About the role

Aplyr's Quick Take

This role involves handling pharmacy coding and billing, resolving billing issues, and ensuring timely processing of pharmacy claims. It's primarily an individual contributor position focused on data management and analysis within the pharmacy department.

Good fit

Ideal candidates have at least three years of experience in pharmacy and medical billing, preferably with a background as a certified pharmacy technician or medical biller. A detail-oriented and analytical working style will help you succeed here.

Worth noting

The role requires staying updated on changing payer rules and may involve creating custom reports, which could be a good opportunity for those interested in analytics. The pay range is relatively broad, indicating potential for negotiation based on experience.

Sanford Health, the largest rural health system in the United States, is dedicated to transforming the health care experience and providing access to world-class health care in America’s heartland.

Work Shift:

8 Hours - Day Shifts (United States of America)

Scheduled Weekly Hours:

Compensation:

Salary Range: $19.00 - $30.50

Union Position:

Department Details

Summary

Responsible for functions related to pharmacy coding and billing; participate in the resolution of pharmacy billing issues. Ensure that all pharmacy processes are completed in a timely manner and that projected incoming revenue is captured and reconciled against prescription records.

Job Description

Reviews and completes coding, claims, and denials for medications, supplies, and diagnosis within pharmacy. Maintains payer database, adding new payers when needed and assigning a pricing contract. Will work with payers as needed to determine eligibility. Evaluates provider database for new providers ensuring all license information is complete and correct. Assess pharmacists' progress notes for proper documentation. Monitors denials and claims to assess outstanding accounts receivable. Stay current on changing payer rules by subscribing and reviewing payer updates and home infusion industry magazines and listservs. Assist with statistical reports as requested and on a weekly, monthly, quarterly and annual basis. May provide consultation for hospital-based ground services. Utilize analytic software to build custom reports for AR or denials.

Qualifications

Associate's degree in health care or business related field required. Bachelor's degree preferred. In lieu of education, leadership may accept 4 years of appliable experience.

Minimum of three years experience in pharmacy and medical billing.

Certified pharmacy technician, coder, or medical biller preferred.

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 1-877-949-5678 or send an email to talent@sanfordhealth.org.

Skills & Tags

Aplyr's read

Sanford Health is a global healthcare leader focused on improving health outcomes through innovative care solutions and a dedicated workforce in diverse roles.
Synthesized from recent postings & public sources

What's promising

•Sanford Health offers a wide range of roles, providing diverse career opportunities in healthcare.
•The organization focuses on improving global health outcomes, making it appealing for mission-driven professionals.
•Sanford Health's expansion into various countries enhances career growth and international collaboration.

What to watch

•Working in healthcare can involve high stress and demanding hours, particularly in patient care roles.
•Limited public information about compensation and benefits may concern some job seekers.
•Global operations might require flexibility with travel or relocation for some positions.

Why Sanford Health

•Sanford Health's global presence distinguishes it from regional healthcare providers.
•The organization's commitment to improving health access sets it apart in the healthcare sector.
•Sanford World Clinic's international focus provides unique opportunities for cross-cultural healthcare experiences.

Aplyr’s read is generated by AI from public sources. Was it useful?

About Sanford Health

Sanford Health

sanfordworldclinic.org

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Sanford World Clinic is a global healthcare organization that provides high-quality medical services and healthcare solutions in various countries, focusing on improving health outcomes and access to care.