- Trinity Health (Livonia, MI)
- …Type:** Full time **Shift:** **Description:** At the direction of the Regional Manager and Supervisor, Coding, this position is responsible for implementation and ... discrepancies in coding and abstracting to the Regional Supervisor and Regional Manager . Assists with denials, complex coding cases, claim edits and errors, and… more
- Molina Healthcare (Ann Arbor, MI)
- …answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. + Ensures that adequate staffing coverage is present ... leadership with monitoring and oversight of Molina's contracted Pharmacy Benefit Manager (PBM) for pharmacy contractually delegated functions. + Responsible for key… more
- Fresenius Medical Center (Battle Creek, MI)
- …ongoing performance of other PCT's. + Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards through education ... or state specific certification as defined by Center for Medicaid /Medicare (CMS)Allappropriatestatelicensure,education,andtraining(ifany) required. + Demonstrated commitment to organization culture,… more
- Marshfield Clinic (Iron Mountain, MI)
- …from the effective date of awarded position (per section 19.05).** + Manager is waiving experience requirement and posting as training opportunity.** **Marshfield ... excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must immediately notify… more
- Marshfield Clinic (Iron Mountain, MI)
- …and provides direction for our trauma systems. Works collaboratively with the ED Manager for the overall coordination of the clinical systems, processes, & the ... excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must immediately notify… more
- Marshfield Clinic (Marquette, MI)
- …excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must immediately notify ... his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program** **.**… more
- Marshfield Clinic (Iron Mountain, MI)
- …excluded from participation in any federally funded program, including Medicare and Medicaid . This is a condition of employment. Employee must immediately notify ... his/her manager or the Health System's Compliance Officer if he/she is threatened with exclusion or becomes excluded from any federally funded program** **.**… more
- Molina Healthcare (Detroit, MI)
- …and have a high level of customer service. Previous experience in Medicare, Medicaid , and/or Managed Care is very helpful. Top notch communication skills, both ... collaborate internally and externally with members, providers, team members, and manager . Basic understanding of managed healthcare systems and Medicare. **PREFERRED… more
- Humana (Lansing, MI)
- …Certified Information Systems Security Professional (CISSP), Certified Information Security Manager (CISM), Certified Information Systems Auditor (CISA) or other ... are leading to a better quality of life for people with Medicare, Medicaid , families, individuals, military service personnel, and communities at large. **Equal… more
- Elara Caring (Sturgis, MI)
- …with all federal, state, and local regulations along with current Medicare, Medicaid , and third-party reimbursement regulations and changes. + Assures the continuity ... able to lift 50-100 lbs. You will report to the Branch Director, Clinical Manager , Clinical Supervisor or designee. \#LI-KZ1 _We value the unique skills of veterans… more