- 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 (Southfield, MI)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Operations Support Supervisor, based on-site in Michigan, you ... and proficiency in MS Excel. **Here's what you will experience working as a Denials & AR Operations Support Supervisor, based on-site in Michigan:** + Complete daily… 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
- Trinity Health (Farmington Hills, MI)
- …**POSITION PURPOSE** Work Remote Position (Pay Range: $19.2123-$28.8184) Performs the day-to-day billing and follow-up activities within the revenue operations for an ... assigned Patient Business Services (PBS) location. Serves as a member of the billing and follow-up team assigned to a PBS location responsible for billing and follow-up of government and non-government accounts. Provides training and guidance to lower level… 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
- 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
- Henry Ford Health System (Troy, MI)
- …and developing timely denial follow up processes and identifying solutions to prevent denials . Oversee follow up to ensure all claims are resolved or responded to ... Monitors and maintains acceptable work queue volumes ,for DNB's, Claim edits, Denials and follow up EDUCATION AND EXPERIENCE: + Associates degree in Business… more
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