- Guidehouse (Detroit, MI)
- …of authoritative information. + Maintains current knowledge of Medicare , Medicaid , and other third-party payer billing compliance guidelines and ... Knowledge, understanding and proper application of Medicare , Medicaid , and third-party payer UB-04 billing and...Medicare , Medicaid , and third-party payer UB-04 billing and reporting requirements including resolution of CCI, MUE… more
- Presbyterian Villages of Michigan (Chesterfield, MI)
- …for records. 14. VEH: Maintain Resident Trust Fund **Qualifications** 3 years' experience with Medicare , Medicaid and Third Party billing in Long Term Care. ... resident's accounts. 7. Collects, organizes and maintains appropriate documentation for Medicare , Medicaid orprivate insurance companies. 8. Contact customers to… more
- 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 ... SUMMARY: Reporting to the Manager, Revenue Integrity, the Revenue Integrity Specialist identifies revenue opportunities and works collaboratively with Revenue Cycle… 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
- Trinity Health (Livonia, MI)
- …NAHAM strongly preferred Knowledge of insurance and governmental programs, regulations, and billing processes (eg, Medicare , Medicaid , managed care contracts ... an understanding of regulatory and payer changes. Special note for Physician Billing Denials Prevention - Additional nice to have qualification: 3 years revenue… 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
- 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 ... Access Services Specialist Job Details Level Entry Job Location Westland...Social Services POSITION SUMMARY: The Access & Customer Service Specialist is responsible for answering calls, determining eligibility, and… 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
- 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