- Deloitte (Lansing, MI)
- …will end on August 29th, 2025. Work you'll do + Lead employee benefits diagnostic/planning studies, especially in pharmacy + Provide subject matter expertise on the ... program offering and cost management solutions + Own the process of preparing benefits plan design and pricing studies + Implement competitive vendor search and… more
- Henry Ford Health System (Jackson, MI)
- …teams for reimbursement and billing purposes. The CBO Coding Certified Specialist accurately abstracts information from the electronic health record for compilation ... PRINCIPLE DUTIES AND RESPONSIBILITIES: + Successfully executes resolving accounts in SVC, claim edit, charge review, follow up, and denial work queues. + Identifies… more
- Corewell Health (Farmington Hills, MI)
- …4 times per year. Join our team at Corewell Health as an RN Clinical Risk Specialist Senior and play a pivotal role in shaping the future of healthcare quality and ... of patient related injuries and manage the resolution of pre-notice claims . Essential Functions + Reviews and provides recommendations regarding the development… more
- Trinity Health (Howell, 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 ... for and obtains authorization for treatment /procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. At… more
- University of Michigan (Ann Arbor, MI)
- Pre-Certification Specialist Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of ... Work at Michigan Medicine and become a victor for the greater good. **What Benefits can you Look Forward to?** + Excellent medical, dental and vision coverage… more
- Sedgwick (Detroit, MI)
- …advanced AI-enabled technology available, sets the standard for solutions in claims administration, loss adjusting, benefits administration, and product recall. ... Fortune Best Workplaces in Financial Services & Insurance Disability Clinical Specialist **PRIMARY PURPOSE** : To perform clinical evaluations, consult providers and… more
- Trinity Health (Howell, MI)
- …obtains authorization for treatment / procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. Provides ... for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and… more
- Henry Ford Health System (Troy, MI)
- …information, partnering with legal to review bankruptcies, assisting with Coordination of Benefits , third party liability claims , etc. 5. Initiates and resolves ... and adding or removing balances to/from external collection agencies, coding errors, claim filing errors, etc. 6. Effectively discusses the patients' options for… more
- Henry Ford Health System (Troy, MI)
- …SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Specialist identifies revenue opportunities and works collaboratively with Revenue Cycle ... other more senior Revenue Integrity leaders, the Revenue Integrity (RI) Specialist is responsible for multiple Revenue Integrity initiatives involving multiple… more
- Henry Ford Health System (Troy, MI)
- …SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Principal Specialist has an important role in a high-profile group tasked with improving ... other more senior Revenue Integrity leaders, the Revenue Integrity (RI) Principal Specialist is responsible for the most complex clinical departments and practices… more