- 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
- Carrington (Lansing, MI)
- …and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation on all liquidated loans. Identify ... informed of all trends and problems including, but not limited to, claim denials /curtailments and claim payment offsets. + Moderate working knowledge of all Default… more
- Carrington (Lansing, MI)
- …team and work from home!** The Loss Mitigation Underwriting Quality Control Specialist primary responsibilities consist of reviewing the accuracy of work performed ... by the Loss Mitigation Underwriters including the review of approvals, denials , income calculations and final conversion calculations. Incumbent will review… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: The Support Specialist is a support role crucial in the centralized Payor Audit department for Medical Record request submissions, appeal tracking, ... and resolution process. Responsible for obtaining and tracking approvals, denials , and additional information requests received from third party payers within the… more
- Molina Healthcare (Ann Arbor, MI)
- …for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and requests for appeals into information system and prepares documentation for ... further review. * Researches claims issues utilizing systems and other available resources. * Assures timeliness and appropriateness of appeals according to state, federal and Molina guidelines. * Requests and obtains medical records, notes, and/or detailed… more
- Henry Ford Health System (Troy, MI)
- …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 billing and collection of payments for all Henry Ford Health System hospitals, outpatient clinics and employed physicians. + High school diploma or equivalent required. + Two years of experience in an office environment or healthcare-related field,… more
- Cardinal Health (Lansing, MI)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... system. + Manages and resolves complex insurance claims, including appeals and denials , to ensure timely and accurate reimbursement. + Processes denials … more
- McLaren Health Care (Shelby Township, MI)
- …companies regarding unreleased and unprocessed bills. + As assigned, Insurance Specialist will be responsible for developing relationships and working with ... Analyst of edits that needs to be built and Denials Rep for denial trends. + Coordinates and monitors...Age Trial Balance Report monthly. + As assigned, Billing Specialist will be responsible for developing relationships and working… more
- Trinity Health (Livonia, MI)
- …within their region. Provides direct oversight of the Clinical Documentation Specialist and Clinical Documentation Integrity Coordinator. Working with the Regional ... directly responsible for the daily assessments of current Clinical Documentation Specialist staffing levels and processes. Ensures that defined goals are… more
- Cardinal Health (Lansing, MI)
- **Remote Hours: Monday - Friday** **_What Accounts Receivable Specialist Lead contributes to Cardinal Health_** The Accounts Receivable Team Lead performs day-to-day ... and training as appropriate. + Accurately conveys information regarding billing/ denials trends which will aide individual departments requiring billing. +… more