- Henry Ford Health System (Jackson, MI)
- …obligations. The role performs further credentialing functions including resolving claims issues, assisting with onboarding new practices, and conducting audits ... Network. * Serves as the point of contact for Network practices to address claims issues with Network payors by troubleshooting on behalf of the practice and working… more
- Trinity Health (Livonia, MI)
- …Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp Michigan **Status:** Full time ... ICD/CPT codes to participant health information for data retrieval, analysis, and claims processing. Duties also include abstracting and validating data from … more
- Henry Ford Health System (Troy, MI)
- …and various Microsoft programs. + Fundamental understanding of HMO/PPO/POS delivery system and claims billing . + Must be able to work flexible shifts, overtime ... considered in lieu of the degree. + Course in Medical Terminology (required completion within six months post- employment)...insurance field will be accepted in lieu of the medical technology course requirement. + Minimum of two (2)… more
- Molina Healthcare (Grand Rapids, MI)
- …be made, to ensure medical necessity and appropriate/accurate billing and claims processing. + Reevaluates medical claims and associated records by ... is required. **Job Duties** + Facilitates clinical/ medical reviews of retrospective medical claim reviews, medical claims and previously denied cases… more
- Henry Ford Health System (Troy, MI)
- …preferred. + Strong knowledge of ICD-10-CM coding and guidelines. + Knowledge of medical billing and third-party payer regulations. + Knowledge of CMS programs, ... revenue codes to be compliant with Medicare rules and regulations, the Medicare Billing Manual, the American Medical Association, or any adopted resource used… more
- Elevance Health (Dearborn, MI)
- …or quality assurance environment preferred. + Broad, deep and niche knowledge of medical claims billing /payment systems provider billing guidelines, ... **DRG Coding Auditor Principal** is responsible for auditing inpatient medical records on claims paid based on...Registered Health Information Technician, CCS as a Certified Coding Specialist , CIC as a Certified Inpatient Coder, or Certified… more
- Cardinal Health (Lansing, MI)
- …and prioritizes getting the right things done. **_Responsibilities_** + Submitting medical documentation/ billing data to insurance providers + Researching and ... appealing denied and rejected claims + Preparing, reviewing, and transmitting claims using billing software including electronic and paper claim processing +… more
- Cardinal Health (Lansing, MI)
- …through billing and collections. Job Purpose: The Patient AR Specialist is responsible for managing and resolving outstanding patient balances, ensuring the ... Practice Operations Management oversees the business and administrative operations of a medical practice. Revenue Cycle Management manages a team focused on a series… more
- University of Michigan (Ann Arbor, MI)
- …of patient care and front-end workflows. + Experience performing financial and billing data reviews; claim and medical record reviews; analyzing documentation, ... AMA guidelines, Federal and State law and National Uniform Billing Committee. Analysts work with a large variety of...and Cost Center Table (BCC) + MiChart Rules (Router, Claims Manager, Revenue Guardian, etc.) + Fee Schedules +… more
- Trinity Health (Pontiac, MI)
- …Audits, collates, summarize and submits documents/charting to the Anesthesia professional billing service. Responsible for audit, verification and entry of ... billing of supply charges and implants for perioperative services...equivalent work experience in order to gain knowledge of medical terminology, anatomy/physiology, familiar with medications, abbreviations, chemical symbols,… more