- Cardinal Health (Lansing, MI)
- …right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing . They will work within the scope of ... support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by… more
- Elevance Health (Dearborn, MI)
- …experience preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more
- Henry Ford Health System (Detroit, MI)
- …measures/countermeasures. + Reviews and audits professional and facility coding and billing from all departments of HFH. + Conducts high-volume coding compliance ... guidelines. + Reports on the accuracy of CPT, E&M, ICD-10-CM/PCS coding, and billing to ensure compliance with payer, legal and procedural policies. + Provides… more
- Highmark Health (Lansing, MI)
- …activities. Reviews medical records to determine data quality and accuracy of coding, billing and documentation related to DRGs, APCs, CPTs and HCPCS Level II code ... which supports compliant coding. Interacts with external consultants regarding billing , coding and/or documentation and evaluates their recommendations and/or… more
- Morley (Lansing, MI)
- …to Have_** + Experience in medical claims reimbursements or medical billing + Conversant in health insurance industry terminology + Demonstrated knowledge ... you'll help customers, health care providers and beneficiaries navigate their health insurance questions, providing meaningful support when they need it. We'll teach… more
- Corewell Health (Grand Rapids, MI)
- …Assists with internal and external education on fraud, waste, abuse, billing and documentations requirements. Essential Functions + Responsible for investigating, ... interviews, medical records audits, data mining, perform compliance audits of medical claims , fee screens and other payment mechanism to ensure accurate payment. +… more
- Molina Healthcare (Sterling Heights, MI)
- …chart reviews and abstracts diagnosis codes + Develop an understanding of current billing practices in provider offices to ensure that diagnosis and CPT codes are ... activities with other departments in Molina including Finance, Revenue analytics, Claims and Encounters, and Medical Directors + Maintains professional and technical… more
- Trinity Health (Livonia, MI)
- …and Patient Business Services (PBS) teams, when needed, to help resolve billing , claims , denials and appeals issues affecting reimbursement. Exhibits awareness ... of Medical Necessity review guidelines for commercial, Medicare and Medicaid insurance products, including but not limited to Local Coverage Determination, National… more