- Humana (Pierre, SD)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Humana (Pierre, SD)
- …part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible… more
- Avera (Sioux Falls, SD)
- …Report Reimbursement Manager will be responsible for the oversight of reimbursement associated with the Medicare, Medicaid , Tricare and any other ... healths, hopices, and nursing homes. Oversight includes the Medicare, Medicaid and Tricare cost reports for all entities in...clinics, nursing homes and other patient operating units. + Provide expertise, guidance, and advice to the rural network… more
- Sanford Health (Rapid City, SD)
- …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... approximately 1:14) * 50% clinic/50% OR and rounding in hospital * Group include 3 Ortho Spine Surgeons, 1...necessary. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the… more
- Humana (Pierre, SD)
- …- 5 years of experience in negotiating managed care contracts with physician, hospital and/or other provider contracts. + Proficiency in analyzing, understanding ... part of our caring community and help us put health first** The Provider Contracting Professional 2 initiates, negotiates, and executes dental provider contracts… more
- Sanford Health (Rapid City, SD)
- …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... Monday-Friday schedule * 50% clinic/50% OR and rounding in hospital * 25-30 patients per day in clinic *...necessary. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the… more
- Sanford Health (Webster, SD)
- …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Department Details** This provider will work 4 days/week in clinic. The position will also include… more
- Sanford Health (Sioux Falls, SD)
- …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... the work of health and healing across our broad footprint.** **Facility:** Heart Hospital **Location:** Sioux Falls, SD **Address:** 1301 W 18th St, Sioux Falls, SD… more
- Sanford Health (Canton, SD)
- …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... 48 days per year. Provides a variety of practice opportunities with the hospital , clinics, and ER. **Job Summary** The Physician Assistant (PA) provides expert… more
- Humana (Pierre, SD)
- …coding auditor to review inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Coding Auditor contributes to overall cost reduction, by increasing the accuracy of provider contract payments in our payer systems, and by ensuring correct claims… more