- Walgreens (Grand Haven, MI)
- …and maintaining front end and pharmacy asset protection techniques, and filing claims for warehouse and vendor overages (merchandise received, but not billed), ... for non-returnable ABC overstock. Verifies posting of all pharmacy/ prescription claims . + Completes execution of all pricing activities including price changes,… more
- Molina Healthcare (Sterling Heights, MI)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... participates in special projects as requested. **JOB QUALIFICATIONS** **Required Education** Associate degree in Business or equivalent combination of education and… more
- Henry Ford Health System (Bingham Farms, MI)
- Join Henry Ford Health as a Pharmacy Billing Specialist and make an exciting impact on patient care. GENERAL SUMMARY: Schedule: Full Time Day Shifts The Pharmacy ... Billing Specialist is responsible for the Henry Ford Pharmacy patients...support to internal and external customers regarding pharmacy copays, claims rejections, rebills, etc. + Verifies patient insurance coverage… more
- Acosta Group (Novi, MI)
- **DESCRIPTION** **Overview** The Associate is responsible for completing in-store food and non-food demonstrations. Acquires and maintains knowledge of products ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you… more
- Henry Ford Health System (Troy, MI)
- …enrollment periods, outreach activities and corporate initiatives. EDUCATION/EXPERIENCE REQUIRED : + Associate degree or a minimum of four (4) years of recent and ... various Microsoft programs + Fundamental understanding of HMO/PPO/POS delivery system and claims billing + Must be able to work flexible shifts, overtime including… more
- ITC Holdings (Novi, MI)
- …with consultants supporting our business. * Investigates and processes property damage claims . * Prepares maps and drawings to support the franchising process, as ... database system. **REQUIREMENTS** **Related** **Education Requirement** * Bachelor's or Associate 's degree preferred, or relevant, equivalent experience and/or education.… more
- Trinity Health (Livonia, MI)
- …edit features to resolve edits prior to completing coding. Interprets, researches and resolves claim edits that occur after coding to support timely final claims ... and procedures codes, APCs, CPT, HCPCS codes, modifiers, internal edits and claim edits that could impact hospital reimbursement. Interprets bundling and unbundling… more
- Trinity Health (Livonia, MI)
- …and MS-DRG, APR DRG assignments to potentially decrease denials. 5. Works Inpatient claim edits and may code consecutive/combined accounts to comply with the 72-hour ... Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial, and appeals issues affecting reimbursement. 10. Maintains CEUs as… more
- Highmark Health (Lansing, MI)
- …and other related software. + Strong analytical and communication skills Preferred + Associate 's Degree + 3 years with claims processing and data management ... and ensures compliance with DRG/APC structure and regulatory requirements. Performs periodic claim form reviews to check code transfer accuracy from the abstracting… more
- University of Michigan (Ann Arbor, MI)
- …Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals Specialist has a strong knowledge of medical appeal and audit practices for ... about insurance requirements and medical billing practices. The Appeals Specialist will collaborate with multiple departments to maintain compliance with… more