- Henry Ford Health System (Troy, MI)
- …completeness of patient financial, insurance and demographic information to ensure compliant claims are sent to payers. The Sr. Specialist works independently ... The CBO Insurance Sr. Specialist is responsible for effectively and efficiently resolving...experience in a healthcare revenue cycle position required. + Billing /coding certificate preferred. + College course work in accounting,… more
- Trinity Health (Livonia, MI)
- …Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp Michigan **Status:** Full time ... ICD/CPT codes to participant health information for data retrieval, analysis, and claims processing. Duties also include abstracting and validating data from medical… more
- Molina Healthcare (Ann Arbor, MI)
- JOB DESCRIPTION Job Summary Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating ... information system and prepares documentation for further review. * Researches claims issues utilizing systems and other available resources. * Assures timeliness… more
- CVS Health (Lansing, MI)
- …each and every day. **Position Summary** The **Senior Accounts Receivable Specialist ** prepares accounting and financial records and reports, including general ... monthly invoices in accounting system. + Enter and process monthly fee claims for ancillary product offerings via claim system. **Required Qualifications** + 2+… more
- Cardinal Health (Lansing, MI)
- …done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing . They will work within the scope of responsibilities ... as dictated below with guidance and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ;… more
- McLaren Health Care (Shelby Township, MI)
- …bills. + Follows-up on Age Trial Balance Report monthly. + As assigned, Billing Specialist will be responsible for developing relationships and working with ... the hospital, the department and human resources. ** BILLING :** Responsible for billing hospital and physician claims , for inpatients and outpatients treated… more
- Cardinal Health (Lansing, MI)
- …appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software including electronic and paper claim processing + ... PST (or based on business need)** **_What Accounts Receivable Specialist contributes to Cardinal Health_** Account Receivable Specialist...Following up on unpaid claims within standard billing cycle time frame… more
- Henry Ford Health System (Troy, MI)
- …revenue codes to be compliant with Medicare rules and regulations, the Medicare Billing Manual, the American Medical Association, or any adopted resource used in ... HAP code-related committee meetings to resolve coding questions related to claims , configuration, benefits, new technology, fraud, compliance, and any other issue.… more
- University of Michigan (Ann Arbor, MI)
- …appropriate, by applying expert knowledge, expertise, and experience. Acting as a specialist in the complex Michigan Medicine credentialing process has the authority ... our patients and safeguard Michigan Medicine against loss of accreditation, malpractice claims , and claims of negligent credentialing. + Completes evaluation of… more
- Trinity Health (Spring Lake, MI)
- …and diagnostic testing in timely fashion with proper documentation. + Works denied claims for missing prior authorization or referral within the EMR system. + ... Confirms payer is in-network with specialist . If not, contacts patient to discuss and make...of the insurance market & prior authorization requirements. + Billing and coding knowledge and experience preferred. + Medical… more
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