• Registered Nurse - Clinical Appeals & Denials…

    Cognizant (Lansing, MI)
    …and responsibility for assigned accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well ... denial management and managing clinical denials from Providers to the Health Plan/Payer. The comprehensive process includes analyzing, reviewing, and processing… more
    Cognizant (10/09/25)
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  • Representative II, Accounts Receivable

    Cardinal Health (Lansing, MI)
    …done. **The Accounts Receivable Specialist is responsible for processing insurance claims and billing . They will work within the scope of responsibilities ... dictated below with guidance and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims :...- $22.57 per hour **Bonus eligible:** No **Benefits:** Cardinal Health offers a wide variety of benefits and programs… more
    Cardinal Health (10/10/25)
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  • Accounts Receivable, Customer Service Operations

    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
    Cardinal Health (09/05/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Dearborn, MI)
    …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... preferred: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Clinical Documentation Specialist more
    Elevance Health (09/23/25)
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  • Coding Auditor Educator-Inpatient

    Highmark Health (Lansing, MI)
    …Management Association (AHIMA) + AHIMA Credentials (Inpatient or Outpatient): Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) ... **Company :** Allegheny Health Network **Job Description :** **_*This role will...records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and… more
    Highmark Health (09/20/25)
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  • Patient Service Representative

    Trinity Health (Ann Arbor, MI)
    …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... account analysis and problem solving. Resolves patient account issues. Initiates billing and rebilling of accounts as appropriate. Under limited supervision;… more
    Trinity Health (09/17/25)
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  • Coder IV, Inpatient (Remote)

    Trinity Health (Livonia, MI)
    …HIM and Patient Business Services (PBS) teams, when needed, to help resolve billing , claims , denial, and appeals issues affecting reimbursement. 10. Maintains ... is preferred. 2. Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) is… more
    Trinity Health (09/17/25)
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  • Coder II ER (Remote)

    Trinity Health (Livonia, MI)
    …and Patient Business Services (PBS) teams, when needed, to help resolve billing , claims , denials and appeals issues affecting reimbursement. Exhibits awareness ... Coder (COC), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or Certified Coding Specialist (CCS)… more
    Trinity Health (08/01/25)
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  • Referral Coordinator

    Trinity Health (Grand Haven, MI)
    …including medical, dental, vision, paid time off and 403B + Mercy Health Physician Partners, our multi-specialty physician network, employs more than 500 physicians ... in timely fashion with proper documentation. + Works denied claims for missing prior authorization or referral within the...the EMR system. + Confirms payer is in-network with specialist . If not, contacts patient to discuss and make… more
    Trinity Health (10/04/25)
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  • Provider Contracts Manager (Skilled Nursing & Care…

    Molina Healthcare (Ann Arbor, MI)
    …and must live in Michigan _** **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible for the network strategy ... for accurate and timely maintenance of critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems… more
    Molina Healthcare (09/11/25)
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