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Sanford Health
Sanford Health
Sponsor pentru viza H1BAsigurare de sănătateAsigurăriAsistență medicală
Sanford Health este un sistem integrat de servicii medicale și asigurări de sănătate care deservește comunități din centrul Americii. Cu sediul în Sioux Falls, Dakota de Sud, sprijină peste 1,4 milioane de pacienți și aproape 200.000 de membri ai planurilor de sănătate printr-o rețea extinsă de centre medicale, clinici, comunități rezidențiale pentru seniori, medici și furnizori de servicii medicale avansate. Activitatea sa acoperă îngrijirea directă a pacienților, asigurările, cercetarea clinică și medicina genetică personalizată, cu programe specializate în domenii precum oncologia, ortopedia, sănătatea femeilor și genetica.
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Locurile de muncă ale companiei

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.

USStatele Unite ale AmericiiMNMinnesotaNDDakota de NordSDDakota de SudWIWisconsin
24 $ – 38 $ / oră
RemoteNormă întreagăJuniorNivel mediuLimbă Obligatorie: englezăAnalist

Descriere

  • 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

Cerințe

  • 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

Beneficii

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

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