- Trinity Health (Muskegon, MI)
- …to the agency's clients as authorized by their physician and in compliance with the state's professional practice act for speech pathologists, any applicable ... to the mission and Organizational Code of Ethics, and adhere to the Compliance Program. + The duties and responsibilities described are not a comprehensive list… more
- Elara Caring (Ypsilanti, MI)
- …exercise program providing requests for modification and clarification. + Promotes compliance with all fiscal intermediary and/or other third-party payers, through ... problems to the appropriate Supervisor. + Maintains current knowledge of, and ensures compliance with all federal, state, and local regulations along with current … more
- Molina Healthcare (MI)
- …review. The position may also work with other internal departments, including Compliance , Corporate Legal Counsel, and Medical Officers in order to achieve and ... the state of New York as needed. + Ensures compliance with applicable contractual requirements, and federal and state...+ Knowledge of Managed Care and the Medicaid and Medicare programs as well as Marketplace. + Understanding of… 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,...Implement changes as requested that affect A/R and audit compliance . + Other duties as requested by Management. QUALIFICATIONS… more
- Trinity Health (Ann Arbor, MI)
- …hire and ongoing as new systems and processes are created. Maintains compliance with HIPAA and other regulatory requirements throughout all activities. Protects the ... of insurance and governmental programs, regulations and billing processes ( Medicare , Medicaid, Social Security Disability, Champus, and Supplemental Security Income… 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 of ... Approval(R) for Hospital Accreditation by demonstrating continuous compliance with its performance standards. Learn more atwww.mylakehuron.com. As a member of Prime… more
- Banner Health (MI)
- …assurance for medical records. For all assigned records and/or areas assures compliance with coding rules and regulations according to regulatory agencies for state ... Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG)...make needed corrections and ensure accurate coding, reimbursement, and compliance . 7. Provides mentoring for less experienced staff members… more
- Humana (Lansing, MI)
- …scope, quality + In-depth knowledge of Medicaid regulations, policies, and compliance requirements. + Proven experience in managing cross-functional teams and ... to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities...the policy of Humana to take affirmative action, in compliance with Section 503 of the Rehabilitation Act and… more
- Molina Healthcare (Detroit, MI)
- …Molina Healthcare's overall mission, core values, and strategic plan and in compliance with all relevant federal, state, and local regulations. Provider Services ... for the provider training, network management and ensuring knowledge of and compliance with Molina healthcare policies and procedures while achieving the highest… more
- Marshfield Clinic (Iron Mountain, MI)
- …interdisciplinary team to ensure continuity of care, timely documentation, and compliance with regulatory and safety standards. Services are provided in accordance ... been or be excluded from participation in any federally funded program, including Medicare and Medicaid. This is a condition of employment. Employee must immediately… more