- 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)
- …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… 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
- Avera (Sioux Falls, SD)
- …denials required. Knowledge of payer requirements, regulatory guideline, and hospital reimbursement methodologies. Experience standardizing revenue cycle ... Shift:** Day Shift (United States of America) Avera Heart Hospital , isn't just a place to work, it's a...double 5-star rating from the Centers for Medicare and Medicaid (CMS). Be apart of something great! **Position Highlights**… 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 ... time **Weekly Hours:** 40.00 **Department Details** Black Hills Surgical Hospital is seeking an APP to join our Foot...necessary. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the… 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 ... Hours:** 40.00 **Department Details** Work with a new ENT provider coming to SF. This position will include OR...This position will include OR time as well as hospital rounding and clinic practice. **Job Summary** The Nurse… 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 (Rapid City, SD)
- …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... on patients when necessary. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the patient and prescribes… more
- Sanford Health (SD)
- …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... growing team supporting preventative care video visits from the provider 's home, to members in their homes. These visits...necessary. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the… 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 ... time **Weekly Hours:** 40.00 **Department Details** Black Hills Surgical Hospital is seeking an APP to join our Hospitalist...patients. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the… 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 ... on patients when necessary. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the patient and prescribes… more
- Sanford Health (Aberdeen, SD)
- …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... on patients when necessary. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the patient and prescribes… more
- Humana (Pierre, SD)
- …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
- Avera (Pierre, SD)
- **Location:** Avera St Mary's Hospital **Worker Type:** Regular **Work Shift:** Day Shift (United States of America) **Pay Range:** _The pay range for this position ... for documenting accurate insurance information and authorization details to optimize reimbursement from both the payer and patient. The Specialist must maintain… more
- Avera (Wagner, SD)
- …Regular **Work Shift:** Day Shift (United States of America) Wagner Community Memorial Hospital and Clinic is seeking a qualified individual to join our team! ... Wagner Community Clinic and Behavioral Health departments within the hospital . Will work with providers and other staff to...with providers and other staff to resolve coding and reimbursement issues and also help with patient concerns. Will… more