- Guidehouse (Detroit, MI)
- …various types of authoritative information. + Maintains current knowledge of Medicare, Medicaid , and other third-party payer billing compliance guidelines and ... provider/clinical documentation. + Knowledge, understanding and proper application of Medicare, Medicaid , and third-party payer UB-04 billing and reporting… more
- Presbyterian Villages of Michigan (Chesterfield, MI)
- …14. VEH: Maintain Resident Trust Fund **Qualifications** 3 years' experience with Medicare, Medicaid and Third Party billing in Long Term Care. Computer Skills ... and payments. **Responsibilities** 1. Compute rates for services rendered to complete billing documents. 2. Review documents to compute fees or charges due. 3.… 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. + ... SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Specialist identifies revenue opportunities and works collaboratively with Revenue Cycle… 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 ... purposes of their quality rewards program. o Maintains accurate record of specialist referral information, provider panel status by product line, and Network's… more
- Trinity Health (Livonia, MI)
- …NAHAM strongly preferred Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare, Medicaid , managed care contracts and ... an understanding of regulatory and payer changes. Special note for Physician Billing Denials Prevention - Additional nice to have qualification: 3 years revenue… 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
- Molina Healthcare (MI)
- …accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for the comprehensive ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and knowledge of… more
- Molina Healthcare (Ann Arbor, MI)
- …with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials and requests for ... Qualifications** * Customer/provider experience in a managed care organization ( Medicaid , Medicare, Marketplace and/or other government-sponsored program), or medical… 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
- University of Michigan (Ann Arbor, MI)
- …appropriate, by applying expert knowledge, expertise, and experience. Acting as a specialist in the complex Michigan Medicine credentialing process has the authority ... and privileging following the strict requirements of Centers for Medicare and Medicaid (CMS), The Joint Commission (TJC), the National Committee for Quality… more
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