- Presbyterian Villages of Michigan (Chesterfield, MI)
- …records. 14. VEH: Maintain Resident Trust Fund **Qualifications** 3 years' experience with Medicare , Medicaid and Third Party billing in Long Term Care. Computer ... and payments. **Responsibilities** 1. Compute rates for services rendered to complete billing documents. 2. Review documents to compute fees or charges due. 3.… more
- Henry Ford Health System (Troy, MI)
- …revenue codes to be compliant with Medicare rules and regulations, the Medicare Billing Manual, the American Medical Association, or any adopted resource ... Manual (BAM) policies with correct codes ensuring that all Medicare covered codes are found on the BAM, new...Medical Policy Team on communications issues related to compliance, billing , new procedures codes, or other matters for inclusion… more
- Molina Healthcare (Grand Rapids, MI)
- …using tools such as Department of Health and Human Services (DSHS) and Medicare billing guidelines, Molina claims processing policies and procedures, and other ... support for claims recovery activities including researching claim payment and billing guidelines, audit results, and federal regulations to determine overpayment… more
- Guidehouse (Detroit, MI)
- …various types of authoritative information. + Maintains current knowledge of Medicare , Medicaid, and other third-party payer billing compliance guidelines ... on provider/clinical documentation. + Knowledge, understanding and proper application of Medicare , Medicaid, and third-party payer UB-04 billing and reporting… more
- R1 RCM (Detroit, MI)
- …extensive knowledge in the health insurance industry (Commercial Insurances, Medicare , Medicaid); health claims billing and/or Third-Party contracts, ... utilizing knowledge of charge master, AS4, ICD-10 coding, CPT coding and EDI billing + Reads and interprets expected reimbursement information from EOB's and learns… more
- Trinity Health (Livonia, MI)
- …responsible and accountable for the processing of all regulated billing documentation meeting HCFA/MCC/JCAHO regulations and guidelines. Primary responsibilities ... front-end documentation needed to meet month end deadlines assuring accurate billing . In addition, monitors all branch regulated accounts for optimal reimbursement… more
- McLaren Health Care (Pontiac, MI)
- …to collect payment on medical bills and post to accounts. 2. May update Medicare and Medicaid cost and bad-debt reports, billing , collection and other related ... 1. Prepares bills and invoices for medical services. 2. Verifies accuracy of billing data and resolves errors. 3. Obtains insurance and financial information from… more
- Starfish Family Services, Inc. (Livonia, MI)
- …programs, eligibility requirements, and the continuum of care. + Knowledge of Medicaid, Medicare , and private insurance billing processes. + Ability to analyze ... service, compliance, and technical systems. + Ensure compliance with HIPAA, Medicaid/ Medicare , DHS requirements, and other regulatory standards. + Monitor and ensure… more
- Hart Medical Equipment (Grand Blanc, MI)
- …numbers that fall within the providership table. + Maintain current knowledge on Medicare , Medicaid, and all third party payers for equipment coverage and continued ... compliance. + Uphold positive attitude towards tasks and co-workers, as well as a commitment to teamwork throughout the documentation team and the organization. + Implement changes as requested that affect A/R and audit compliance. + Other duties as requested… more
- Genesis Healthcare (Waterford, MI)
- …eligible for licensure as required in the state of practice 3. Thorough knowledge of Medicare and third party billing required 4. Must have good verbal and ... written communication skills 5. Must possess the ability to make independent decisions and problem solve appropriately 6. Must have thorough knowledge of all state practice acts 7. Must possess the ability to positively interact with personnel, patients,… more