- Corewell Health (Watervliet, MI)
- …review of medical records and collaboration with interdisciplinary teams, including billing , coding, and medical team members. Also responsible for obtaining ... IRF-PAI tool including transmission of records to the Centers for Medicare and Medicaid Services (CMS) and other insurances as needed. Monitor and educate clinicians… more
- Trinity Health (Howell, MI)
- …analysis, problem solving and resolution of patient account issues. Initiates billing and rebilling of accounts as appropriate Interviews patients and gathers ... Interprets information collected to determine and create comprehensive visit-specific billing records. Determines need for and obtains authorization for… more
- Jackson County Medical Care Facility (Jackson, MI)
- …the coding, documentation and data management, and knowledge and understanding of billing and reimbursement processes for residents at Jackson Country Medical Care ... + Familiarity with data integrity, data quality, and documentation standards. + Billing and Reimbursement: + Knowledge of the billing processes, including… more
- Henry Ford Health System (Troy, MI)
- …legislation and regulations, reviews and interprets records, newsletters, bulletins, ( billing and remittance) to comply with third party regulations. This ... includes knowledge of Medicare/ Medicaid regulations as well as understanding of managed care...contracts. 15.Actively participates in ongoing monitoring process to identify billing problems related to the CDM to include: evaluation… more
- J&J Family of Companies (Flint, MI)
- …and affordability solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care, Commercial). + Execute business in accordance with the ... both pharmacy and medical/buy & bill benefits (as applicable), coding, and billing . + Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill,… more
- J&J Family of Companies (Grand Rapids, MI)
- …and affordability solutions across multiple payer types and plans (ie, Medicare, Medicaid Managed Care, Commercial). + Execute business in accordance with the ... both pharmacy and medical/buy & bill benefits (as applicable), coding, and billing . + Reimbursement or relevant managed care experience (revenue cycle, buy-and-bill,… more
- Humana (Lansing, MI)
- …3 or more years of healthcare experience in revenue cycle management (related to billing , coding, collections for Medicare and Medicaid claims) + Experience with ... federal and/or state requirements related to Provider Clinic operations, billing , investigations, and processes. Coordinates site visits for regulators, coordinates… more
- CVS Health (Lansing, MI)
- …state, federal and company requirements are met and recognize any concerning billing patterns or trends. Activities include: - Conduct a comprehensive medical record ... review to ensure billing is consistent with medical record. - Provide detailed...- Must be able to articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, state… more
- University of Michigan (Ann Arbor, MI)
- …Assessment Instrument (IRF-PAI) in accordance with Centers for Medicare and Medicaid Services. This individual utilizes specialty knowledge of IRF Medicare rules ... and regulations to support compliant billing for all cases discharged from the 40 bed,...IRF PPS and IRF-PAI to ensure compliance and proper billing . This includes participating in the operationalization of annual… more
- Trinity Health (Walker, MI)
- …service experience required, including a minimum of two years of medical billing experience with an understanding of Medicare, Medicaid , Health Maintenance ... privileging functions; acts as a liaison for providers and the professional billing office in regard to credentialing and privileging processes. Provides dedicated… more