- Henry Ford Health System (Detroit, MI)
- …+ Medical billing background, preferred. + Understanding of Medicare and Medicaid regulations and rules with a background in coordination of benefits, preferred. ... GED equivalent. Associates degree is preferred. + General knowledge base of billing requirements and rules. + Comprehensive knowledge of insurance coverage generally… more
- Trinity Health (Muskegon, MI)
- …diploma or equivalent required. Associates Degree preferred. + One year of hospital billing and/or collection experience required or 1 year of experience in hospital ... required in one or more of the following disciplines - Patient Billing / Accounting, Accounts Receivable Management, or Patient Access. Patient Access candidates need… more
- McLaren Health Care (Flint, MI)
- …health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health ... two (2) years' experience in managed care claims operations or provider billing functions. + Valid state driver's license, reliable transportation, and automobile… more
- McLaren Health Care (Flint, MI)
- …health plan, working with the State of Indiana and Centers for Medicare and Medicaid Services to bring you the Hoosier Healthwise and Healthy Indiana Plan health ... HMO, PPO, TPA, PHO and Managed Care claims operations or provider billing functions. + Valid state driver's license, reliable transportation, and automobile… more
- Marshfield Clinic (Iron Mountain, MI)
- …experience in a healthcare setting working in a reception or billing role. Experience with Health Information Management system. **CERTIFICATIONS/LICENSES** _The ... hospital information when appropriate. Monitors the hospital alarm system. Performs billing support aide, clerical and data entry for different departments of… more
- Henry Ford Health System (Troy, MI)
- …call center productivity. + Ensure compliance with the Centers for Medicare & Medicaid Services (CMS) and other regulatory agency guidelines, such as NCQA. + ... satisfaction in complaint resolution. + Coordinate with Marketing, Membership & Billing , Pharmacy, and Finance Divisions in the resolutions of service related… more
- Humana (Lansing, MI)
- …complex data sets within large organizations + Experience working with Claims, Billing and Reconciliation or related healthcare data + Expertise in Microsoft Office ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Highmark Health (Lansing, MI)
- …duties as specified. + Identify and report improper coordination of benefit billing practices through paid clams review. + Participate as pharmacy representative in ... formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across multiple states. They… more
- Cognizant (Lansing, MI)
- …to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing resulting in denials and/or delays in payment. . ... on the review of clinical documentation in accordance with Medicare, Medicaid , and third-party guidelines. . Effectively document and log claims/appeals information… more
- Marshfield Clinic (Iron Mountain, MI)
- …experience in a healthcare setting working in a reception or billing role. Experience with Health Information Management system. **CERTIFICATIONS/LICENSES** _The ... excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must immediately notify… more