- Trinity Health (Livonia, MI)
- …Human Services (DHHS) - Office of Inspector General (OIG), Centers for Medicare & Medicaid Services (CMS), Department of Justice (DOJ) as well as input received from ... related field, or an equivalent combination of education & clinical reviews/coding/ billing experience. Minimum of three years of experience including clinical… more
- Henry Ford Health System (Troy, MI)
- …and federal and state regulations related to rules/coverage. + Knowledge of Medicare, Medicaid , Blue Cross and other third-party payers billing and reimbursement ... healthcare revenue cycle, finance, clinical areas or related experience. + Hospital billing and healthcare finance background, preferred. Ability to work with and… more
- Trinity Health (Livonia, MI)
- …modifiers. Utilizes coding guidelines established by: + The Centers for Medicare/ Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ... knowledge of Medical Necessity review guidelines for commercial, Medicare and Medicaid insurance products, including but not limited to Local Coverage Determination,… more
- Molina Healthcare (Ann Arbor, MI)
- …with other Core Ops areas of responsibilities) within Medicare and Medicaid . Role is predicated on building relationships with vendors, stakeholders, functional ... Level Agreements between the parties. **Job Duties** + Develops Medicare and Medicaid vendor strategies aligned with CMS and State regulations, including contract… more
- Molina Healthcare (Grand Rapids, MI)
- …and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications** ... + 5+ years of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans + Analytical work experience… more
- 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
- ManpowerGroup (Marquette, MI)
- …to claims and claims payment for all lines of business including Medicaid , Medicare, and commercial. + Addresses all provider claims and payment-related inquiries ... including benefits, eligibility, billing , and authorizations. + Develops relationships with providers by...certification. + Preferred: 1-2 years of medical office or claims/ billing experience and familiarity with medical terminology. **What's in… more
- Marshfield Clinic (Iron Mountain, MI)
- …registration, scheduling, gathering of statistical information and ordering/ billing /accounting as assigned. **JOB QUALIFICATIONS** **EDUCATION** _For positions ... experience in a healthcare setting working in a reception, scheduling or billing role. Direct customer service experience. Experience working with a Health… 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
- CVS Health (Lansing, MI)
- …focus on meeting state, federal, and company requirements while identifying concerning billing patterns or trends. **Responsibilities:** + Lead and mentor a team of ... findings and ensure the team articulates findings effectively to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers, and state… more