- Fresenius Medical Center (Wyoming, MI)
- …insurance options: + Educates on the availability of alternative insurance options (ie, Medicare , Medicaid , Medicare Supplement, State Renal programs and ... insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not...track work progress on caseloads; Analyzes patient reports from billing systems as an audit check to ensure the… more
- Starfish Family Services, Inc. (Westland, MI)
- …timely, pleasant, professional manner. + Maintains a working knowledge of 3rd party billing procedures for Medicare , Medicaid , MCPN and commercial insurance ... companies. + Monitors failed claims and authorization reports and notifies staff of authorization requirements. + Monitors monthly client enrollment reports and other compliance reports as designated by supervisor. + Confirms all intake appointments within 1-2… more
- Molina Healthcare (Detroit, MI)
- …according to the SIU's standards. Position must have thorough knowledge of Medicaid / Medicare /Marketplace health coverage audit policies and be able to apply ... data from all types of healthcare providers that bill Medicaid / Medicare /Marketplace. **KNOWLEDGE/SKILLS/ABILITIES** + Ensure investigators are managing their… more
- Cardinal Health (Lansing, MI)
- …Schedule: Monday - Friday, 8:00 AM - 4:30 PM EST **_What Contract and Billing contributes to Cardinal Health_** Contracts and Billing is responsible for finance ... and vendor contract administration customer and vendor pricing, rebates, billing (including drop-ships), processing chargebacks and vendor invoices and developing… more
- Humana (Lansing, MI)
- …Activation Principal coordinates, implements, and manages oversight of the company's Medicare / Medicaid Stars Program for aligned areas. The Stars Improvement ... efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large.… more
- Molina Healthcare (Grand Rapids, MI)
- …representatives in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). M-F from 8am - 4:30pm EST ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (MI)
- …Act** cases in accordance with the standards and requirements of Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Responsible for ... coordination of benefits (COB), subrogation and eligibility criteria. * Experience with Medicaid and Medicare claims denials and appeals processing, and… more
- Molina Healthcare (MI)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Manages team ... complicated claims, COB and DRG/RCC pricing). * Experience with Medicaid and Medicare claims denials and appeals...related vocational program in health care (ie, certified coder, billing , or medical assistant). To all current Molina employees:… more
- Henry Ford Health System (Troy, MI)
- …of the call center productivity. + Ensure compliance with the Centers for Medicare & Medicaid Services (CMS) and other regulatory agency guidelines, such ... Primary Objectives To supervise, organize and coordinate the HMO, Medicare Advantage and Federal Government call center operations associated with HAP's Customer… more
- Cardinal Health (Lansing, MI)
- …and executing audit plans. + Expert-level knowledge and application of Medicare / Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC ... and manages compliance audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services. This… more