- 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
- 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
- Elara Caring (Ludington, MI)
- …to meet patient needs. + Ensures compliance of current Medicare, Medicaid , and third-party reimbursement regulations and changes. Identifies and reports potential ... payment/coverage problems. + Supervises and coordinates utilization review activities. + Participates in strategic development of Key Accounts, including participation in weekly, monthly, and quarterly review meetings, as needed. + Ensures accuracy of all… more
- Marshfield Clinic (Iron Mountain, MI)
- …excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must immediately notify ... his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program.** **Marshfield Clinic Health System is an Equal** **Opportunity/Affirmative** **Action employer. All… more
- Molina Healthcare (Grand Rapids, MI)
- …identifying Utilization mgmt. trends and monitor pair mix. + Experience with Medicaid contract analytics is highly preferred. + Experience working on Managed care ... analytics and healthcare reimbursement models is required. + Must be able to work in a cross functional team. **JOB QUALIFICATIONS** **Required Education** Bachelor's Degree in Finance, Economics, Computer Science **Required Experience** + 6+ years of… more
- Trinity Health (Muskegon, MI)
- …and check-out, as applicable. * For provider based locations, provide Medicare & Medicaid patients with Notice of Beneficiary Co-Insurance Letter. * Works tasks or ... worklists to fix any patient information that impedes the billing process. **Revenue Cycle Reconciliation** * Performs all front office and revenue cycle assignments. * Creates time of service batch and links to daily deposit batch. Reconciles balances 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
- Henry Ford Health System (Southfield, MI)
- …of home infusion policies and procedures preferred. + Knowledge of Medicare/ Medicaid enteral nutrition requirements preferred. + Knowledge of Insurance payer ... requirements and coverage preferred. + Strong interpersonal skills are required to communicate effectively with medical personnel and staff; to obtain information from and explain dietetic restrictions to patients and families; and to design and conduct… more