- Evolent (Lansing, MI)
- …in a non-clinical setting? Join our Utilization Management team as a Field Medical Director, Cardiovascular Specialist and use your expertise in interventional ... endovascular procedures, implantable cardiac devices, etc) that do not initially meet medical necessity guidelines or require further evaluation by a subject matter… more
- Henry Ford Health System (Detroit, MI)
- …coding practices; prepares reports of findings and meets with providers and medical office staff to provide education and training on accurate coding practices ... FDR oversight activities, Quality Management, Care Management, and/or Grievances and Appeals . + Demonstrated experience at a professional level, in an audit… more
- Trinity Health (Livonia, MI)
- …Clinic for International Classification of Diseases, Clinical Modification + The American Medical Association _(AMA_ ) for CPT codes and CPT Assistant + American ... (PBS) teams, when needed, to help resolve billing, claims, denial and appeals issues affecting reimbursement. Maintains CEUs as appropriate for coding credentials as… more
- Adecco US, Inc. (Detroit, MI)
- …Reimbursement Manager include but are not limited to:** * Educate medical offices on reimbursement processes, including benefit investigation and prior authorization ... Provide patient access support related to claims, denials, and appeals * Facilitate training on payer landscape and hub...5:00 PM (field-based) * Weekly paycheck * Dedicated Onboarding Specialist & Recruiter * Access to Adecco's Aspire Academy… more
- Trinity Health (Livonia, MI)
- …and Reporting + The American Hospital Association (AHA) Coding Clinic + The American Medical Association (AMA) for CPT codes and CPT Assistant + The American Health ... assign ER and Observation charges and hours, based on medical record documentation, if performed by HIM at a...when needed, to help resolve billing, claims, denials and appeals issues affecting reimbursement. Exhibits awareness of health record… more
- Trinity Health (Livonia, MI)
- …(PBS) teams, when needed, to help resolve billing, claims, denial, and appeals issues affecting reimbursement. 10. Maintains CEUs as appropriate for coding ... Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) is required. Page 3 3. Three (3) years of… more
- Cardinal Health (Lansing, MI)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist II is responsible for processing insurance claims and billing. They will ... system. + Manages and resolves complex insurance claims, including appeals and denials, to ensure timely and accurate reimbursement....benefits and programs to support health and well-being. + Medical , dental and vision coverage + Paid time off… more