- Starfish Family Services, Inc. (Westland, MI)
- …pleasant, professional manner. + Maintains a working knowledge of 3rd party billing procedures for Medicare, Medicaid , MCPN and commercial insurance companies. ... + Monitors failed claims and authorization reports and notifies staff of authorization requirements. + Monitors monthly client enrollment reports and other compliance reports as designated by supervisor. + Confirms all intake appointments within 1-2 business… more
- Cardinal Health (Lansing, MI)
- …Schedule: Monday - Friday, 8:00 AM - 4:30 PM EST **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is responsible for finance ... and vendor contract administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing… more
- Fresenius Medical Center (Wyoming, MI)
- …+ Educates on the availability of alternative insurance options (ie, Medicare, Medicaid , Medicare Supplement, State Renal programs and COBRA). + Ensures patients ... options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining Medicare eligibility… more
- Cardinal Health (Lansing, MI)
- …and manages compliance audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services. This ... documentation and coding related to physician or hospital (inpatient and outpatient) billing and/or medical necessity reviews. + Prepares written reports of audit… more
- Molina Healthcare (Detroit, MI)
- …according to the SIU's standards. Position must have thorough knowledge of Medicaid /Medicare/Marketplace health coverage audit policies and be able to apply them in ... providers and recipients. The position will review claims data, medical records, and billing data from all types of healthcare providers that bill Medicaid… more
- Henry Ford Health System (Jackson, MI)
- …maintaining up-to-date payor information, and providing patient support for Medicaid redetermination and enrollment. PRINCIPLE DUTIES AND RESPONSIBILITIES: * Ensures ... aligned to Network. * Performs outreach to patients due for Medicaid redetermination, provides education to patients on process, answers questions, assists… more
- Henry Ford Health System (Troy, MI)
- …resolve issues at a high level. + Knowledge of Medicare, Medicaid , Medicaid OPPS reimbursement, and other third- party billing rules/coverage, preferred. + ... revenue cycle, finance, clinical areas or related experience, required. + Hospital billing and finance background, preferred. + Ability to work with and interpret… 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 ... Collaborate with clinic leadership and program finance representatives regarding billing concerns related to clinical services. Supports check-in and check-out… more
- Humana (Lansing, MI)
- …Principal coordinates, implements, and manages oversight of the company's Medicare/ Medicaid Stars Program for aligned areas. The Stars Improvement Principal ... Operations encompasses critical functions including care coordination, quality measurement, billing , claims processing, and customer service, each essential to… more
- Molina Healthcare (Grand Rapids, MI)
- …accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST will require to work 1 ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more