- State of Michigan (Gaylord, MI)
- …Review permit applications; conduct field investigations; and prepare reports, permits, denials , and correspondence relative to land and water use activities and ... field investigations, holding public hearings and meetings; issuing permits and denials ; testifying as a witness; evaluating violations of the statutes; and… more
- Intermountain Health (Lansing, MI)
- …insurance eligibility, securing prior authorization and managing authorization related denials to ensure patient financial health. **Essential Functions** + ... related insurance eligibility, benefits, authorization; follow-up on appeals and denials when requested + Contacts patient/provider when authorization is unsecured… more
- Molina Healthcare (Grand Rapids, 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)
- …workflows, research and identification of root causes resulting in edits and denials , development of error prevention initiatives, and coordination with CBO staff, ... billing. + One (1) year of experience with resolving insurance payer denials . + Experience with both technical (UB) and professional (1500) billing, preferred.… more
- Trinity Health (Livonia, MI)
- …reimbursement and compliance management as it relates to coding. Assists with denials management, complex case resolution and may perform coding tasks as directed. ... coding and abstracting to the Regional Supervisor and Regional Manager. Assists with denials , complex coding cases, claim edits and errors, and may perform coding… more
- Cardinal Health (Lansing, MI)
- …products leverage data analysis and workflow automation to prevent claim denials , streamline enrollment in patient assistance programs, and optimize hospital-managed ... to medications. They also help healthcare systems minimize claim rejections and denials , navigate patient assistance programs, and reduce the cost of providing care… more
- Trinity Health (Livonia, MI)
- …reimbursement and compliance management as it relates to CDI. Assists with denials management, complex case resolution and may perform CDI reviews as directed. ... education for clinicians. Works closely with Clinicians, Coding, Quality and Denials teams to facilitate documentation within the medical record and supports… 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 (Warren, MI)
- …by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation ... for further review. + Research issues utilizing systems and other available resources. + Assures timeliness and appropriateness of appeals according to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes, and/or… more
- R1 RCM (Detroit, MI)
- …experience working as a (position title):** + Investigates and examines source of denials utilizing knowledge of charge master, AS4, ICD-10 coding, CPT coding and ... EDI billing + Reads and interprets expected reimbursement information from EOB's and learns legal parameters pertaining to all State and Federal Laws that pertain to the plan benefits pertaining to the EOB + Works closely with third party payers to resolve… more