- Humana (Lansing, MI)
- …include an overview of coding practices and clinical documentation, grievance and appeals processes, and outpatient services and equipment, within their scope. The ... population, or condition type. May also engage in grievance and appeals reviews. May participate on project teams or organizational committees. \#physiciancareers… more
- Humana (Lansing, MI)
- …an overview of coding practices and clinical documentation, dispute/grievance and appeals processes, and outpatient services and equipment, within their scope. ... and care received. May also engage in disputes and grievance and appeals reviews. May participate on project teams or organizational committees. \#physiciancareers… more
- McLaren Health Care (Grand Blanc, MI)
- …to the Denials Team in the coordination of CMS and Third-party payer denials/ appeals , as well as, performing clerical functions to ensure the efficient operation of ... and participates in the resolution of retrospective billing issues including appeals , PACER authorization, third party payer certification, and denied cases. 3.… more
- Michigan State University (East Lansing, MI)
- …act strategically will be critical to the success of this position. The Associate Director of Development will focus efforts on face-to-face contact with prospects ... a portfolio of 75-100 major donor prospects. It is expected that the Associate Director will average 15 face-to-face strategic visits, which result in "moves" toward… more
- Trinity Health (Livonia, MI)
- …Local HR partners and Payroll 8. Manages complex, escalated cases and acts to adjudicate appeals within the limits of the IRS Section 125 Plan and Trinity Health HR ... procedures, plans and systems. 17. Maintains confidentiality of department and associate information according to established practice within HIPAA and NPPI… more
- Trinity Health (Livonia, MI)
- …(PBS) teams, when needed, to help resolve billing, claims, denials and appeals issues affecting reimbursement. Exhibits awareness of health record documentation or ... Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate 's degree in Health Information Technology or a related field or an… more
- Aston Carter (Detroit, MI)
- …and process legal documents and papers such as summonses, subpoenas, complaints, appeals , motions, and pretrial agreements. Essential Skills + Verbal and written ... as Microsoft Word, PowerPoint, and Excel. Additional Skills & Qualifications + Associate 's degree in paralegal studies or equivalent training required. + 0-2 years… more
- Datavant (Lansing, MI)
- …Meditech, 3M, Optum, SSI, Availity, and payer portals. + Submit and track appeals with payers, ensuring all documentation and deadlines are met. + Prepare and ... affecting claim adjudication. **What you will bring to the table:** + Associate 's or Bachelor's degree in Health Information Management, Health Administration, or… more
- Ascension Health (Troy, MI)
- …well as copiers, scanners, etc. + Overall understanding of healthcare ( appeals , medical records, correspondence, etc.). + Intermediate knowledge of Microsoft Excel ... states. Our Mission, Vision and Values encompass everything we do at Ascension. Every associate is empowered to give back, volunteer and make a positive impact in… more
- Corewell Health (Niles, MI)
- …that prior authorization has been obtained; assists with retroactive insurance denials/ appeals . + Responsible for complex EMR/EHR scanning and Right Fax faxing ... work. + Ability to perform the role of Patient Services Representative, Associate when necessary. + Actively participates in safety initiatives and risk mitigating… more