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Sanford Health
Sanford Health
H1B वीज़ा प्रायोजकबीमास्वास्थ्य बीमास्वास्थ्य सेवा
Sanford Health अमेरिका के हार्टलैंड क्षेत्र के समुदायों की सेवा करने वाली एक एकीकृत स्वास्थ्य सेवा और स्वास्थ्य बीमा प्रणाली है। इसका मुख्यालय सिओक्स फॉल्स, साउथ डकोटा में है और यह चिकित्सा केंद्रों, क्लीनिकों, वरिष्ठ निवास समुदायों, चिकित्सकों तथा उन्नत प्रैक्टिस प्रदाताओं के व्यापक नेटवर्क के माध्यम से 14 लाख से अधिक मरीजों और लगभग 2 लाख स्वास्थ्य योजना सदस्यों की सेवा करती है। इसका कार्य प्रत्यक्ष मरीज देखभाल, बीमा, नैदानिक अनुसंधान और व्यक्तिगत आनुवंशिक चिकित्सा तक फैला हुआ है, जिसमें कैंसर, ऑर्थोपेडिक्स, महिला स्वास्थ्य और आनुवंशिकी जैसे क्षेत्रों के विशेष कार्यक्रम शामिल हैं।
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कंपनी की नौकरियाँ

Sanford Health Reimbursement Analyst (Remote)

Analyze healthcare payment methods, contracts, regulations, and pricing for Sanford Health. Support reimbursement operations, financial planning, audits, and chargemaster management.

USसंयुक्त राज्यMNमिनेसोटाNDउत्तरी डकोटाSDदक्षिण डकोटाWIविस्कॉन्सिन
$24 – $38 / घंटा
रिमोटपूर्णकालिकजूनियरमध्य स्तरआवश्यक भाषा: अंग्रेज़ीविश्लेषक

विवरण

  • Assess and implement payment methods to establish appropriate reimbursement and payment levels
  • Help implement and monitor reimbursement work, including Medicare and Medicaid, cost reports, audits, appeals, DSH and 340B programs, and CPT/HCPCS code changes
  • Analyze the effects of proposed and final Medicare and Medicaid regulatory changes
  • Review payer contract changes during negotiation and finalization
  • Prepare third-party payer contracts in Experian and Contract Maintenance
  • Investigate third-party payer issues
  • Help update annual prices and fee schedules, including physician compensation impacts
  • Contribute to annual budgeting and audits
  • Help operations and CDM teams maintain chargemasters and add codes and prices
  • Prepare, analyze, and combine data for projects and reports
  • Support finance and accounting partnerships across the organization
  • Provide reimbursement and accounting assistance and act as a resource
  • Review policies and procedures and help revise them

आवश्यकताएँ

  • Bachelor’s degree in business administration, finance, healthcare management, information technology, or a related field
  • At least two years of related experience, preferably in hospital, clinic, or insurance finance and/or managed care reimbursement
  • At least one year of related experience, preferably in hospital, clinic, or insurance finance and/or managed care reimbursement
  • Demonstrated knowledge and experience in healthcare reimbursement, including claim editing, groupers, provider reimbursement, and methodologies such as MS/APR DRG, APC, EAPG, and CPT/HCPCS
  • Knowledge of industry-standard coding and payment rules
  • Strong attention to detail
  • Ability to uphold data integrity and confidentiality
  • Ability to present data in a useful, understandable format

लाभ

  • Flexible remote work
  • Work-life balance
  • Exposure to senior leadership
  • Broad collaboration across teams
  • Opportunities for growth and continued learning

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