- Trinity Health (Spring Lake, MI)
- …the clinical condition of residents, ensuring proper care planning, and maximizing Medicare and Medicaid reimbursement . **Key Responsibilities:** + ... RAI (Resident Assessment Instrument) process and care planning. + Knowledge of Medicare , Medicaid , and reimbursement procedures related to MDS. + Excellent… more
- Humana (Lansing, MI)
- …The Senior Business Intelligence Engineer will develop and maintain expertise in Medicaid reimbursement methodologies rooted in complex grouping concepts (EAPG, ... Business Intelligence Engineer will be responsible for: + Researching state-specific Medicaid reimbursement methodologies for hospitals and facilities +… more
- Henry Ford Health System (Troy, MI)
- …and resolve issues at a high level. + Knowledge of Medicare , Medicaid , Medicaid OPPS reimbursement , and other third- party billing rules/coverage, ... integrity. The RI Specialist understands hospital payor contracts and reimbursement methodologies. Works collaboratively with Revenue Integrity staff to identify… more
- Humana (Lansing, MI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... local authorities. This role also involves ensuring compliance with various Medicaid Services programs to assess network provider qualifications. The ideal candidate… more
- AmeriHealth Caritas (Detroit, MI)
- …psychosocial needs. This role ensures that care is delivered by Centers for Medicare & Medicaid Services (CMS), state, and organizational guidelines, within the ... with chronic conditions or disabilities. + Strong understanding of Medicare - Medicaid Plan Long-Term Services and Supports (MMP...you and your dependents on Day 1, 401(k) tuition reimbursement , and more. \#HM ; ; ; As a… more
- Humana (Sterling Heights, MI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... us put health first** Are you passionate about the Medicare population, looking for an opportunity to work in...Paid Holidays + 401(k) retirement savings plan + Tuition reimbursement and/or scholarships for qualifying dependent children + And… more
- Elara Caring (Ludington, MI)
- …at branch locations to meet patient needs. + Ensures compliance of current Medicare , Medicaid , and third-party reimbursement regulations and changes. ... to make a difference + Competitive compensation package + Tuition reimbursement for full-time staff and continuing education opportunities for all employees… more
- Intermountain Health (Lansing, MI)
- …are appropriately recorded, reviewed, and reconciled. Reviews or prepares monthly Medicare and Medicaid contractual allowance calculations using technically ... filed timely and that the methodologies used on the reports optimize reimbursement and are appropriately documented. Interacts with Medicare Administrative… more
- Elara Caring (Adrian, MI)
- …compliance with all federal, state, and local regulations along with current Medicare , Medicaid , and third-party reimbursement regulations and changes. ... to make a difference + Competitive compensation package + Tuition reimbursement for full-time staff and continuing education opportunities for all employees… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- …access, billing, and coding in rare disease + Strong knowledge of Centers for Medicare & Medicaid Services (CMS) policies and processes, especially Medicare ... **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert... Manager (FRM) serves as the subject-matter expert on reimbursement , access, and coverage issues for our products, primarily… more