- Henry Ford Health System (Troy, MI)
- …practices focusing on revenue cycle integrity. The RI Specialist understands hospital payor contracts and reimbursement methodologies. Works collaboratively with ... Integrity staff to identify charge system weakness, recommends changes, provide education, and tracks utilization. Due to its service...issues at a high level. + Knowledge of Medicare, Medicaid , Medicaid OPPS reimbursement , and… more
- Gentiva (Okemos, MI)
- …hospice agency promptly if unable to complete F2F visits as scheduled. + May provide F2F coverage for multiple provider numbers with approval. **About You** ... supportive team, flexible weekday schedule, competitive compensation and mileage reimbursement . **Key Responsibilities:** + Perform and complete physical assessments… more
- University of Michigan (Ann Arbor, MI)
- …and privileging following the strict requirements of Centers for Medicare and Medicaid (CMS), The Joint Commission (TJC), the National Committee for Quality ... each contracted plan, leveraging the contracts to expedite enrollment and reimbursement . + Using knowledge, creativity, and ingenuity, identifies and implements… more
- Henry Ford Health System (Detroit, MI)
- …interdisciplinary teams. Knowledge of CMS, commercial payer requirements and hospital financial/ reimbursement processes desired. Excellent written/verbal ... years MSW Case Management in a large acute care hospital setting. GENERAL SUMMARY: The Case Manager SW provides...required. Knowledge of child and adult protection laws, state Medicaid guidelines, NASW code of ethics (professional standards), and… more
- State of Michigan (MI)
- …survey and certification activities on behalf of the Centers for Medicare and Medicaid Services (CMS). The health care surveyor position performs surveys for covered ... (LTC) providers, specifically nursing homes, county medical care facilities, and hospital long term care units. The position conducts onsite, initial certification… more
- Molina Healthcare (MI)
- …modeling current and future contract rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. * Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
- Molina Healthcare (Detroit, MI)
- …modeling current and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. + Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
- Trinity Health (Chelsea, MI)
- …exam. + Complete patient related documentation in accordance with department and hospital policy. + Study is reviewed and completed in medical record according ... of problems related to safety, sanitation and maintenance of the environment. Provide quality patient care by considering the age specific, development and cultural… more
- Molina Healthcare (Warren, MI)
- …(UB04/1500 form). * Advanced understanding of key managed care concepts and provider reimbursement principles such as risk adjustment, capitation, FFS ... from functional areas such as finance, health care services and provider contracting to translate analytic observations into meaningful clinical/operational actions… more
- Trinity Health (Chelsea, MI)
- …of information acquired pertaining to patient, physicians, employees, and visitors. + Provide quality patient care by considering the age specific, developmental and ... largest Catholic healthcare organizations in the country + Tuition Reimbursement Click Here (http://www.trinityhealthmichigan.org/careers/working-here/) to learn more about the… more