Accounting Analyst Visa Sponsorship Jobs in South Dakota
Accounting analyst roles in South Dakota are concentrated in Sioux Falls and Rapid City, where financial services firms, healthcare systems like Sanford Health and Monument Health, and regional banks anchor demand. Employers in these sectors have sponsored H-1B and other work visas for qualified candidates with strong analytical and accounting credentials.
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Get Access To All JobsPrimary Location
Rapid City, SD USA
Department
CS Managed Care
Scheduled Weekly Hours
40
Starting Pay Rate Range
$24.19 - $30.24
(Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
The Payment Integrity Analyst is accountable for monitoring and recovering variances between expected and actual reimbursement from payers. Accurately compiles information required to defend expected reimbursement. Knowledge of payer contracts and appeal process is preferred.
Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:
- Supportive work culture
- Medical, Vision and Dental Coverage
- Retirement Plans, Health Savings Account, and Flexible Spending Account
- Instant pay is available for qualifying positions
- Paid Time Off Accrual Bank
- Opportunities for growth and advancement
- Tuition assistance/reimbursement
- Excellent pay differentials on qualifying positions
- Flexible scheduling
Job Description
Essential Functions:
- Utilize extensive reporting to facilitate prompt identification of insurance variances.
- Verify insurance payments for accuracy and compliance with contract terms and fee schedules.
- Analyze multiple Client/Payer Contracts to validate pricing accuracy and consistency within contract management system.
- Evaluate and identify insurance underpayments and payment variances from zero payments, full denials, and line-item denials, determine root cause of underpayments and take necessary actions to recover insurance underpayments.
- Strategically assign and distribute underpayment inventory to individual Analysts to call insurance carrier, gather and compare pricing information via EOBs, contracts, payor policies, patient benefits to effectively initiate appeals.
- Works effectively with internal and external leaders to effectively communicate payer variances and reimbursement recovery.
- Understands a wide variety of reimbursement methodology used in health care payments.
- Works closely with each department responsible for root causes to trend issues and provide feedback that will result in preventable underpayments.
- Functions as a support super user for implementation of payer contract loading in EPIC and contract modeling systems.
- Other duties as assigned.
Additional Requirements
Required:
Education - High School Diploma/ GED
Preferred:
Education - Bachelors degree in healthcare management
Experience - 1+ years of hospital or professional billing experience, 1+ years of EPIC revenue cycle experience
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. Sedentary work involves sitting most of the time.
Job Category
Revenue Cycle
Job Family
Revenue Integrity
Shift
Requires the ability to work assigned schedules and hours as determined by the department
Employee Type
Regular
Make a difference. Every day.
Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
Primary Location
Rapid City, SD USA
Department
CS Managed Care
Scheduled Weekly Hours
40
Starting Pay Rate Range
$24.19 - $30.24
(Determined by the knowledge, skills, and experience of the applicant.)
Job Summary
The Payment Integrity Analyst is accountable for monitoring and recovering variances between expected and actual reimbursement from payers. Accurately compiles information required to defend expected reimbursement. Knowledge of payer contracts and appeal process is preferred.
Monument Health offers competitive wages and benefits on qualifying positions. Some of those benefits can include:
- Supportive work culture
- Medical, Vision and Dental Coverage
- Retirement Plans, Health Savings Account, and Flexible Spending Account
- Instant pay is available for qualifying positions
- Paid Time Off Accrual Bank
- Opportunities for growth and advancement
- Tuition assistance/reimbursement
- Excellent pay differentials on qualifying positions
- Flexible scheduling
Job Description
Essential Functions:
- Utilize extensive reporting to facilitate prompt identification of insurance variances.
- Verify insurance payments for accuracy and compliance with contract terms and fee schedules.
- Analyze multiple Client/Payer Contracts to validate pricing accuracy and consistency within contract management system.
- Evaluate and identify insurance underpayments and payment variances from zero payments, full denials, and line-item denials, determine root cause of underpayments and take necessary actions to recover insurance underpayments.
- Strategically assign and distribute underpayment inventory to individual Analysts to call insurance carrier, gather and compare pricing information via EOBs, contracts, payor policies, patient benefits to effectively initiate appeals.
- Works effectively with internal and external leaders to effectively communicate payer variances and reimbursement recovery.
- Understands a wide variety of reimbursement methodology used in health care payments.
- Works closely with each department responsible for root causes to trend issues and provide feedback that will result in preventable underpayments.
- Functions as a support super user for implementation of payer contract loading in EPIC and contract modeling systems.
- Other duties as assigned.
Additional Requirements
Required:
Education - High School Diploma/ GED
Preferred:
Education - Bachelors degree in healthcare management
Experience - 1+ years of hospital or professional billing experience, 1+ years of EPIC revenue cycle experience
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. Sedentary work involves sitting most of the time.
Job Category
Revenue Cycle
Job Family
Revenue Integrity
Shift
Requires the ability to work assigned schedules and hours as determined by the department
Employee Type
Regular
Make a difference. Every day.
Monument Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected Veteran status.
Accounting Analyst Job Roles in South Dakota
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Search Accounting Analyst Jobs in South DakotaAccounting Analyst Jobs in South Dakota: Frequently Asked Questions
Which companies sponsor visas for accounting analysts in South Dakota?
Sanford Health, Avera Health, and regional financial institutions like First PREMIER Bank and Dacotah Banks have appeared in federal labor condition application filings for accounting and finance roles. Large agricultural and manufacturing employers headquartered in South Dakota also sponsor work visas periodically. Sponsorship availability varies by year and hiring need, so checking current LCA disclosure data gives the most accurate picture of active sponsors.
Which visa types are most common for accounting analyst roles in South Dakota?
The H-1B is the most common work visa for accounting analysts in South Dakota, as the role typically qualifies as a specialty occupation requiring at least a bachelor's degree in accounting, finance, or a related field. TN status is an option for Canadian and Mexican nationals whose role qualifies under the USMCA accountant category. Employers occasionally use L-1 transfers for analysts moving from a foreign affiliate.
Which cities in South Dakota have the most accounting analyst sponsorship jobs?
Sioux Falls is by far the largest concentration, driven by its financial services sector, large hospital systems, and regional corporate headquarters. Rapid City is the secondary market, with healthcare and government contractors generating some demand. Pierre sees occasional openings tied to state government and affiliated agencies, though overall sponsorship volume there is lower than in the two major metros.
How to find accounting analyst visa sponsorship jobs in South Dakota?
Migrate Mate filters job listings specifically for roles where employers have a history of visa sponsorship, making it easier to focus on accounting analyst positions in South Dakota rather than sorting through postings that exclude international candidates. You can search by role and state to surface relevant openings at healthcare systems, financial firms, and other South Dakota employers that have filed labor condition applications for similar positions.
Are there any state-specific considerations for accounting analysts seeking visa sponsorship in South Dakota?
South Dakota has no state income tax, which affects how prevailing wage calculations translate into take-home pay compared to other states, though federal prevailing wage requirements under the H-1B program still apply. The University of South Dakota and South Dakota State University produce accounting graduates who compete for local roles, meaning employers have local hiring options. International candidates with advanced credentials or specialized experience in healthcare finance or agricultural accounting may find stronger differentiation.
What is the prevailing wage for sponsored accounting analyst jobs in South Dakota?
U.S. employers sponsoring a visa must pay at least the prevailing wage, which is what workers in the same role, area, and experience level typically earn. The Department of Labor sets this rate to make sure companies aren't hiring foreign workers simply because they'd accept lower pay than a U.S. worker. It varies by job title, location, and experience. You can look up current prevailing wage rates for any occupation and location using the OFLC Wage Search page.
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