Reimbursement Specialist - Healthcare jobs in Pierre, SD

Reimbursement Specialist - Healthcare determines the extent to which patients' insurance covers their treatments. Reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted. Being a Reimbursement Specialist - Healthcare ensures compliance with Federal and State regulations and company policies that govern Medicare and state payment systems. May assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation. Additionally, Reimbursement Specialist - Healthcare may require a bachelor's degree. Typically reports to a supervisor or manager. Typically requires Certified Professional Coder (CPC) from AAPC or AHIMA. The Reimbursement Specialist - Healthcare gains exposure to some of the complex tasks within the job function. Occasionally directed in several aspects of the work. To be a Reimbursement Specialist - Healthcare typically requires 2 to 4 years of related experience. (Copyright 2024 Salary.com)

S
Community Healthcare Worker - Chamberlain Clinic - Full Time
  • Sanford Health
  • Chamberlain, SD FULL_TIME
  • Create Your Career With Us!

    Sanford Health 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.

    Facility: Chamberlain Clinic

    Location: Chamberlain, SD

    Address: 300 S Byron Blvd, Chamberlain, SD 57325, USA

    Shift: Day

    Job Schedule: Full time

    Weekly Hours: 40.00

    Salary Range: $20.50 - $33.00

    Department Details

    Come join our team in the Chamberlain Clinic!

    • Chamberlain clinic is a great team, full of supportive staff and co-workers
    • This position offers a variety of settings to connect with the community and patients
    • In the rural settings you get to see how your work is impacting the community
    • Be part of a great team environment

    Job Summary

    The Community Health Worker (CHW) will serve as a bridge between under-served communities and the health and social service systems. As a non-clinical role, work within the patient-centered medical home model, which embraces a team approach to chronic disease self-management. Provide information and assistance to help patients navigate a complex health and human services system. Strong advocacy and raising awareness of individual and community health needs are necessary for efficient and culturally sensitive work.

    Must strive to build capacity for access to services and community engagement. Strong communication skills from a non-judgmental perspective will be necessary to engage patients in their own care, articulate clearly and effectively when advocating for patients and community groups, and assist members in understanding and effectively navigating complex health systems. Effective active listening skills are essential. Actively engage in relationship building and work from a team-based perspective.

    Collaborate on goal setting and care planning within an inter-professional team context. Required to give presentations to community groups, and requires strong public speaking and presentation skills that include diplomacy and tact. Strong organization skills and the ability to anticipate future planning needs is required. Effective coordination skills are necessary in facilitating appointment attendance and individual plans of care. Serves as a point person for issues and related solutions while maintaining appropriate boundaries.

    Hold knowledge and experience of ethnic and cultural populations, government partners, community stakeholders, and other organizations. Model effective problem solving skills to empower patients to take an active role in their health care. Must have a thorough understanding of self-efficacy theory and its application when working with others who have chronic disease. Embrace cultural sensitivity when seeking information and working with others.

    Documents completion of assigned activities and support of community members as required. Provide services under supervision as directed by state or other regulatory requirements. Strictly adhere to the scope of their duties and will not give medical advice under any circumstance. Strong adherence to all patient privacy laws in health care settings and the community is essential.

    Qualifications

    A minimum of two years of college in a health care related field is required, bachelor’s degree preferred.

    Preferred qualifications include a minimum of three years of ambulatory care experience, experience in community outreach, and/or working knowledge of various integrated systems of care in the community. Personal experience living with a chronic health condition is preferred.

    Motivational Interviewing skills are required with training, to be completed within six months of hire.

    Proof of certificate from a Community Health Worker program is required upon hire or within six months.

    Must have a valid driver’s license.

    Benefits

    Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, and a generous time off package to maintain a healthy home-work balance. For more information about Total Rewards, visit https://sanfordcareers.com/benefits .

    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 talent@sanfordhealth.org .

    Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.

    Req Number: R-0180404

    Job Function: Customer Support Services

    Featured: No

  • 1 Day Ago

A
Becker's Healthcare (2022) ranks South Dakota No. 1 as the best state for physicians to live and work in
  • Avera Health
  • Pierre, SD FULL_TIME
  • Avera Medical Group Pierre is seeking a board certified or board eligible medical oncologist physicianOutpatient oncology practice with consultation privileges, minimal to no callOverall clinic includ...
  • 11 Days Ago

A
Travel LVN / LPN LTC
  • Aya Healthcare
  • Chamberlain, SD FULL_TIME,CONTRACTOR,TEMPORARY
  • Aya Healthcare has an immediate opening for the following position: LTC LVN / LPN in Chamberlain, South Dakota. This is a 13-week contract position that requires at least one year of experience.
  • 9 Days Ago

L
Administrator LNHA
  • Legacy Healthcare
  • Faulkton, SD FULL_TIME
  • Are you looking for a rewarding career in Skilled Nursing? We are currently searching for an Administrator to join our friendly, caring and supportive team! Rapidly growing and our team is looking to ...
  • 9 Days Ago

A
Travel Nurse RN - PACU/Pre-Post Op - $2,223 to $2,449 per week in Pierre, SD
  • AMN Healthcare
  • PIERRE, SD FULL_TIME
  • Job Description & Requirements Registered Nurse – Post-Anesthesia Care Unit - PACU - Travel - (PACU RN) StartDate: 4/8/2024 Available Shifts: 8 D Pay Rate: $2223.00 - $2449.00 Avera is an integrated h...
  • 9 Days Ago

C
Travel Nurse RN - ER/Trauma in Chamberlain, SD
  • CrossMed Healthcare
  • Chamberlain, SD FULL_TIME
  • Why CrossMed? CrossMed was created by a group of women who wanted to help people within the Healthcare space. In a market saturated with big companies and even bigger overhead we want to remain a smal...
  • 9 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Reimbursement Specialist - Healthcare jobs found in Pierre, SD area

S
Early Childhood Program Specialist (Special Education Programs)
  • State of South Dakota
  • Pierre, SD
  • PLEASE ATTACH THE ADDITIONAL REQUIREMENTS LISTED AT THE BOTTOM OF THIS PAGE Job ID: 26361 Agency: Department of Educatio...
  • 3/19/2024 12:00:00 AM

A
Mechanical Claims Specialist - Bilingual French
  • Ally
  • Pierre, SD
  • **General information** **Ref #** 16952 **Remote?** Yes **Ally and Your Career** Ally Financial only succeeds when its p...
  • 3/19/2024 12:00:00 AM

D
Pharmacist
  • Department Of Health And Human Services
  • Fort Thompson, SD
  • Summary These positions will be located within the Great Plains Area - Indian Health Service. This position reports to t...
  • 3/18/2024 12:00:00 AM

D
Clinical Laboratory Scientist
  • Department Of Health And Human Services
  • Fort Thompson, SD
  • Summary This position serves as a Clinical Laboratory Scientist at one of the various Hospitals or Clinics in the Great ...
  • 3/18/2024 12:00:00 AM

A
Senior Analyst- Model Validation (US REMOTE)
  • Ally
  • Pierre, SD
  • **General information** **Ref #** 17030 **Remote?** Yes **Ally and Your Career** * Ally Financial only succeeds when its...
  • 3/16/2024 12:00:00 AM

C
Program Evaluation Associate
  • Cadmus
  • Pierre, SD
  • **Overview** **What Youll Be Doing** Cadmus seeks an Associate to join its Energy Division. Associates are expected to m...
  • 3/15/2024 12:00:00 AM

S
Implementation Project Manager-Contract Role
  • Spherion
  • Pierre, SD
  • Spherion is seeking a qualified individual for migration of current state department call centers and VOIP Mitel phone s...
  • 3/15/2024 12:00:00 AM

C
Senior Safety Specialist
  • CHS Inc.
  • Pierre, SD
  • CHS Inc. is a leading global agribusiness owned by farmers, ranchers and cooperatives across the United States that prov...
  • 3/15/2024 12:00:00 AM

Pierre (/pɪər/; Lakota: čhúŋkaške, "fort") is the capital of the U.S. state of South Dakota and the seat of Hughes County. The population was 13,646 at the 2010 census, making it the second-least populous state capital in the United States, following only Montpelier, Vermont, and the eighth-most populous city in South Dakota. Founded in 1880 on the east bank of the Missouri River opposite Fort Pierre, Pierre has been the state capital since South Dakota gained statehood on November 2, 1889. It was challenged by Huron for the capital and won because of its location in the geographic center of t...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Reimbursement Specialist - Healthcare jobs
$38,170 to $46,380
Pierre, South Dakota area prices
were up 0.8% from a year ago

Reimbursement Specialist - Healthcare in Anchorage, AK
Bureau of Labor Statistics, occupations and industries related to healthcare are projected to add more new jobs to the U.S.
December 07, 2019
Reimbursement Specialist - Healthcare in Brownsville, TX
You will also be notified when something of note is happening around the Coding and Reimbursement Specialist program.
January 26, 2020
Reimbursement Specialist - Healthcare in Charlotte, NC
MedCert’s Reimbursement and EHR Specialist Certification program is well rounded and features 24/7 access to the curriculum with video and course content, program supplements, and all the resources your need for successful independent study.
January 08, 2020