- Henry Ford Health System (Troy, MI)
- …at a high level. + Knowledge of Medicare , Medicaid , Medicaid OPPS reimbursement, and other third- party billing rules/coverage, preferred. + General ... revenue cycle, finance, clinical areas or related experience, required. + Hospital billing and finance background, preferred. + Ability to work with and interpret… more
- Wayne State University (Detroit, MI)
- …services or resources with local and state agencies. Maintain current knowledge of Medicaid / Medicare and other Health Insurance Plans. Performs data entry into ... Collaborate with clinic leadership and program finance representatives regarding billing concerns related to clinical services. Supports check-in and check-out… more
- Molina Healthcare (Ann Arbor, MI)
- …in accordance with the standards and requirements established by the Centers for Medicare and Medicaid Services (CMS). **Essential Job Duties** * Enters denials ... Qualifications** * Customer/provider experience in a managed care organization ( Medicaid , Medicare , Marketplace and/or other government-sponsored program), or… more
- McLaren Health Care (Detroit, MI)
- …outside regulatory agencies, such as HIPAA, PCMH, OSHA, CLIA and the Centers for Medicare and Medicaid Services (CMS) * Respond to emergency situations quickly ... / completion. Communications include but are not limited to inquiries from billing company, email, Parknet messaging, calendar, Team Leader Summary, etc. * Perform… more
- Gentiva (Grand Rapids, MI)
- …and self-motivation. + In-depth knowledge of palliative medicine principles, Medicare / Medicaid regulations, value-based care, and interdisciplinary processes. + ... clinical documentation meets standards to support medical practice and billing compliance. + Monitor and report on palliative medicine...+ Experience with value-based care models and Part B billing preferred. + Ability to work autonomously in an… more
- Humana (Lansing, MI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... investigations of reported, alleged or suspected fraud involving Florida's Medicaid Program. The Fraud and Waste Professional 2 coordinates investigation… more
- Humana (Lansing, MI)
- …efforts are leading to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel, and communities at large. ... Intelligence Engineer position will be supporting BI work for our Medicare organizations. **Senior Business Intelligence Engineer** : + Develops and maintains… more
- Cognizant (Lansing, MI)
- …Director based on the review of clinical documentation in accordance with Medicare , Medicaid , and third-party guidelines. . Effectively document and log ... to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing resulting in denials and/or delays in payment. .… more
- Henry Ford Health System (Jackson, MI)
- …to insurances for but not limited to, Motor Vehicle accidents, Workmen Compensation, Medicaid , Group Health Plans, BCBS and Medicare . + Ability to create, ... years of revenue cycle experience including but not limited to billing , registration/insurance verification, point of service collection related experience is… more
- Henry Ford Health System (Detroit, MI)
- …self-directed environments. + Medical billing background, preferred. + Understanding of Medicare and Medicaid regulations and rules with a background in ... GED equivalent. Associates degree is preferred. + General knowledge base of billing requirements and rules. + Comprehensive knowledge of insurance coverage generally… more