- Molina Healthcare (Sterling Heights, MI)
- …requests + Understanding of billing and coding procedures + Experience with Medicaid , Medicare, and Marketplace claims To all current Molina employees: If you ... are interested in applying for this position, please apply through the Internal Job Board. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V. Pay Range: $21.16 - $38.37 /… more
- Molina Healthcare (MI)
- …driving successful launches of new processes, systems, and operational models across Medicaid , Medicare, and Marketplace lines of business. We are seeking a leader ... with proven experience in **launch planning, execution, and post-implementation stabilization** . **Key responsibilities include:** + Leading operational readiness efforts for new processes, systems, and operational initiatives across provider data and… 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
- Gentiva (Monroe, MI)
- …to apply hospice principles, industry standards, and regulatory compliance (Medicare, Medicaid , JCAHO, ACHC) + Knowledge and compassion for terminally ill patients ... and their families + Ability to lead a diverse care team while adapting to the emotional and clinical needs of patients from various backgrounds + Strong interpersonal, organizational, and leadership skills + Competency in clinical documentation and technology… more
- Wayne State University (Detroit, MI)
- …or resources with local and state agencies. Maintain current knowledge of Medicaid /Medicare and other Health Insurance Plans. Performs data entry into Electronic ... Medical Records, Care Ware, and other database systems. Monitor and track patient supportive services. Create required program reports. Works with patients on addressing payment concerns or unpaid invoices. Collaborate with clinic leadership and program… more
- Molina Healthcare (Ann Arbor, MI)
- …standards and requirements established by the Centers for Medicare and Medicaid . **KNOWLEDGE/SKILLS/ABILITIES** + Enters denials and requests for appeal into ... information system and prepares documentation for further review. + Research issues utilizing systems and other available resources. + Assures timeliness and appropriateness of appeals according to state and federal and Molina Healthcare guidelines. + Requests… 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
- 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
- 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