- Wondr Health (Lansing, MI)
- …and driving revenue growth. **Preferred Qualifications** + Experience working with Medicare , Medicaid , or Commercial health plans. + Familiarity with ... AND ABILITIES** **:** + Deep understanding of health plan operations, reimbursement models, and regulatory considerations. + Strong negotiation and contract… more
- CVS Health (Lansing, MI)
- …clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and ... (Reliable transportation required - Mileage is reimbursed per our company expense reimbursement policy) + Ability to work independently + Effective computer skills… more
- CVS Health (Warren, MI)
- …clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and ... and Macomb Counties. Mileage is reimbursed per our company expense reimbursement policy + Demonstrates proficiency with standard corporate software applications,… more
- Prime Therapeutics (Lansing, MI)
- …a healthcare or PBM organization, or other highly regulated industry, including experience with Medicare , Medicaid , and the Affordable Care Act (ACA) + Must be ... resolve regulatory inquiries/complaints related to claims, contracting and pharmacy reimbursement . Works directly with business partners across the enterprise.… more
- Munson Healthcare (Gaylord, MI)
- …Medical Practice Business Associate role. + Experience with Blue Cross/Blue Shield, Medicare , Medicaid , and other insurance coverage. + Familiarity with ... first year) + Holidays off and paid for most clinics. + Tuition reimbursement and ongoing educational opportunities + Retirement savings plan with employer match and… more
- Trinity Health (Howell, MI)
- …Knowledge of insurance and governmental programs, regulations and billing processes ( Medicare , Medicaid , Social Security Disability, Champus, and Supplemental ... diagnosis, procedure, date, and physician signature to minimize risk to hospital reimbursement . Accurately uses the patient search feature to find the correct… more
- Trinity Health (Howell, MI)
- …physicians to assure accuracy for claims submission and adjudication of reimbursement . Verifies insurance eligibility with payors. Determines benefits and ensures ... Assist (scanning patient documents) EMDEON (eligibility verification, copays), UGS ( Medicare ), WebDenis (Blue Cross), HAP, Priority Health, NaviNet (Aetna, Cigna),… more
- CVS Health (Dearborn, MI)
- …clinical models. You can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and ... transportation required. Mileage is reimbursed per our company expense reimbursement policy. + Demonstrates proficiency with standard corporate software… more
- Fresenius Medical Center (Lapeer, MI)
- …material assist devices for the heavier items. **EDUCATION** + Center for Medicaid / Medicare Services (CMS)-approved state and/or national certification or High ... * Rated Newsweek's Most Loved Workplaces. * Paid Dialysis Training * Tuition reimbursement * Competitive Pay & Benefits - Eligible for healthcare benefits 30 days… more
- Prime Healthcare (Port Huron, MI)
- …Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal ... for staff education and FIM recertification. Transmits data to CMS for reimbursement , maintains transmission log and coordinates this with coders and patient… more