- Prime Therapeutics (Lansing, MI)
- …drives every decision we make. **Job Posting Title** Business Intelligence Specialist - Sacramento, California market **Job Description** Delivers against business ... that may drive the creation of new data assets or information exchange in support of business needs. + Creates and/or guides the creation of database tables,… more
- Jackson County Medical Care Facility (Jackson, MI)
- …News & World Report for 2025. As a full-time Coding and Medical Records Specialist , you would be responsible to assist the RN-MDS Coordinator with the coding, ... Reimbursement: + Knowledge of the billing processes, including managing insurance claims , patient billing, and reimbursement procedures. + Understanding of the… more
- Henry Ford Health System (Troy, MI)
- …of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials ... and follows up on any claims that require a payer response. Responsible for the...team members is our priority. That's why we offer support in the various components of our team's well-being:… more
- ITC Holdings (Novi, MI)
- …with consultants supporting our business. * Investigates and processes property damage claims . * Prepares maps and drawings to support the franchising ... company property and rights-of-way. * Provides leadership, expertise and guidance in support of capital project teams. * Analyzes complex legal descriptions to… more
- Mondelez International (Farmington, MI)
- …(iDoc management, stock reconciliation), interfaces monitoring, track and trace, claims management, invoice management, compliance execution (HSE, quality, risk ... management), tenders support , third-party performance management, pallets management. **How you will...surrogacy assistance + Employee Assistance Program (EAP) for wellness support **Job specific requirements:** + Strong computer skills +… more
- 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 ... capture of appropriate codes in support of the provision of value-based care by Intermountain Healthcare to appropriate populations. It ensures compliance and… more
- McLaren Health Care (Shelby Township, MI)
- …quality results, tracking and trending of educational opportunities of the coding specialist and provides educational support and training. 6. Gathers, ... of patient care and appropriately assign codes and/or determine charges to support those services. **Essential Functions and Responsibilities As Assigned** **:** 1.… more
- Corewell Health (Grand Rapids, MI)
- …Utilization Management, and Billing Policy are effectively managed to support the organization's strategic and financial goals. Key responsibilities include: ... that saving opportunities are initiated, executed, and reported. These efforts will support the organization's cost containment efforts specific to medical claims… more
- CDM Smith (Grand Rapids, MI)
- …and Evidence Gathering: Collect and organize all necessary documentation to support claim amounts. This includes gathering invoices, receipts, contracts, ... **Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical… 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...to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partner with… more