- Intermountain Health (Lansing, MI)
- …Classification of Diseases ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a hospital. It ensures accurate ... communication and presentation skills. AND Demonstrated knowledge of government benefits and regulations related to Medicare, Medicaid or the...which is why we provide our caregivers a generous benefits package that covers a wide range of programs… more
- Acosta Group (Southfield, MI)
- …assigned to the demo program. * Can effectively communicate the features and benefits of the product. * Ability to prepare and serve food samples including ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you… 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 ... future. In return, ITC is proud to offer industry-leading compensation, benefits and opportunities to channel your energy into community-changing solutions. As… more
- Acosta Group (Southfield, MI)
- …assigned to the demo program. * Can effectively communicate the features and benefits of the product. * Ability to prepare and serve food samples including ... to perform the essential duties. _Responsibilities With Regard to Workers' Compensation Claims :_ You are responsible for reporting all employment related injury you… more
- Corewell Health (Grand Rapids, MI)
- …will support the organization's cost containment efforts specific to medical claims payment and drive payment integrity performance. This position is responsible ... Payment Integrity Strategy. + Develop/sustain and engagement model between the Claims integrity function and other business units within the organization. +… more
- Molina Healthcare (Grand Rapids, MI)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... for all PI solutions. + Lead efforts to improve claim payment accuracy, claim referrals, adjustment analysis...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- Molina Healthcare (MI)
- …and financial outcomes for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies understanding of… more
- Molina Healthcare (Sterling Heights, MI)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... SAI targets are met. + Leads efforts to improve claim payment accuracy and financial performance without needing extensive...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- City of Detroit (Detroit, MI)
- …our employees. Part of the reason for the low turnover rate is the exceptional benefit package listed below. Benefits include, but are not limited to the ... Unit 9000-Non Union Salary Regular Service General + Description + Benefits + Questions Description Under general supervision, perform difficult and specialized… more
- Elevance Health (Dearborn, MI)
- …and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims ... applicable state(s). + Requires a minimum of 10 years of experience in claims auditing, quality assurance, or clinical documentation improvement, and a minimum of 5… more