- Centene Corporation (Lansing, MI)
- …to improve HEDIS measures and provides education for HEDIS measures and coding . Supports the implementation of quality improvement interventions and audits in ... gaps they have when in the providers office for medical appointments. Schedules doctor appointments on behalf of the...practices in appropriate HEDIS measures, and HEDIS ICD-10 /CPT coding in accordance with NCQA requirements. + Assesses provider… more
- Cardinal Health (Lansing, MI)
- …of healthcare data, including clinical data, patient demographics, and claims data. Understanding of HIPAA and other relevant regulations, preferred. + ... Center of Excellence (AI CoE), we are pushing the boundaries of healthcare with cutting-edge Data Science and Artificial Intelligence (AI). Our mission is… more
- Henry Ford Health System (Troy, MI)
- …leading a designated area within the CBO across a multi-facility integrated healthcare delivery system; which includes all insurance billing and self-pay associated ... are verified for accuracy prior to claim submission Managing authorization related denied claims to ensure the highest rate of payment recovery possible Acts as a… more
- Henry Ford Health System (Troy, MI)
- …process-improvement development so frontline departments can prevent errors, submit clean claims , and resolve denials quickly and accurately. A core prevention ... and/or consultative experience. + Three (3) years management experience with healthcare accounts receivable required. + Knowledge of best practices related to… more
- Henry Ford Health System (Troy, MI)
- …cycle process improvement experience required. + Prior experience in a healthcare revenue cycle position required. + Billing/ coding certificate preferred. ... completeness of patient financial, insurance and demographic information to ensure compliant claims are sent to payers. The Sr. Specialist works independently to… more
- Henry Ford Health System (MI)
- …are verified for accuracy prior to claim submission + Managing authorization related denied claims to ensure the highest rate of payment recovery possible + Acts as ... Accounting, or related field preferred. + Two years of experience with healthcare accounts receivable required. + Knowledge of best practices related to revenue… more
- CVS Health (Lansing, MI)
- …data interpretation and analysis experience. + Healthcare background. + Experience with internal claims data and healthcare coding . + Must be able to ... to our competitive wages, our great benefits include: + **Affordable medical plan options,** a **401(k) plan** (including matching company contributions), and… more
- Oracle (Lansing, MI)
- **Job Description** Oracle Health Applications & Infrastructure (OHAI) is transforming healthcare by leveraging AI and advanced technologies to deliver automated, ... revenue cycle management capabilities, such as charge capture, contract management and claims generation. As a Senior Member of Technical Staff, you will collaborate… more
- Cognizant (Lansing, MI)
- …teams. **In this role, you will:** . Perform comprehensive follow-up on hospital claims to resolve outstanding accounts receivable. . Analyze denial trends and root ... causes, including National Correct Coding Initiative (NCCI) edits and payer-specific technical policies. . Prepare and submit appeal documentation to address denials… more
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