NewPhysician Coding Auditor Ensemble Health PartnersPhysician Coding AuditorChamberlain, SDRemote$57,400–$99,000The Physician Coding Auditor develops and implements strategic needs analyses and training plans for coding leadership; coordinates and evaluates curriculum development and conducts the preparation and delivery of training for Medical Coders employed by Ensemble and providers that are contracted/employed and outlined in the client SOW. Educating - Assesses the educational needs of coding staff and providers that are contracted/employed and outlined in the client SOW (included Provider Education verbiage) and develops programs or researches educational resources to meet those needs.
Billing QA Specialist Innovative Systems LLCBilling QA SpecialistMitchell, SDYou’ll collaborate closely with developers, support teams, and product stakeholders to validate new features, improve existing functionality, and champion best-in-class user experiences. Test new features across the eLation suite, including verifying required functionality, assessing usability, and recommending improvements.
Medical Billing Specialist Black Hills Regional EYE Institute Llp.Medical Billing SpecialistRapid City, SDAs a medical billing specialist, you’ll be part of a team responsible for clinic and surgical posting of charges, posting insurance payments, working outstanding claims and patient payment arrangements. At Black Hills Regional Eye Institute, we are dedicated to maintaining and enhancing the quality of life for our patients through state-of-the-art medical care.
Intern | LTC Pharmacy- Billing | PRN Avera HealthIntern | LTC Pharmacy- Billing | PRNSioux Falls, SDLocation: Avera Long Term Care Pharmacy Worker Type: PRN Work Shift: As Needed (United States of America) Position Highlights You Belong at Avera Be part of a multidisciplinary team built with compassion and the goal of Moving Health Forward for you and our patients. To perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds.
Billing Assistant United Surgical Partners InternationalBilling AssistantSioux Falls, SDPrint all paper claims from Vision/AdvantX, review claims for accuracy including modifiers, payers, claims addresses, and additional pertinent information included. Gather all supporting documentation such as operative notes, block reports, implant logs, etc. which MUST be attached with mailed claims.
Insurance/Billing Coordinator Visions Eye CareInsurance/Billing CoordinatorSioux Falls, SDWhy you'll love working with us: At Visions Eye Care + Therapy Center, we value our employees and strive to create a positive and supportive work environment. Visions Eye Care + Therapy Center is seeking a detail-oriented and organized Insurance/Billing Coordinator to join our team in Sioux Falls, SD.
NewBilling & Collections Specialist IRA FinancialBilling & Collections SpecialistSioux Falls, SDThey will be responsible for accurately processing billing invoices, ensuring timely payment collections, resolving billing discrepancies, and maintaining comprehensive billing records. Contact clients with overdue accounts via phone, email, or mail to negotiate payment arrangements and facilitate debt resolution.
Dental Billing and Collections Associate Horizon HealthDental Billing and Collections AssociateHoward, South DakotaOur Culture: Horizon Health’s culture is built on the Non-Negotiable attributes of Respect, Teamwork, Accountability, Integrity, Professionalism, and being Rurally Focused — ensuring every team member upholds these attributes daily. Horizon Health offers a collaborative, team-oriented work environment focused on meeting the needs of individual patients while supporting and contributing to the health and wellness of our communities.
Farm Bill Wildlife Biologist I, II, or III Pheasants ForeverFarm Bill Wildlife Biologist I, II, or IIIChamberlain, SDFull timeThis position will work in joint capacity with USDA-NRCS, South Dakota Game, Fish, and Parks, and other partners to promote, implement, and coordinate enrollment in conservation provisions of the Federal Farm Bill and related programs. Collaborate with local PF & QF chapters and partner organizations to coordinate and support habitat management efforts and participate in local and statewide habitat meetings and trainings.
Billing & Invoice Administrator TAK Communications IncBilling & Invoice AdministratorSioux Falls, SD$24–$26 / hourThis includes engineering teams, distributors, and more than 100 qualified construction crews with extensive experience across all ISP types and markets; over 300 experienced bury drop crews; and more than 700 professional technicians. We are seeking a Billing & Invoice Administrator to join our team in our corporate office located in Sioux Falls, SD (4401 S Technology Dr, 57106).
Billing Operations Supervisor TAK Communications IncBilling Operations SupervisorSioux Falls, SD$53,000–$60,000 / yearThe Account Reconciliation Supervisor is responsible for supervising our Account Reconciliation team members, reconciling client statements for jobs completed by our technicians and resolving any discrepancies. This includes engineering teams, distributors, and more than 100 qualified construction crews with extensive experience across all ISP types and markets; over 300 experienced bury drop crews; and more than 700 professional technicians.
Billing Conversion & Project Specialist Innovative Systems LLCBilling Conversion & Project SpecialistMitchell, SDESSENTIAL FUNCTIONS AND RESPONSIBILITIES: Work with new clients and development staff to validate data and align client software use with Elation best practices in the Conversion process, striving for consistency and best possible conversion results. Regular travel to client sites is required for conversions and training site visits.
Epic Applications Analyst (1-4): PROFESSIONAL BILLING - Rev Cycle Application and Epic Operations - Full Time SolutionHealthEpic Applications Analyst (1-4): PROFESSIONAL BILLING - Rev Cycle Application and Epic Operations - Full TimeSDEpic Application Analysts 2-4 require current Epic training status (certification, accreditation, and/or proficiency) in primary application required, with a combination of current Epic training statuses in additional area(s) in application maintenance and development required in upper levels. Ideal candidates will possess strong experience as analyst with expert knowledge and experience in leading system analysis with special emphasis on system methodologies, projects management and business process reengineering related to information systems required.
NewMedical Claims Specialist South Dakota State GovernmentMedical Claims SpecialistPierre, SD$19.29–$21 / hourexperience processing medical, insurance, or healthcare claims; • experience in medical billing, medical coding, revenue cycle, healthcare reimbursement, or provider office operations (preferred); • knowledge of medical terminology (preferred); • familiarity with Medicaid, Medicare, commercial insurance, or other healthcare reimbursement programs (preferred); • respond promptly and courteously to incoming phone calls from medical providers, billing agents, and recipients regarding correct Medicaid claim submission, claim status, and reimbursement through billing guidelines, policies, and procedures; • review claim records, system information, policy manuals, and fee schedules to identify submission errors, missing data, or processing discrepancies; • process medical claims that stop for manual review between incoming calls; • provide clear and courteous guidance over the phone, helping callers resolve issues related to denials, adjustments, coordination of benefits, and prior authorizations; • collaborate with other internal departments to address complex claims or policy questions that require further investigation or higher-level approval; • monitor and track claim statuses, follow up on unresolved cases, and ensure that documentation is updated accurately and completely; • educate providers on self-service tools such as electronic eligibility verification systems, diagnosis/procedure code lookup tools, claims submission portals, and online manuals/fee schedules; • maintain confidentiality and security of sensitive health and financial data in compliance with HIPAA and state regulations on confidentiality and security of health and finance data; • stay updated on changes to Medicaid policies, billing codes, and claim system processes. This role works directly with healthcare providers, medical billing offices, and Medicaid recipients to resolve claim issues, explain billing policies, and ensure accurate and timely claims processing.
Client Service Specialist | Laboratory Monument Health Rapid City HospitalClient Service Specialist | LaboratoryRapid City, South DakotaFinancial Clearance to include completing company authorization, through verification, preform pre-registration, and notification to the patient or responsible party of estimated amount due for services provided by both the clinic and the facility, and collection of prepayment as determined by contract terms. Financial Clearance to include completing insurance verification, pre-certification, authorization, pre-registration, notification to the patient or responsible party of estimated amount due for services provided by both the clinic and the facility, and collection of prepayment.
Call Center Specialist Monument Health Rapid City HospitalCall Center SpecialistRapid City, South DakotaCurrent Employees: If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage. Physical Requirements: Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body.
Client Service Specialist | Laboratory Monument Health.Client Service Specialist | LaboratoryRapid City, SD$17.82–$22.27 / hourFinancial Clearance to include completing company authorization, through verification, preform pre-registration, and notification to the patient or responsible party of estimated amount due for services provided by both the clinic and the facility, and collection of prepayment as determined by contract terms. Financial Clearance to include completing insurance verification, pre-certification, authorization, pre-registration, notification to the patient or responsible party of estimated amount due for services provided by both the clinic and the facility, and collection of prepayment.
Chiropractor (Salaried Position) HealthSource ChiropracticChiropractor (Salaried Position)Rapid City, South DakotaGood salary pay plus bonus, 4 clinical days / 3 day weekends: We are a fast-paced, upbeat Chiropractic and Progressive Rehab and Spinal Curve Correction clinic dedicated to helping patients get out of pain and back to doing what they love through chiropractic, progressive rehab, spinal decompression, sports therapy, laser therapy, massage, orthotics, nutrition, and wellness products. We practice a variety of modalities including chiropractic, progressive rehab, spinal decompression, Chiropractic Biophysics, Class IV laser therapy, nutritional support, and custom orthotics; all with the focus of providing better patient outcomes.
Call Center Specialist Monument Health.Call Center SpecialistRapid City, SD$17.79–$21.58 / hourCurrent Employees: If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage. Physical Requirements: Sedentary work - Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects, including the human body.
NewCollections Specialist Sedgwick Claims Management Services, Inc.Collections SpecialistSDPRIMARY PURPOSE OF THE ROLE: The Collections Specialist is responsible for managing a complex portfolio of accounts and leading collection strategies to ensure timely recovery of outstanding payments and minimize bad debt exposure. Five (5) years of related experience in accounts receivable, collections, or related financial operations including managing complex accounts, escalations and customer disputes, or equivalent combination of education and experience required.
PT Temporary Medical Office Assistant Advance ServicesPT Temporary Medical Office AssistantYankton, SDAdvance Services is seeking a reliable and professional Temporary Medical Office Assistant to join a busy medical office immediately. Advance Services, Inc. 1800 Broadway Ave., Suite 2. Yankton, SD 57078.
Guest Experience Specialist - FSD Signature Aviation LtdGuest Experience Specialist - FSDSioux Falls, SDThis is a dynamic, hands-on position that requires flexibility to work varied schedules, including nights, weekends, and holidays, and the ability to operate in both indoor and outdoor environments, often near active aircraft and ground service equipment. Whether you're greeting a VIP traveler, supporting a flight crew, or coordinating services behind the scenes, you bring grace under pressure and attention to detail that ensures every visit is smooth, comfortable, and memorable.
Operations Sales Specialist Avera HealthOperations Sales SpecialistSioux Falls, SD$22–$29.50 / hourSupport the Sales Customer Call Center by providing support to new members transitioning to Avera Health Plans and providing support for current members with inquiry on plan options and renewal dates during the renewal process. The Operations Sales Specialist will provide customer service to Avera Health Plans members and their agents by answering questions about Avera Health Plans consumer sales products and services.
NewPatient Services Specialist | Custer Hospital Monument Health.Patient Services Specialist | Custer HospitalSD$18.27–$21 / hourDocument pre-authorization information accurately in the EHR system, ensuring that services scheduled by internal and external providers meet all financial clearance criteria and have approved authorization in the time allowed by the payers and programs to prevent denial or penalty assessment. Essential Functions for Medication Authorization and Assistant Specialist: Confirm prescription coverage and coordinate prior authorization, including collecting and submitting required clinical documentation (i.e. provider notes, labs and treatment history).
NewPatient Services Specialist | Custer Hospital Monument Health Rapid City HospitalPatient Services Specialist | Custer HospitalCuster, South DakotaDocument pre-authorization information accurately in the EHR system, ensuring that services scheduled by internal and external providers meet all financial clearance criteria and have approved authorization in the time allowed by the payers and programs to prevent denial or penalty assessment. Universal Essential Functions : Collaborate with healthcare providers, clinical staff, and various departments throughout Monument Health as well as with the patient to secure necessary authorization for services while maintaining compliance with all regulatory requirements.
NewPatient Services Specialist | 5th St Clinic Monument Health Rapid City HospitalPatient Services Specialist | 5th St ClinicRapid City, South DakotaDocument pre-authorization information accurately in the EHR system, ensuring that services scheduled by internal and external providers meet all financial clearance criteria and have approved authorization in the time allowed by the payers and programs to prevent denial or penalty assessment. Universal Essential Functions : Collaborate with healthcare providers, clinical staff, and various departments throughout Monument Health as well as with the patient to secure necessary authorization for services while maintaining compliance with all regulatory requirements.
Registered Nurse (RN) or Licensed Practical Nurse (LPN) or Athletic Trainer or Medical Assistant | Orthopedic Clinic AveraRegistered Nurse (RN) or Licensed Practical Nurse (LPN) or Athletic Trainer or Medical Assistant | Orthopedic ClinicSioux Falls, South DakotaTo perform this job successfully, an individual must be able to perform each essential job function satisfactorily including having visual acuity adequate to perform position duties and the ability to communicate effectively with others, hear, understand and distinguish speech and other sounds. Assists in processes of various orthopedic biologic sterile procedures and operating all modalities accompanied with the process, fitting, billing and ordering of all DME within the practice, splinting and casting in accordance to the physician treatment plan of care.
Pharmacy Patient Specialist | Specialty Avera HealthPharmacy Patient Specialist | SpecialtySD$21.75–$31.25 / hourRequired Education, License/Certification, or Work Experience: High School or GED Equivalent or one to three months related experience and/or training; or equivalent combination of education and experience Registered Pharmacy Technician - Board of Pharmacy within 30 Days and Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board (PTCB) within 90 Days or Certified Pharmacy Technician (CPhT) - National Healthcareer Association (NHA) within 90 Days * 1-3. Location: Integrated Services Center Worker Type: Regular Work Shift: Day Shift (United States of America) Pay Range: The pay range for this position is listed below.
Fraud Waste and Abuse - Sr. Analyst CVS Health CorpFraud Waste and Abuse - Sr. AnalystSD$46,988–$112,200 / yearActivities include reviewing billing activity for state agency referrals, assisting in the investigation and triage of FWA complaints, coordination with other departments and assist in prevention activities including training of internal staff and internal departments. Analyst, Fraud, Waste, and Abuse (FWA) will assist in detecting, investigating, remediating and referring to state regulatory agencies incidents of FWA arising in connection with medical, behavioral, transportation, and other healthcare services.
NewTravel Nurse RN - Outpatient Clinic - $2,426 per week in Sioux Falls, SD Magnet MedicalTravel Nurse RN - Outpatient Clinic - $2,426 per week in Sioux Falls, SDSioux Falls, SD$2,426A Registered Nurse (RN) – Outpatient Clinic provides direct nursing care and support to patients in an outpatient setting, focusing on preventive care, chronic disease management, and patient education. Key Responsibilities : Patient Assessment and Triage : Perform initial assessments for patients visiting the clinic, including taking medical histories, measuring vital signs (e.g., blood pressure, temperature, weight), and assessing current health status.
Cornea Reimbursement Liaison - Minneapolis, MN | Fargo, ND | Helena, MT | Sioux Falls, SD Glaukos CorpCornea Reimbursement Liaison - Minneapolis, MN | Fargo, ND | Helena, MT | Sioux Falls, SDSioux Falls, SDRemoteThis individual appropriately educates HCPs and their office staff on clinical documentation, securing treatment approvals, patient tracking, claim submission, reconciliation management, patient education, drug inventory, patient copay assistance and drug acquisition channels. Specific responsibilities include but are not limited to: Provides HCPs and their office staff education on how to interpret benefit verifications including PA requirements, calculation of patient cost share and drug acquisition options for specific patients enrolled in GPS.
Revenue Integrity Analyst Monument Health Rapid City HospitalRevenue Integrity AnalystRapid City, South DakotaProvides a detailed and complete report monthly of charge capture audits, denials, appeals, follow-up and results on appealed accounts, root cause analysis of issues responsible for inaccurate charge capture or denied services. Verifies all necessary elements in the electronic medical record; appropriate charges for services rendered, accurate coding for services, reason for denials, denial status, and appeal and results of action taken.
Patient Financial Advocate I | Revenue Cycle Monument Health Rapid City HospitalPatient Financial Advocate I | Revenue CycleRapid City, South DakotaPerforms and completes the workflows of Pre-Arrival patient financial management functions within Revenue Cycle which may include but are not limited to: Financial Clearance (Pre-Registration, Pre-Arrival Insurance Benefit Management, and Authorization/Referral/Benefit Review); Patient Admission and Registration Support (Inpatient, Outpatient, ED Registration, Insurance verification); Financial Counseling (Price Estimations, Payment Planning and Arrangement, Fund Finding and Resource eligibility, Charity Care Review); Customer Service (Patient collections, Customer service follow-up, Third Party Insurance Follow up, Patient balance resolution). Through conducting of a variety of tasks such as creation of price estimates, counseling patients regarding insurance coverage and benefits, arranging payment plans, assessing referrals for care, handling billing issues with third party payers, and assistance with determining eligibility for resources to assist with management of out of pocket responsibilities, this caregiver assists the patients and families with the navigation of the patient financial journey.
Practice Manager ENCOMPASS WELLNESS PLLCPractice ManagerSioux Falls, SDWe are seeking a Practice Manager to lead day to day operations for a boutique wellness and aesthetics clinic offering hormone optimization, medical weight loss, and aesthetic services. You will lead the front office and clinical support functions, optimize workflows, monitor performance metrics, and drive continuous improvement across the patient journey.
NewInsurance Representative Sanford HealthInsurance RepresentativeSouth DakotaSanford 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. Verify, create or update patient accounts for billing, prepare insurance claims forms or related documents, and verify completeness and accuracy.
Insurance Coordinator Oral Surgery PartnersInsurance CoordinatorSouth DakotaThe role requires strong communication skills, attention to detail, and the ability to work effectively with various stakeholders, including patients, insurance companies, and healthcare providers. OPS’s management reserves the right to amend and change responsibilities to meet business and organizational needs as necessary.
Lawn Care Route Specialist Warne Chemical & Equipment Company Inc.Lawn Care Route SpecialistRapid City, SD$56,000–$75,000 / yearThe Lawn Care Route Specialist is responsible for building, managing, and optimizing daily lawn application routes to ensure maximum production, efficiency, and customer satisfaction. Build, adjust, and optimize daily lawn care routes using RealGreen software.
Operations Sales Specialist AveraOperations Sales SpecialistSioux Falls, South DakotaSupport the Sales Customer Call Center by providing support to new members transitioning to Avera Health Plans and providing support for current members with inquiry on plan options and renewal dates during the renewal process. The Operations Sales Specialist will provide customer service to Avera Health Plans members and their agents by answering questions about Avera Health Plans consumer sales products and services.
Practice Manager Encompass WellnessPractice ManagerSioux Falls, South DakotaWe are seeking a Practice Manager to lead day to day operations for a boutique wellness and aesthetics clinic offering hormone optimization, medical weight loss, and aesthetic services. You will lead the front office and clinical support functions, optimize workflows, monitor performance metrics, and drive continuous improvement across the patient journey.
Supervisor, Claims Admin TriWest Healthcare AllianceSupervisor, Claims AdminSioux Falls, SDRemoteFull timeThe Supervisor, Claims Administration interacts and collaborates frequently with beneficiaries, Veterans, providers, sub-contractors, the Government, and internal business partners to resolve issues, respond to inquiries, and improve processes. Organizational Skills: Ability to organize people or tasks, adjusts to priorities, learns systems within time constraints and with available resources; detail-oriented.
Order Specialist | Home Medical Equipment Monument Health.Order Specialist | Home Medical EquipmentSD$18–$22.50 / hourDemonstrates knowledge of third-party payer information, including Medicare, Medicaid, VA, Tricare/UHC and commercial payers, to ensure compliance with rules and regulations to maintain accurate reimbursement. Current Employees: If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.
Order Specialist | Home Medical Equipment Monument Health Rapid City HospitalOrder Specialist | Home Medical EquipmentSpearfish, South DakotaDemonstrates knowledge of third-party payer information, including Medicare, Medicaid, VA, Tricare/UHC and commercial payers, to ensure compliance with rules and regulations to maintain accurate reimbursement. Current Employees: If you are a current Monument Health employee, please apply via the internal career site by logging into your Workday Account and clicking the "Career" icon on your homepage.
Pharmacist Prairie Lakes Healthcare SystemPharmacistWatertown, South DakotaPrairie Lakes Healthcare System is an independent, non-profit rural healthcare system serving 10 counties in northeastern South Dakota and west-central Minnesota. Pharmacist Workplace Details Join our team and see why Prairie Lakes Healthcare System continues to be named a Top Rural and Community Hospital year after year.
Pharmacy Patient Specialist or Pharmacy Technician in Training | Specialty AveraPharmacy Patient Specialist or Pharmacy Technician in Training | SpecialtyYankton, South DakotaSuccessfully communicates with nursing staff, physicians, customers, co-workers, supervisor and management and participates in interdepartmental work groups and committees as assigned to promote high-quality communication and prevent patient harm. Under Pharmacist supervision, accurately inputs and/or prepares labels and packages inpatient or outpatient medication orders and prescriptions to maintain an efficient, accurate, and high-quality medication delivery system.
Senior Inventory Specialist | PrOp AveraSenior Inventory Specialist | PrOpSioux Falls, South DakotaLeads supply conversion, implementation, and inventory project activities, including researching and analyzing product data, assessing site and department impacts, developing work plans and timelines, coordinating communication with leaders, physicians, and clinical teams, and arranging training or education as needed. Provides training, guidance, and process support to Supply Chain staff and assigned departments, including inventory management practices, department workflows, technology use, customer service expectations, escalation processes, physical inventory activities, facility-owned instrument counts, and bill-only purchase order backup support.
Senior Inventory Specialist | PrOp Avera HealthSenior Inventory Specialist | PrOpSioux Falls, SD$22–$29.50 / hourLeads supply conversion, implementation, and inventory project activities, including researching and analyzing product data, assessing site and department impacts, developing work plans and timelines, coordinating communication with leaders, physicians, and clinical teams, and arranging training or education as needed. Provides training, guidance, and process support to Supply Chain staff and assigned departments, including inventory management practices, department workflows, technology use, customer service expectations, escalation processes, physical inventory activities, facility-owned instrument counts, and bill-only purchase order backup support.
Quotations Specialist Graybar Electric Co IncQuotations SpecialistSioux Falls, SDIn this role you will: Prepare cost estimates of material Contact factories and representatives to obtain cost information Collaborate with sales representatives and customer service representatives Form relationships with customers and suppliers to provide on-time and accurate quotations Compare manufacturers' bills of material to ascertain and price any differences for complete comparisons What you bring to the table: Customer service and communication skills Ability to meet deadlines Knowledge of SAP and ability to work with Excel formulas 2+ years experience preferred High School education 2 year degree in Business or related preferred Compensation Details: The expected pay rate for this position is starting at $20.00 per hour depending on experience. Let us know you're interested in a future opportunity by clicking Introduce Yourself in the top-right corner of the page or create an account to set up email alerts as new job postings become available that meet your interest!
ER Registered Nurse (RN) Exceptional HealthcareER Registered Nurse (RN)Rapid City, South DakotaDuring your shift, you'll provides direct and indirect patient care in the emergency care setting and provided care that reflects initiative, flexibility, and responsibility indicative of professional expectation with a minimum of supervision. Exceptional Healthcare is building a new Community Hospital , a state-of-the-art facility bringing high-quality care to Rapid City and surrounding communities.
ER Registered Nurse (RN) Exceptional Healthcare Inc.ER Registered Nurse (RN)Rapid City, SDFull timeDuring your shift, you'll provides direct and indirect patient care in the emergency care setting and provided care that reflects initiative, flexibility, and responsibility indicative of professional expectation with a minimum of supervision. Exceptional Healthcare is building a new Community Hospital , a state-of-the-art facility bringing high-quality care to Rapid City and surrounding communities.