- University of Michigan (Ann Arbor, MI)
- …and guidelines. + Ability to submit clean claims and collect from private insurers, Medicaid and Medicare . **Modes of Work** Positions that are eligible for ... a highly motivated Senior Billing Clerk/Patient Account Representative to join our Medicaid / Medicaid HMO Hospital Billing Team. Responsible for accurate claim… more
- CenterWell (Lansing, MI)
- …+ Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/ Medicare / Medicaid Experience a plus + Current nursing ... experience; + Prior clinical experience, managed care experience, DME, Florida Medicaid **OR** utilization management experience + Demonstrates Emotional Maturity +… more
- Ensono (Detroit, MI)
- …US Citizenship and pass related background checks including but not limited to Medicare and Medicaid and VA **Preferred Skills:** + Experience with secure ... experience and a strong background in implementing and maintaining Centers for Medicare & Medicaid Services (CMS) security standards and compliance requirements.… more
- Trinity Health (Livonia, MI)
- …required modifiers. Utilizes coding guidelines established by: + The Centers for Medicare / Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding ... modifiers. Maintains current knowledge of Medical Necessity review guidelines for commercial, Medicare and Medicaid insurance products, including but not limited… more
- Molina Healthcare (Grand Rapids, MI)
- …their financial and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job ... + 5+ years of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans + Analytical work… more
- University of Michigan (Ann Arbor, MI)
- …Facility Patient Assessment Instrument (IRF-PAI) in accordance with Centers for Medicare and Medicaid Services. This individual utilizes specialty knowledge ... of IRF Medicare rules and regulations to support compliant billing for...role in quality and process improvement initiatives directly impacting reimbursement and documentation quality. **Responsibilities **IRF-PAI Data Management** +… more
- Cardinal Health (Lansing, MI)
- …insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare , Medicaid , Managed Care, and ... + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred… more
- Munson Healthcare (Traverse City, MI)
- …functions of our multisite Home Care offices. You'll ensure regulatory compliance ( Medicare , Medicaid , CHAP), manage budgets, set and meet key performance ... 3 years home care/hospice + Proven management experience + In-depth knowledge of Medicare / Medicaid regulations; CHAP standards preferred We're Looking For + A… more
- State of Michigan (MI)
- …to perform survey and certification activities on behalf of the Centers for Medicare and Medicaid Services (CMS). The health care surveyor position performs ... Qualifications Test (SMQT) in accordance with the Centers for Medicare and Medicaid Services' standards and procedures....develop your career, programs are available to apply for reimbursement of up to $2,000 a year for education… more
- Corewell Health (Watervliet, MI)
- …all aspects of IRF-PAI tool including transmission of records to the Centers for Medicare and Medicaid Services (CMS) and other insurances as needed. Monitor and ... Job Summary Responsible for ensuring optimal reimbursement through analytical review of medical records and collaboration with interdisciplinary teams, including… more