- Datavant (Lansing, MI)
- Datavant is a data platform company and the world's leader in health data exchange. Our vision is that every healthcare decision is powered by the right data, at the ... our bold vision for healthcare. As an **Inpatient Auditing Specialist ** you will be instrumental in addressing consulting and...be responsible for reviewing and validating DRGs specific to Medicare and Medicare Managed Care. Interest in… more
- Sumitomo Pharma (Lansing, MI)
- Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the US (Sumitomo Pharma America, Inc.), focused on addressing patient ... dynamic, highly motivated individual for the position of **Multi-Specialty Portfolio Specialist /Associate Portfolio Specialist .** This position is being posted… more
- Elevance Health (Dearborn, MI)
- **eCOB Specialist II** **Location** : This role enables associates to work virtually full-time, with the exception of required in-person training sessions, providing ... from 8:00 am - 4:30 pm EST. The **eCOB Specialist II** is responsible for researching and investigating other...researching and investigating other coverage for all of the company 's groups and members on multiple platforms. Fully proficient… more
- Highmark Health (Lansing, MI)
- ** Company :** Highmark Inc. **Job Description :** **JOB SUMMARY** This job will deliver value to the Health Plan, and its beneficiaries enrolled in Risk Adjusted ... government programs such as Medicare Advantage (MA) and Affordable Care Act (ACA), using...(CPC) + Certified Risk Coder (CRC) + Certified Coding Specialist (CCS) + Registered Health Information Technician (RHIT) **Preferred**… more
- Guidehouse (Detroit, MI)
- …revenue cycle support services through efficient review and timely resolution of assigned Medicare and third party payer accounts that are subject to pre-bill claim ... various types of authoritative information. + Maintains current knowledge of Medicare , Medicaid, and other third-party payer billing compliance guidelines and… more
- Integra Partners (Troy, MI)
- JOB OVERVIEW Our Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while maintaining ... cycle objectives + Stay informed on product information, changes in Medicare /State/Contract funding procedures, and updates in policies and procedures + Contribute… more
- ChenMed (Eastpointe, MI)
- …terminology, CPT, HCPCS and ICD coding desired + An understanding of the company 's patient population, including the complexities of Medicare programs + ... and complete tasks in a timely manner. + An understanding of the company 's patient population, including the complexities of Medicare programs + Detail-oriented… more
- Presbyterian Villages of Michigan (Chesterfield, MI)
- …accounts. 7. Collects, organizes and maintains appropriate documentation for Medicare , Medicaid orprivate insurance companies. 8. Contact customers to obtain ... information. 9. Answer resident or resident family inquiries regarding private, Medicare , Medicaid orprivate insurance billings. 10. Admits, discharges or transfers… more
- CenterWell (Lansing, MI)
- …shifts twice a month.** + **Available to work 3 holidays a year.** The E-Referral Specialist is an integral part of the referral process as this role is the initial ... and adhere to all regulatory compliance areas, policies and procedures and company best practices. **Use your skills to make an impact** **Required… more
- Humana (Ann Arbor, MI)
- …caring community and help us put health first** The Community Engagement Specialist (Community Management Professional 2) builds visibility and credibility of the ... for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance. **Description of Benefits** Humana, Inc. and its… more