- Molina Healthcare (MI)
- …and financial outcomes for all PI solutions. + Leads efforts to improve claim payment accuracy, claim referrals, adjustment analysis and financial performance ... thought partner to health plan leadership and provide well-reasoned recommendations that support short- and long-term business goals. + Partners with Network to… more
- Molina Healthcare (Sterling Heights, MI)
- **Job Description** **Job Summary** Provides lead level support as a highly capable business analyst who serves as a key strategic partner in driving health plan ... operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to...SAI targets are met. + Leads efforts to improve claim payment accuracy and financial performance without needing extensive… more
- Trinity Health (Livonia, MI)
- …researches and resolves claim edits that occur after coding to support timely final claims submission. Assigns appropriate code(s) by utilizing coding ... and procedures codes, APCs, CPT, HCPCS codes, modifiers, internal edits and claim edits that could impact hospital reimbursement. Interprets bundling and unbundling… more
- Banner Health (MI)
- …expertise to resolve issues and support appropriate reimbursement. Proficiency in claims software to address coding edits and claim denials utilizing ... for anywhere from 1 - 3 months according to individual needs, with continued support throughout your career here! This is a fully remote position and available if… more
- Trinity Health (Livonia, MI)
- …Inpatient health records utilizing encoder software and consistently uses online tools to support the coding process and references to assign ICD codes, MS-DRG, APR ... the coding process, to assess the presence of clinical evidence/indicators to support diagnosis code and MS-DRG, APR DRG assignments to potentially decrease denials.… more
- Morley (Saginaw, MI)
- …where you interacted with customers_ **_What's Involved_** + _As an Administrative Support Coordinator at Morley in Saginaw, Michigan, you'll manage inbound and ... help you most in this role? The kind of support and fulfillment you can find? One of our...Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 8 am… more
- University of Michigan (Ann Arbor, MI)
- …CPT, and HCPCS coding systems. + Collaborate with medical coder compliance specialist , providers and medical staff for clarification and to ensure completeness of ... timely to abide by university policies. + Educate providers and clinical support staff on new or incorrect billing opportunities. + Responsible for managing… 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
- Morley (Lansing, MI)
- …care providers and beneficiaries navigate their health insurance questions, providing meaningful support when they need it. We'll teach you everything you need to ... know to confidently support callers via phone and email. Your ability to...Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist : careers.morleycompanies.com | chat hours: 8 am - 5… more
- Molina Healthcare (Ann Arbor, MI)
- …in the specific programs supported by the plan such as Utilization Review, Medical Claims Review, Long Term Service and Support , or other specific program ... of a formal appeal being submitted. + Independently re-evaluates medical claims and associated records by applying advanced clinical knowledge, knowledge of… more