- Humana (Lansing, MI)
- …the Provider Relations team with appropriate claims submission processes and requirements, coding updates, and common billing errors to reduce claims denials ... of provider communications and/or other educational materials, such as billing guides, coding updates, etc. + Partner with Provider Relations team to… more
- Henry Ford Health System (Troy, MI)
- …feedback relevant to successful authorization procurement is obtained from back end coding , billing and denial management resources and distributed to ordering ... + General understanding of revenue cycle with an emphasis on billing , coding , charge capture and reimbursement, preferred. + Organizational and time management… more
- University of Michigan (Ann Arbor, MI)
- …to assess compliance risk and identify areas of opportunity for improvement in coding and billing practices. Conduct post-review group and individual training ... understanding of Evaluation and Management (E&M), Surgery and Minor procedure coding , billing , and documentation + Certification in healthcare compliance… more
- Henry Ford Health System (Detroit, MI)
- …in health care business operations (eg, payer relations, admissions, billing / coding , authorization etc.), analytics, information technology, health care ... analytics, information technology, health care related field or medical coding . OR . High school diploma. Medical coding... coding . OR . High school diploma. Medical coding certificate and one (1) year of medical … more
- Molina Healthcare (Warren, MI)
- …necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the ... Emergency Medicine, Medical Surgical, or Pediatrics. Advanced Practice Nursing. Billing and coding experience. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:**… more
- Sanofi Group (Lansing, MI)
- …subject matter expert relating to product procurement, buy & bill processes, billing and coding , financial assistance offerings, patient support, access, payer ... relates to medical payer policy requirements, buy & bill processes, billing and coding education, claims and adjudication by site of care, financial assistance… more
- J&J Family of Companies (Detroit, MI)
- …expertise with both pharmacy and medical/buy & bill benefits (as applicable), coding , and billing . + Reimbursement or relevant managed care experience ... experience + Advanced degree and/or relevant certifications in prior authorization and/or billing and coding + Strong market access acumen as it relates to payer… more
- McLaren Health Care (Grand Blanc, MI)
- …in healthcare related field + Two years of case management or utilization review, billing , or coding experience * Three years of recent experience doing third ... observation) based on medical necessity. 2. Maintains current knowledge of hospital billing processes and participates in the resolution of retrospective billing … more
- Cardinal Health (Lansing, MI)
- …training, mentorship, and performance evaluations for AR follow-up staff. + Coordinate with billing , coding , and other departments to address claim issues and ... Business, or related field preferred + 5+ years of experience in medical billing and insurance follow-up, with 2+ years in a leadership or supervisory role… more
- Pearle Vision (Kentwood, MI)
- …* Processing insurance claim forms * Patient and insurance billing * Optometric medical billing and coding * Vision insurance billing and coding * ... medical office software, administrative office procedures, health insurance processing billing and transcription of medical reports. An Optometric Office Technician… more