- Humana (Lansing, MI)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Banner Health (MI)
- …with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General ... (OIG) and the Health Care Financing Administration (HCFA), as well as company and applicable professional standards. Ability to address related and complex matters independently with regard to interpretation of coding guidelines. 4. Acts as a knowledge… more
- Humana (Lansing, MI)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Fresenius Medical Center (Albion, MI)
- …certification or state-specific certification as defined by the Center for Medicaid /Medicare (CMS)AII appropriate state licensure, education, and training (if any) ... required. + Demonstrated commitment to organization culture, values, and customer service standards. + Attendance and active participation in all applicable preceptor training programs as established by education leadership. + Attends Fresenius and publicly… more
- McLaren Health Care (Flint, MI)
- …health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health ... insurance programs. Learn more about MDwise, Inc. at https://www.mdwise.org/ . **Position Summary:** This position will be responsible for daily provider telephone calls which will include problem solving, eligibility, benefit, and resolution of claims issues.… more
- Humana (Lansing, MI)
- …are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal ... Opportunity Employer** It is the policy of Humana not to discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, marital status, genetic information,… more
- Henry Ford Health System (Grand Blanc, MI)
- …not limited to: Blue Cross, HMO's, PPOs, private insurance companies, Medicare and Medicaid , and private pay patients. + Receive and records payments for hospital ... and medical services rendered. + Maintains petty cash fund. Balances cash drawer, prepares cash reports and bank deposits daily. Essential Functions: + Must pass a data entry proficiency test for speed and accuracy. + Proficient in medical terminology,… more
- Molina Healthcare (Clinton Township, MI)
- …license (RN) in the state of MI. This position will support our MMP ( Medicaid Medicare Population) that is part of the Community Well team. This position will ... have a case load and manage members enrolled in this program. We are looking for Registered Nurses who have experience working with manage care population and/or case management role. Excellent computer skills and diligence are especially important to… more
- Integra Partners (Troy, MI)
- …communication and organizational skills. + Experience with Medicare and Medicaid requirements. + Familiarity with DMEPOS authorization and appeals processes. ... + Knowledge of medical necessity criteria (InterQual, CMS, health plan policies). + Prior leadership, supervisory, or team lead experience in a UM setting. Benefits Offered + Competitive compensation and annual bonus program + 401(k) retirement program with… more
- Highmark Health (Lansing, MI)
- …formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across multiple states. They ... must also be familiar with Medicare drug benefit design offerings that may differ by state, while being familiar with applicable federal rules/regulations that remain consistent throughout the nation **Skills** + Excellent computer skills such as working… more
Recent Jobs
-
Acute Inpatient Patient Care Technician - PCT Ccht - Dialysis
- Fresenius Medical Center (Moline, IL)