- 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 Medicare (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... Pricer Business and System Support team responsible for administering complex Medicare provider reimbursement methodologies. The business needs of the team… more
- Humana (Pierre, SD)
- … Provider Contracting Professional 2 initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements. The Provider ... years of experience servicing or negotiating managed care contracts with physician, hospital and/or other provider contracts + Proficiency in analyzing,… more
- Humana (Pierre, SD)
- …Senior Provider Contracting Professional initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... + 2+ years of network management experience including but not limited to: provider and hospital contracting, network administration in a healthcare company or… more
- J&J Family of Companies (Sioux Falls, SD)
- …+ Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationship. + ... to payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… 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
- 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 (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 (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 (Webster, SD)
- …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... with family-like environment. Family Medicine Clinic coverage 8a-5p M-F. Position includes hospital rounds. Position includes minimum of 1 weekday ER coverage 8a-5p.… 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 (Sioux Falls, SD)
- …care. Maintain current knowledge of state legal regulations for advanced practice provider practices, including reimbursement of services. Keep abreast of ... a great team culture, flexibility and independence as a provider . Our group works closely together to collaborate and.... Our group works closely together to collaborate and provide top quality care. This schedule would be four… 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
- 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 ... high-quality, patient-centered care. The role includes a well-balanced mix of hospital consults, chronic dialysis rounding, and outpatient clinic visits, providing a… 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 ... PRN **Weekly Hours:** Varies **Department Details** Looking for a provider who is interested in helping in clinic and...necessary. Works in collaboration with providers and independently to provide care. Formulates a plan for treatment of the… 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
- 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 (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 (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