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Sanford Health
Sanford Health
H1B vizos rėmėjasDraudimasSveikatos draudimasSveikatos priežiūra
„Sanford Health“ yra integruota sveikatos priežiūros ir sveikatos draudimo sistema, aptarnaujanti bendruomenes visoje Amerikos vidurio dalyje. Jos būstinė yra Sijuks Folse, Pietų Dakotoje, o per platų medicinos centrų, klinikų, senjorų gyvenamųjų bendruomenių, gydytojų ir pažangiosios praktikos sveikatos priežiūros specialistų tinklą ji aptarnauja daugiau kaip 1,4 mln. pacientų ir beveik 200 000 sveikatos draudimo plano narių. Organizacijos veikla apima tiesioginę pacientų priežiūrą, draudimą, klinikinius tyrimus ir individualizuotą genetinę mediciną. Specializuotos programos apima vėžio, ortopedijos, moterų sveikatos ir genetikos sritis.
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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.

USJungtinės ValstijosMNMinesotaNDŠiaurės DakotaSDPietų DakotaWIViskonsinas
24 $ – 38 $ / valanda
NuotolinisVisas etatasJaunesnysis specialistasVidutinis lygisPrivaloma Kalba: anglųAnalitikas

Aprašymas

  • 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

Reikalavimai

  • 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

Privalumai

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

Susiję darbai

Baker Tilly US

Temporary Epic Application Analyst, Remote US — Baker Tilly

Baker Tilly US
5 001 – 10 000 Darbuotojai
H1B vizos rėmėjasLogistikaStatybaSveikatos priežiūra
USJungtinės Valstijos
22 $ – 109 $ / valanda
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųAnalitikas

Support Epic EHR implementations, configuration, and optimization for Baker Tilly healthcare clients. Work across client engagements on workflows, testing, training, and application support, remotely or onsite.

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Modivcare

Remote Compensation Analyst II at Modivcare

Modivcare
H1B vizos rėmėjasSveikatos draudimasSveikatos priežiūraTransportas
USJungtinės Valstijos
90 000 $ – 105 000 $ / metai
NuotolinisVisas etatasVidutinis lygisVyresnysis specialistasPrivaloma Kalba: anglųAnalitikas

Administer compensation programs, surveys, audits, and incentive planning for Modivcare’s healthcare transportation business. Maintain accurate compensation data and reporting across HR, Payroll, Finance, and HRIS systems.

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