AgropurNewReliability Specialist AgropurReliability SpecialistLake Norden, SD$84,200–$105,200Initiates and leads risk-based methodologies such as Equipment/System Criticality Analysis (CA), Failure Modes, Effects, and Criticality Analysis (FMECA), and Reliability-Centered Maintenance (RCM). Provides technical assistance to maintenance supervisors, planners, and maintenance employees in the form of specific technical data on system configuration and performance as a backup for the Maintenance Specialist.
Black Hills Regional EYE Institute Llp.Senior Medical Billing Specialist Black Hills Regional EYE Institute Llp.Senior Medical Billing SpecialistRapid City, SDStrong ability to problem solve using multiple means such as office training manuals, internal e-mail guidelines, payer websites, internet search features etc. In addition to you will also be working with patients regarding outstanding bills, and handling incoming patient and insurance calls, and assisting with billing discrepancy/issues.
Ophthalmology LTDMedical Coder Ophthalmology LTDMedical CoderSioux Falls, SDOphthalmology LTD delivers treatment for cataracts, glaucoma, and diabetic eye disease, as well as cornea transplants, oculoplastic surgery, retina surgery, vitreoretinal surgery, and pediatric eye care in Sioux Falls. Minimum of 2 years of medical coding experience in a physician office setting or equivalent with knowledge of various medical payer practices and insurance laws/guidelines (Medicare, Medicaid, Work Comp, VA, and other third-party payers).
TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Sioux Falls, SDRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Monument Health.RN | Medical/Surgical Monument Health.RN | Medical/SurgicalSpearfish, SD$35–$43.75 / hourProficiently uses applicable technology and software to: • Support and document nursing activities and patient care • Access other work-related applications necessary to be an engaged and active associate of the organization, such as company email, iLearn modules, employee engagement surveys, benefits and compensation information, and policies and procedures • Continuously seeks out opportunities to improve the quality of patient care delivery through innovative and creative problem solving • All other duties as assigned. Required: • Education - Completion of a nursing education program that is approved by a board of nursing • Certifications - Basic Life Support (BLS) Certification - American Heart Association (AHA) - Within 60 days of hire or transfer; Registered Nurse (RN) - South Dakota Board of Nursing.
Monument Health.RN | Medical Monument Health.RN | MedicalRapid City, SD$35–$43.75 / hourYou will be an active contributor in the prevention or resolution of illness, disability or injury, alleviation of suffering, and advocacy in the care of individuals in conjunction with interdisciplinary teams of healthcare providers, family members, and support systems. Required: Certifications - Basic Life Support (BLS) Certification - American Heart Association (AHA) - Within 60 days of hire or transfer; Registered Nurse (RN) - South Dakota Board of Nursing.
West River Mental HealthClinical Specialist (Case Manager) West River Mental HealthClinical Specialist (Case Manager)Rapid City, SDCoordinate the teaching of daily living skills: this includes but not limited to; grocery shopping, hygiene, maintaining clean housing, utilizing public transportation, maintaining self-care, exploring employment opportunities, instruct clients in the act of self-administration of prescription and nonprescription medication. West River Mental Health has been providing mental health care in Western South Dakota since 1948 and is the largest, most advanced community mental healthcare facility in the region.
Youth & Family ServicesMiddle School Youth Program Specialist (Boys) Youth & Family ServicesMiddle School Youth Program Specialist (Boys)Rapid City, SDPlan informal educational activities for children that incorporate a broad-based knowledge in areas of careers and life planning, health/sexuality, leadership and community action, sports and adventure, self-reliance and life skills and culture/heritage. Supervisory and organizational skills and ability to relate to co-workers, parents and the general public.
PREMIER Bankcard, LLCHuman Resources Specialist PREMIER Bankcard, LLCHuman Resources SpecialistSioux Falls, SDFull timeServe as a trusted partner to assist with any aspect of the employee life-cycle, including recruitment, general benefits and leave questions, onboarding or offboarding processes as well as special projects, as assigned. Resolves inquiries from internal or external customers by providing information on policies and/or procedures, referring the most complex issues to dedicated subject matter experts within HR.
MCI CareersNewSenior Business Development Specialist MCI CareersSenior Business Development SpecialistSouth DakotaMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
O'Reilly Automotive IncParts Specialist O'Reilly Automotive IncParts SpecialistSioux Falls, SDProvide excellent service to customers calling the store on the phone by answering all calls according to company policy, accurately looking up parts and quote prices, recommending premium and related items, and offering the Low-Price Guarantee. Perform various in-store services for customers (where state and local laws allow) - (i.e. install wipers, test and charge batteries, test charging system, scan vehicle trouble codes, replace headlight capsules, etc.).
MaximusReporting Specialist MaximusReporting SpecialistSioux Falls, SDFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. If you require assistance at any stage of the employment process-including accessing job postings, completing assessments, or participating in interviews,-please contact People Operations at applicantaccom@maximus.com.
Sanford HealthNewCompliance Auditor Sanford HealthCompliance AuditorSioux Falls, SD$19–$30.50 / hourDemonstrates an advanced knowledge and skill in analyzing patient records to identify non-conformances in Current Procedural Terminology (CPT), International Classification of Diseases, Tenth Edition (ICD-10), and Healthcare Common Procedure Coding System (HCPCS) code assignment. Certification in one of the following is required: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), Certified Professional Coder (CPC) or an equivalent.
TriWest Healthcare AllianceSr Claims Reviewer TriWest Healthcare AllianceSr Claims ReviewerSioux Falls, SDRemoteFull timeProficient with claim and coding tools such as Supercoder, Clinical Decision Support Tool, Current Procedural Terminology, Health Care Financing Administration Common Procedure Coding System, and American Dental coding. This role will serve as a SME and will collaborate with Claims leadership, Training, the Claims Content Specialist, and internal business partners to ensure procedures and training materials are accurate and complete.
Sammons Financial GroupInformation Reporting Payables Analyst Sammons Financial GroupInformation Reporting Payables AnalystSioux Falls, South Dakota$40,223–$67,039 / yearEnsure all invoices, expense reports and credit card statements are paid within proper guidelines ensuring all discounts are received and they are accurately coded in the proper company expense accounts and cost centers to ensure compliance with an Accountable Plan according to IRS regulations allowing proper deductions; maintain any travel advance accounts to ensure proper reimbursement is received with all proper documentation in addition to ensuring proper Record Information Management procedures; complete of all monthly/quarterly administrative billings, prepare reports/transmittals, monthly balancing of subsidiary accounts and any other reports requested by management. • Obtain and possess a working knowledge of the systems that feed into the Company Tax System; includes agent administration systems (LifeCom, Agency, Policylink, PPlus, Accounts Payable, and RPS Disbursements), and a thorough understanding of all “jobs” that are in production, as well as test; utilize this knowledge to determine root cause of problems and take appropriate problem resolution actions in a timely manner.