- Carrington (Lansing, MI)
- **Come join our amazing team and work remote from home!** The Claims Recovery & Loss Analysis Specialist is responsible for performing financial reconciliation ... 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
- Molina Healthcare (Grand Rapids, MI)
- …(COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and...guidelines for appeals and denials . * Customer service experience. * Strong organizational and… more
- Molina Healthcare (MI)
- …(COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No...guidelines for appeals and denials . * Customer service experience. * Strong organizational and… more
- Molina Healthcare (Detroit, MI)
- …benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory ... to ensure that internal and/or regulatory timelines are met. + Research claims appeals and grievances using support systems to determine appeal and grievance… more
- Molina Healthcare (Ann Arbor, MI)
- JOB DESCRIPTION Job Summary Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating ... for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and requests for appeals into information system and prepares documentation for… more
- Henry Ford Health System (Detroit, 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. ... Expert knowledge in all claims processing, including claims submissions , denials , and follow up...Two years of experience in an office environment or healthcare -related field, required. + Prior experience in a … more
- Henry Ford Health System (Troy, MI)
- …to a multi-disciplinary team with the objective of sending out clean quality claims and working and preventing denials . EDUCATION/EXPERIENCE REQUIRED: + High ... the supervisor with escalated issues. The CBO Coding Senior Specialist confirms the accuracy and completeness of coding to...the accuracy and completeness of coding to ensure compliant claims are sent to payers. The CBO Coding Senior… 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. ... Two years of experience in an office environment or healthcare -related field, required. + Prior experience in a ...healthcare -related field, required. + Prior experience in a healthcare revenue cycle position, preferred. + Knowledge of Medical… more