Sanford Health
Sanford Health
Sanford Health — Американың орталық аймақтарындағы қауымдастықтарға қызмет көрсететін біріктірілген денсаулық сақтау және медициналық сақтандыру жүйесі. Штаб-пәтері Оңтүстік Дакотадағы Су-Фолс қаласында орналасқан ұйым медициналық орталықтар, клиникалар, қарттарға арналған тұрғын қауымдастықтар, дәрігерлер және кеңейтілген практика мамандарынан тұратын ауқымды желі арқылы 1,4 миллионнан астам пациентке және денсаулық сақтау жоспарының шамамен 200 000 мүшесіне қызмет көрсетеді. Оның қызметі пациенттерге тікелей медициналық көмек көрсетуді, сақтандыруды, клиникалық зерттеулерді және жекелендірілген генетикалық медицинаны қамтиды. Сонымен қатар ұйым онкология, ортопедия, әйелдер денсаулығы және генетика сияқты бағыттарда мамандандырылған бағдарламаларды жүзеге асырады.

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.

Сипаттама

  • 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

Талаптар

  • 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

Артықшылықтар

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

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