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Payment Integrity Representative at Sanford Health - ApplyBlast

Payment Integrity Representative

Sanford Health

3 months ago

3.4 on Glassdoor

Hybrid

Full Time

Senior

0 applicants

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About this role

This role oversees revenue cycle management by analyzing underpayment records and managed care contracts to ensure proper reimbursement and compliance. The incumbent develops standard operating procedures for claim adjudication, investigates payment variances, and collaborates with internal departments and payors to resolve billing issues.

Responsibilities

Review underpayment records and managed care contracts
Develop standard operating procedures for claim adjudication
Analyze payment variances and resolve billing discrepancies
Collaborate with payors to identify and fix enrollment issues

Skills

Qualifications

Associate degree in healthcare or businessThree years prior healthcare revenue cycle experience

About Sanford Health

sanfordhealth.org

Headquarters

Sioux Falls, South Dakota, United States

Company Size

10001+ employees

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Sanford Health is the largest rural health system in the United States, headquartered in Sioux Falls, South Dakota, serving over 2 million patients across 320,000 square miles. The integrated health system operates 58 medical centers, 289 clinic locations, 145 senior living centers, and over 1,100 active clinical trials. Sanford Health also offers health insurance plans, genetic medicine, and world clinic locations, with a mission to transform the healthcare experience in America's heartland.