- Trinity Health (Howell, MI)
- …interpersonal and guest-relations skills. Provides assistance to other Health System or physician offices staff regarding registration, insurance verification and ... to the relationship of the action required and the tool used. System tools include: HealthQuest Patient Management and Patient Accounting, Cerner Enterprise… more
- Corewell Health (Grand Rapids, MI)
- …+ Serves as a liaison between various departments across the Corewell Health System . + Communicates, collaborates, networks with and acts as a change agent to ... with participation on improvement initiatives + Proven experience working in Medicare environment + Certification from the Institute of Healthcare Improvement,… more
- Trinity Health (Ann Arbor, MI)
- …Responsible for distribution of analytical reports. Process Focus: Utilizes multiple system applications to perform analysis, create reports & develop educational ... of insurance and governmental programs, regulations, and billing processes (eg, Medicare , Medicaid, managed care contracts and coordination of benefits) **Additional… more
- Molina Healthcare (Warren, MI)
- …on all claims and provider databases. Staff ensure adherence to business and system requirements of internal customers as it pertains to other provider network ... Directory (including ongoing execution, QA and maintenance of supporting tables), Medicare Provider Directory preparation, and FQHC/RHC reports. + Generates other… more
- Novo Nordisk (Ann Arbor, MI)
- …impact + Demonstrates understanding of the local payer market including Medicare , Commercial and Medicaid benefit designs, Payer Coverage, Prescription Coverage ... of territory customer groups and affiliations such as IPAs, Medical Groups, Health Systems , and Local Clinics and uses this to identify business opportunities and… more
- Ensono (Detroit, MI)
- …(CMS) security standards and compliance requirements. + Experience with Fiscal Intermediary Shared System (FISS), Medicare Claims System (MCS), Clerk ID, ... Senior Systems Engineer - IAMRemote - United StatesJR012224 At...policies, regulatory requirements, and industry best practices. The IAM Specialist will also be responsible for maintaining all necessary… more
- Humana (Lansing, MI)
- …(DVACO) is an accountable care organization that participates in the Centers for Medicare and Medicaid Services' Medicare Shared Savings Program (MSSP), plus ... other commercial and Medicare Advantage value based programs. DVACO is a joint...among three stakeholders: Humana (majority owner), Main Line Health System , and Jefferson Health System . Humana takes… more
- University of Michigan (Ann Arbor, MI)
- …Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals Specialist has a strong knowledge of medical appeal and audit practices for ... about insurance requirements and medical billing practices. The Appeals Specialist will collaborate with multiple departments to maintain compliance with… more
- Trinity Health (Livonia, MI)
- …directed. Coordinates and supports correction of errors occurring with coding systems . Provides coder support via phone or written communications, including ... assignments and operations. Responsible for developing and maintaining coding systems training and process documentation. Assists with training and on-boarding… more
- Molina Healthcare (Sterling Heights, MI)
- …Ownership** + Assists and executes tasks and projects to ensure Centers for Medicare & Medicaid Services (CMS) and State regulatory requirements are met for Pre-pay ... Organization (MCO) or health plan setting, including experience in Medicaid and/or Medicare , or equivalent combination of relevant education and experience + Proven… more