- R1 RCM (Detroit, MI)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials Mitigation Lead, you will play a critical role in reducing ... claim denials and optimizing revenue cycle processes. Every day you...perform root cause analysis, and develop strategies to mitigate denials . To thrive in this role, your expertise will… more
- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing ... craft appeal letters to resolve any insurance company medical denials . To thrive in this role, you must excel...and have strong critical thinking and problem-solving capabilities. Prior Denials or AR experience in Hospital or Physician claims… more
- University of Michigan (Ann Arbor, MI)
- Rev Cycle Business Analyst Sr.- PB Denials Apply Now **Job Summary** We are seeking a detail-oriented and analytical Revenue Cycle Business Analyst to join our team. ... RQLs and billing teams to address and resolve claim denials and rejections. + Develop and implement strategies to...267925 **Working Title** Rev Cycle Business Analyst Sr.- PB Denials **Job Title** Financial or Bus Analyst Sr **Work… more
- R1 RCM (Southfield, MI)
- …workflow orchestration. As our **Operations Support 1** , you will help our Denials /AR team by submitting the required documents for prepared appeals. Every day you ... will review and gather medical documentation and successfully submit it to insurance payers. To thrive in this role, you must have excellent organizational skills and strong attention to detail. Prior healthcare experience and proficiency in basic computer… more
- Corewell Health (Watervliet, MI)
- …for obtaining necessary prior authorizations, submitting documentation to appeal denials , and educating clinicians regarding proper documentation for all Inpatient ... clinical outcomes, and maximize reimbursement. Collaborate with coding, billing, denials and other departments as needed.Monitor CMS/insurance updates, regulations… more
- Trinity Health (Ann Arbor, MI)
- **Employment Type:** Full time **Shift:** **Description:** Responsible for coordinating denials with Patient Business Service (PBS) center and ensures compliant and ... complete clinical documentation, assists with denials and related audits, and identifies opportunities for revenue optimization. Investigates denials and root… more
- Banner Health (MI)
- …Inpatient Facility Coding department. If you have experience with DRG and PCS coding/ denials /audits, we want to hear from you. **Requirements:** + **5 years recent ... proper diagnostic and procedure code assignments. Collaborates on DRG and coding denials , billing edits/rejections to provide coding expertise to resolve issues and… more
- Cardinal Health (Lansing, MI)
- …system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + Processes denials ... judgement in any changes that may need to be made. + Processes denials & rejections for re-submission (billing) in accordance with company policy, regulations, or… more
- R1 RCM (Detroit, MI)
- …help support clinicians who conduct a comprehensive review of clinical denials and formulate appeals based on clinical documentation, evidence-based medical ... documentation supporting patient care as well as conceptual knowledge of the denials landscape. Proficiency in basic computer skills is essential for excelling in… more
- Molina Healthcare (Detroit, MI)
- …and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory guidelines for appeals ... and denials . + Strong verbal and written communication skills To all current Molina employees: If you are interested in applying for this position, please apply… more