL-TIME / REMOTE / HYBRID) This is a full-time position with a hybrid remote work arrangement in our Sheboygan, WI location. No weekends, holidays or on-call rotations. Ideal candidate will work in Wisconsin. Prairie States Enterprises, Inc. is a third party administrator, a benefits industry leader, and a trusted advisor to self-insured companies and their employees. We provide a complete range of medical benefit management services, all performed in-house, and to exacting standards of excellence. JOB SUMMARY Position responsibilities include the adjudication and processing of medical, dental, and vision claims while interpreting coding and medical terminology in relationship to the diagnosis and medical procedures. This position requires high level skills in customer service, claims processing, and internal interface with other departments SUMMARY OF ESSENTIAL JOB FUNCTIONS...