- 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 (Warren, MI)
- …by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into information system and prepares documentation ... of appeals according to state and federal and Molina Healthcare guidelines. + Requests and obtains medical records, notes,...and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists… more
- Henry Ford Health System (Jackson, MI)
- …teams for reimbursement and billing purposes. The CBO Coding Certified Specialist accurately abstracts information from the electronic health record for compilation ... the revenue cycle process related to hospital and professional claims processing. Demonstrates expertise in the following areas: SVC,...in the following areas: SVC, claim edits, charge review, denials , and follow up. + Represents CBO Coding in… 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
- Molina Healthcare (Sterling Heights, MI)
- …reported accurately to maintain compliance and to minimize risk and denials . **KNOWLEDGE/SKILLS/ABILITIES** + Performs on-going chart reviews and abstracts diagnosis ... activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical… more
- Banner Health (MI)
- …Proficiency in claims software to address coding edits and claim denials utilizing multiple platforms and internal tracking tools. Provides findings for use as ... 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… more
- Trinity Health (Livonia, MI)
- …support diagnosis code and MS-DRG, APR DRG assignments to potentially decrease denials . 5. Works Inpatient claim edits and may code consecutive/combined accounts to ... when consulting with physicians, Clinical Documentation Specialists (CDS) or other healthcare providers when additional information is needed for coding and/or to… more
- Trinity Health (Livonia, MI)
- …Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denials and appeals issues affecting reimbursement. Exhibits awareness of ... Modification diagnosis and procedure codes, and Current Procedural Terminology / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required… more
- Adecco US, Inc. (Detroit, MI)
- …benefit investigation and prior authorization * Provide patient access support related to claims , denials , and appeals * Facilitate training on payer landscape ... foot in the door with a company focused on healthcare innovation and patient access. If Field Reimbursement Manager...5:00 PM (field-based) * Weekly paycheck * Dedicated Onboarding Specialist & Recruiter * Access to Adecco's Aspire Academy… more
- Trinity Health (Livonia, MI)
- …Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denials and appeals issues affecting reimbursement. Exhibits awareness of ... Modification diagnosis and procedure codes, and Current Procedural Terminology / Healthcare Common Procedure Coding System (HCPCS) procedure codes and all required… more