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Sanford Health
Sanford Health
H1B vīzas sponsorsApdrošināšanaVeselības apdrošināšanaVeselības aprūpe
Sanford Health ir integrēta veselības aprūpes un veselības apdrošināšanas sistēma, kas apkalpo kopienas visā Amerikas vidienē. Tās galvenā mītne atrodas Sūfolsā, Dienviddakotā, un plašs medicīnas centru, klīniku, senioru dzīvesvietu kopienu, ārstu un progresīvās prakses veselības aprūpes speciālistu tīkls nodrošina atbalstu vairāk nekā 1,4 miljoniem pacientu un gandrīz 200 000 veselības plāna dalībnieku. Tās darbība aptver tiešu pacientu aprūpi, apdrošināšanu, klīniskos pētījumus un personalizētu ģenētisko medicīnu. Specializētās programmas ietver tādas jomas kā onkoloģija, ortopēdija, sieviešu veselība un ģenētika.
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Vakances uzņēmumā

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.

USAmerikas Savienotās ValstisMNMinesotaNDZiemeļdakotaSDDienviddakotaWIViskonsina
24 $ – 38 $ / stunda
AttālinātiPilna slodzeJaunākais speciālistsVidējais līmenisNepieciešamā Valoda: angļuAnalītiķis

Apraksts

  • 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

Prasības

  • 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

Priekšrocības

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

Saistītās vakances

Baker Tilly US

Temporary Epic Application Analyst, Remote US — Baker Tilly

Baker Tilly US
5001 – 10 000 Darbinieki
H1B vīzas sponsorsBūvniecībaLoģistikaVeselības aprūpe
USAmerikas Savienotās Valstis
22 $ – 109 $ / stunda
AttālinātiPilna slodzeVidējais līmenisVecākais speciālistsNepieciešamā Valoda: angļuAnalītiķis

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.

Atvērt
Modivcare

Remote Compensation Analyst II at Modivcare

Modivcare
H1B vīzas sponsorsTransportsVeselības apdrošināšanaVeselības aprūpe
USAmerikas Savienotās Valstis
90 000 $ – 105 000 $ / gads
AttālinātiPilna slodzeVidējais līmenisVecākais speciālistsNepieciešamā Valoda: angļuAnalītiķis

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.

Atvērt