Sanford Health

Medical Billing and Coding

• Review medical documentation and assign appropriate codes (ICD-10, HCPCS, CPT)
• Ensure compliance with coding standards, regulations, and company procedures
• Resolve coding and denial review issues
• Participate in coding team meetings as a subject matter expert
• Provide training on coding guidelines to healthcare providers

Coder, Provider Practice – Endocrinology & Diabetes Self-Management

• Review medical documentation from physicians and other healthcare providers
• Assign modifiers, diagnostic and procedure codes for symptoms, diseases, injuries, surgeries and treatments according to official classification systems and standards
• Provide accurate and timely ICD-10-CM coding of diagnoses, HCPCS and CPT coding
• Review and audit medical record documentation accurately to reflect healthcare coding and substantiate appropriate service reimbursement
• Convey coding guidelines to physicians and other healthcare providers to improve the accuracy of medical record documentation
• Participate in coding team meetings and serve as a subject matter expert.

Coder, Provider Practice – Hospitalist

Graphics Designer

• Designs digital and print materials that support training for patients and staff.
• Applies graphic design principles to enhance training initiatives, maintain organizational brand standards, and meet stakeholder needs.
• Supports learning and development by enhancing the visual design elements of course design and supporting materials.
• Responsible for maintaining and updating existing training and educational content as delegated.
• Customizes curriculum and develops training materials to ensure that organizational and stakeholder needs are met.
• Delivers training utilizing adult learning principles and training methods.
• Performs quality checks to ensure satisfactory course functionalities and objectives are met.
• Coordinates training schedules as needed for intended audience and population.
• Works closely with remote subject matter experts regarding the design, build, and maintenance of training content needs based on educational course topics and the initiatives driven within the department.

Learning and Development Specialist – Graphic Design

Technical Project Manager

• Administer projects on a day-to-day basis, and verify that they produce the required deliverables of quality within the specified constraints of time and cost.
• Ensure resource availability and allocation.
• Coordinate internal resources, third parties and vendors for the flawless execution of projects.
• Develop project scopes and objectives, involving all relevant stakeholders and ensuring technical feasibility.
• Use appropriate verification techniques to manage changes in the project scope, schedule and costs.
• Manage relationships with all stakeholders, establish and maintain relationships with third parties and vendors.
• Report and escalate any issues to management as needed.
• Develop a detailed project plan to track progress, and measure project performance using the appropriate systems, tools and techniques.
• Identify and assess risks and facilitate resolution to minimize project risks.
• Create and maintain comprehensive project documentation.

IT Project Manager

Systems Engineer

• Designing, implementing, and securing enterprise identity and access management infrastructure
• Ensuring authentication, authorization, and access management across hybrid environments
• Leading the architecture of domain topologies and global replication
• Driving the adoption of modern authentication protocols
• Integrating systems through API calls (REST, SOAP, JSON)
• Managing enterprise PKI and certificate lifecycles
• Enforcing security baselines via Group Policy
• Mentoring junior engineers in best practices

Senior Identity System Engineer

Customer Support

• Provide effective and efficient handling of phone calls from or to Sanford Health members, providers, and colleagues ensuring a positive experience for all members
• Assess the level of complexity of cases and provide resolution or facilitate escalation of phone call inquiries
• Provide positive, consistent customer experiences by striving for excellence in understanding and resolving specific requests while showing patience, empathy, compassion and sincerity
• Respond to customer questions via inbound and outbound telephone calls and written correspondence
• Partner with other Sanford Health departments as needed to coordinate inquiries requiring in-depth research to ensure customer satisfaction regarding member and provider questions
• Thoroughly document interaction for accurate tracking and analysis
• Promote the usage of self-service to callers as appropriate
• Provide end-user support including navigational questions, basic system issue resolution, and escalation as applicable

Customer Service Representative

Claims Specialist

• Responsible for processing health insurance claims submitted via paper or electronically by providers and members.
• Proficient understanding of Tapestry functionality.
• Proficient knowledge to releases health insurance claims for payment, understands claims codes according to the defined workflows.
• Proficient in the processing of claim adjustments based on appeals, configuration and/or benefit change.
• Basic knowledge of coordination of benefit functions and rules, a basic understanding of third party liability, subrogation and third party processing.
• Evaluates claims that need additional information prior to processing.
• Determines proper benefit levels that apply to claims per the certificate of insurance and/or the summary of plan documents.
• Understands the specific product lines.
• Understands accumulators for accurate monitoring of maximum out of pocket expenses for claims processing.
• Mentoring of teammates through peer-to-peer conversations.
• Processes large quantities of detailed information with high levels of accuracy.
• Investigates beneath the surface of an issue to focus systematically on root causes; communicates findings with the Senior Claims Representative.

Claims Representative

Marketing

• Creates marketing plans independently and in collaboration with Lead Marketing Specialists.
• Collaborates with all marketing disciplines for marketing plan recommendations and implementation.
• Tracks and records marketing activities and results.
• Integrates with their enterprise marketing peers to ensure consistent brand delivery.
• Manages costs within a predetermined budget.
• Participates in cross-functional teams for planning and team collaboration.

Senior Marketing Specialist

• Provides first line of customer support.
• Responsible for coordinating, processing, and tracking incoming and outgoing patient referrals across the organization to ensure timely access to care.
• Requires strong analytical skills to gather, review, and interpret clinical, demographic, and insurance information to accurately process referrals in compliance with organizational standards and NCQA requirements.
• Serves as a primary point of contact for patients, providers, external facilities, and internal departments, resolving referral-related inquiries while maintaining clear communication, documentation accuracy, and continuity of care.
• Demonstrates excellent customer service skills and takes initiative to meet the needs of all guests to ensure a positive experience.
• Demonstrates a courteous, friendly and welcoming manner.
• Assists with directing and escorting individuals as necessary to provide the full service experience.
• Acts as a liaison between staff and guests to keep each party well informed.
• Assists in maintaining department cleanliness and organization.
• Must possess knowledge and understanding of designated computer systems to provide necessary services associated with daily tasks.

Customer Service, Referral Service Representative

Support Engineer

• Performs routine healthcare information system and application support
• Investigates or escalates support issues
• Resolves incidents and services requests
• Assists in the creation and maintenance of training documentation
• Researches, analyzes and makes recommendations for application workflow improvements
• Creates and analyzes reports using multiple reporting mechanisms
• Gathers, analyzes, designs, develops, modifies, tests, implements, evaluates, and maintains information technologies

Applications Support Analyst – Health Plan

ServiceNow

• Collaborate with Stakeholders: Work closely with management, HR departments, and business subject matter experts (SMEs) to identify, analyze, and document end-user requirements for system improvements and enhancements.
• System Design & Development: Generate software design specifications, model and simulate workflows, and develop software solutions by validating designs with users and technical resources.
• Customization & Configuration: Develop and configure HRSD components, including record producers, notifications, client scripts, business rules, etc.
• Integrations & Automation: Build and manage custom integrations between HR systems using RESTful APIs, SOAP, and other web services.
• Testing & Quality Assurance: Perform a variety of testing (manual, automated, functional, performance, integration, regression, load, and stress testing) to ensure that all HR software tools and processes are operating efficiently.
• Reporting & Analytics: Build RaaS solutions, create dashboards, and generate reports to track key HR metrics and analyze data for decision-making.

ServiceNow Software Developer – Human Resources Technologies

Pharmacist

• Review prescriptions to assure accuracy, to ascertain the needed ingredients, and to evaluate their suitability.
• Provide information and advice regarding drug interactions, side effects, dosage, and proper medication storage.
• Review, interpret and dispense both prescription and non-prescription medication to patients.
• Take an active role in responding to prescription issues and advising providers on medication selection, dosage, interaction and side effects.
• Counsel patients on medication prescriptions including proper administration, possible side effects, expected response, storage and any other questions posed by the patient.
• Monitor the health and progress of patients in response to drug therapy.
• Provide oversight and clinical supervision for pharmacy services and pharmacy support personnel.
• Involve in areas such as acute care surgery, neurology, pediatrics, oncology, and medication reconciliation.

Executive Assistant

• Answering phone calls and responding to inquiries from patients/residents, outlying facilities or providers about healthcare programs and services or request of transferring patients into a facility.
• Depending on the department, may provide support to RN or physician staff or receiving and dispatching correspondence for designated unit.
• Assisting with administrative tasks, such as ordering supplies and scheduling.
• Collaborating to create and maintain a clean environment within healthcare facilities.
• Depending on department, direct patient contact will vary. Primary duties will vary by department.

Unit Secretary – Evenings

• Review medical documentation and assign appropriate codes (ICD-10, HCPCS, CPT).
• Ensure compliance with coding standards, regulations, and company procedures.
• Communicate effectively with medical professionals to improve documentation accuracy.
• Participate in coding team meetings and serve as a subject matter expert.
• Validate physician charge capture and conduct appeals management related to coding.

Coder, Provider Practice

Business Intelligence Developer

• Responsible for analyzing and reporting a variety of statistical and clinical data
• Analyze trends and outcomes within the data and provide answers and possible solutions
• Complete special projects as assigned ensuring that all information meets the highest data integrity.
• Organize and prioritize tasks effectively
• Collect and organize detailed information.