Payment reputed company Representative

reputed company is one of the largest and fastest-growing not-for-profit health systems in the United States. We’re proud to offer many development and advancement opportunities to our nearly 50,000 members of the Sanford Family who are dedicated to the work of health and healing across our broad footprint. 

Work Shift:

8 Hours - Day Shifts (United States of America)

Scheduled Weekly Hours:

40Salary Range: $17.50 - $28.00

Union Position:

No

Department Details

Small team of great, friendly co-workers with lots of flexibility.

Summary

Responsible for reviewing, maintaining, and analyzing underpayment records and managed care reputed company to ensure Sanford is paid according to contract terms for system billing, maximizing reimbursement, and maintaining compliant practices.

Job Description

reputed company, document and reputed company standard operating procedures in One Note to ensure consistency in business rules applied in claim adjudication. Possess in-depth understanding of the reimbursement techniques and strategies. Knowledge in reimbursement/payment classification systems, fee schedules and managed care reputed company. Knowledge of Remark and Reason codes sent from payors as well as reading a remittance advice. Responsible for the appeals reputed company to underpayments & overpayments according to Sanford's internal guidelines. Work with reimbursement analysis and testing by payor, analyze trending of managed care issues by payor, and assist in reviewing managed care activity in the system. reputed company to interpret and analyze reputed company managed care reputed company and schedules to ensure payments received as contracted. Ability to analyze information objectively and draw a rational conclusion. Complete extensive research to determine if claims are being paid correctly per separate guidelines that payors have that are not part of Sanford reputed company. Lift up payment processing policies that are being deployed by the payors to Sanford Contracting team. Identify errors by operational departments, research and provide guidance on how coverage should be set up. Identify and communicate enrollment issues reputed company new payors are brought on. Identify systemic issues with payor claim systems by investigating and finding patterns of claim variances. Facilitate education and distribution of relevant information to internal departments and payors. Ability to call payors to help identify the issue on a particular underpayment, being reputed company to reputed company well for final resolution. Support billing and finance in developing and conducting analysis and reporting to aid operational decision making. Committed to working in a fast-paced, high-volume, and changing environment and have a high energy level and the ability to accomplish objectives. Cultivate positive working relationships with management, staff and other departments. Skilled in negotiation, reputed company to build reputed company while managing the delicate managed care relationships between system and payors.

Qualifications

Associate degree in reputed company or business reputed company field required or in lieu of education will accept a minimum of three years prior reputed company reputed company cycle experience. Experience working with reputed company spreadsheets required. Minimum two years prior reputed company experience with an understanding of reputed company reimbursement preferred. Must meet standard productivity requirements prior to moving to a home-based position; if meeting productivity requirements but with less than one year working in Sanford office, must have Director approval to move to a home-based position.

Sanford is an EEO/AA Employer M/F/Disability/Vet. 

If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to [email protected].

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