- Guidehouse (Detroit, MI)
- …of the Director of Revenue Integrity, the Revenue Integrity Coding Billing Specialistprovides revenue cycle support services through efficient review and timely ... third party payer accounts that are subject to pre-bill claim edits, hospital billing scrubber bill hold edits, and claim denials. **This position is 100% remote**… more
- Henry Ford Health System (Detroit, MI)
- …of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials ... and follows up on any claims that require a payer response. Responsible for the billing and collection of payments for all Henry Ford Health System hospitals,… more
- Deloitte (Detroit, MI)
- …who wants to work in a collaborative environment? As an experienced Epic Professional Billing Specialist , you will have the ability to share new ideas and ... service delivery. Work you'll do/Responsibilities As a Project Delivery Specialist (PDS) at Deloitte, you will work within an...Required + 5 + years of related Epic Professional billing and/or Professional Billing Claims … more
- Molina Healthcare (Grand Rapids, MI)
- … claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment accuracy ... tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other… more
- Deloitte (Detroit, MI)
- …who wants to work in a collaborative environment? As an experienced Epic Professional Billing Specialist you will have the ability to share new ideas and ... of Epic Steady State Support + Must have an active Epic Professional Billing Certification + Have excellent documentation and verbal skills + Willingness to work… more
- Henry Ford Health System (Troy, MI)
- …of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials ... and follows up on any claims that require a payer response. Responsible for the billing and collection of payments for all Henry Ford Health System hospitals,… more
- Trinity Health (Ann Arbor, MI)
- …for patients before they come on service. + Process any required third party billing claims in Towers Pharmacy program and coordinate with home infusion pharmacy ... to patients' homes. + Drug Card Billing Assistance + Drug card billing for home infusion pharmacy patients, troubleshoot claims rejections, finalize and… more
- Molina Healthcare (Grand Rapids, MI)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution to ... to ensure that internal and/or regulatory timelines are met. * Researches claims appeals and grievances using support systems to determine appropriate appeals and… more
- Henry Ford Health System (Jackson, MI)
- …obligations. The role performs further credentialing functions including resolving claims issues, assisting with onboarding new practices, and conducting audits ... Network. * Serves as the point of contact for Network practices to address claims issues with Network payors by troubleshooting on behalf of the practice and working… more
- Molina Healthcare (MI)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... ensure that internal and/or regulatory timelines are measured correctly. * Researches claims using support systems to determine **Provider No Surprise Act** cases… more