- Elara Caring (Alma, MI)
- …with all federal, state, and local regulations along with current Medicare, Medicaid , and third-party reimbursement regulations and changes. + Assures the continuity ... of quality patient care is delivered. + Maintains communication with clinical staff providing updates and changes in schedules, patient data or needs, physician orders, or special instructions. + Assures clinical notes are entered timely and indicates… more
- Molina Healthcare (Detroit, MI)
- …member outreach (telephonically and/or face-to-face). + Guides members to maintain Medicaid eligibility and with other financial resources as appropriate. + 50-80% ... local travel may be required. Reliable transportation required. **JOB QUALIFICATIONS** **REQUIRED EDUCATION:** HS Diploma/GED **REQUIRED EXPERIENCE:** * Minimum 1 year experience working with underserved or special needs populations, with varied health,… more
- Henry Ford Health System (Detroit, MI)
- …functions required. Knowledge of child and adult protection laws, state Medicaid guidelines, NASW code of ethics (professional standards), and confidentiality and ... privacy, as applicable to the area of specialty is desired. Ability to demonstrate knowledge and skills necessary to provide care appropriate to the patient population(s) served. Ability to demonstrate knowledge of the principles of growth and development over… more
- Cardinal Health (Lansing, MI)
- …billing practices, payer guidelines, and reimbursement methodologies (commercial, Medicare, Medicaid ). + Proven leadership and team management abilities. + ... Analytical mindset with the ability to interpret data and make strategic decisions. + Excellent communication and interpersonal skills. + Proficiency in billing and practice management software (eg, Athena, G4 Centricity, etc.). + Strong organizational skills… more
- AmeriHealth Caritas (Detroit, MI)
- …regulatory requirements. + Ensure provider contracts comply with pricing methodologies, Medicaid fee schedules, and internal payment systems. + Resolve complex ... contracting issues and ensure non-standard terms are properly communicated and approved. + Oversee the accuracy, timeliness, and compliance of all provider contracts. + Implement electronic strategies to enhance claims submission and auto-adjudication… more
- Cardinal Health (Lansing, MI)
- …of managed care contracts and fee schedules, including Medicare and Medicaid preferred + Experience with computerized billing software and interpreting EOBs ... preferred + Working knowledge of ICD-9/ICD-10, CPT, HCPCS, and CPT coding preferred + Knowledge of medical terminology + Familiar with Chemotherapy and Radiation Billing **Anticipated hourly range:** $21.00- $26.87 USD Hourly **Bonus eligible:** No… more
- Allegan County (Allegan, MI)
- …and care to individuals and families, in coordination with health care providers, Medicaid health plans, and local and state agencies. + Complies with Performance ... Expectation and Development Guide. + Performs medical/clinical interventions, services and specimen collection to include but not limited to medication and vaccine administration, lab draws, culture and urine collection. Education: -Licensed Practical Nurse… more
- Public Consulting Group (Lansing, MI)
- …+ Develop expertise in federal and state funding requirements, including Title IV-E, Medicaid , and TANF. + Assist in the design and implementation of major project ... phases, including financial modeling and cost-benefit analysis. + Participate in data collection activities, including fiscal research and stakeholder interviews. + Contribute to proposal development, including writing and coordinating submissions with a… more
- Molina Healthcare (Grand Rapids, MI)
- …Current State Medical License without restrictions (free of sanctions from Medicaid or Medicare) **PREFERRED EDUCATION:** Master's in Business Administration, Public ... Health, Healthcare Administration, etc. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION:** Board Certification (Pediatrics, Family Practice, Ob/Gyn or Internal Medicine). **PHYSICAL DEMANDS:** Working environment is generally favorable and lighting and… more
- Trinity Health (Chelsea, MI)
- …of having a double, five-star rating from the Centers for Medicare and Medicaid Services. **Our Commitment** Rooted in our Mission and Core Values, we honor ... the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an… more