- Norstella (Lansing, MI)
- …+ Strong attention to detail + Expert knowledge of provider and payer dynamics within healthcare, specifically within oncology, cellular therapy / CAR-T, immunology, ... neurology / CNS, and/or other rare diseases / specialty therapeutics **The Guiding Principles For Success At Norstella** **01: Bold, Passionate, Mission-First** We have a lofty mission to Smooth Access to Life Saving Therapies and we will get there by being… more
- Henry Ford Health System (Jackson, MI)
- …Keen analytical, critical thinking and problem-solving skills. Positive physician and payer relationships. Ability to meet deadlines and work under pressure. Ability ... to manage multiple priorities and sensitive situations. CERTIFICATIONS/LICENSURES REQUIRED: LMSW with clinical specialty or clinical/macro specialty licensure, registered by the State of Michigan. ACM or CCMC Certification preferred. #LI-VD1 #IND1 Additional… more
- Cardinal Health (Lansing, MI)
- …need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient ... markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Sonexus Health Pharmacy, our non-commercial specialty pharmacy is centralized at our custom-designed facility… more
- Trinity Health (Chelsea, MI)
- …for each patient while adhering to ethical practices per insurance guidelines for each payer . + Works with site leader and secretarial staff to ensure schedules are ... managed well to achieve targeted productivity and clinic budget. + Participates in regularly scheduled staff meetings. **Other Functions and Responsibilities:** Performs other duties as assigned. **Required Education, Experience and**… more
- Pine Rest Christian Mental Health Services (Grand Rapids, MI)
- …claim definition to assure timely and accurate payment. + Maintain knowledge of payer regulations, contracts and billing requirements and act as a resource to ... clinical sites regarding these requirements. + Contact insurance companies to obtain preauthorization (in some departments), resolve outstanding balances, incorrect payments, claim denials or information needed to adjudicate claims. + Work with clinical areas… more
- CVS Health (Lansing, MI)
- …more of the following areas: provider revenue cycle operations / optimization, payer relations, healthcare analytics. + Ability to work collaboratively in a ... cross-functional team environment to solve challenging issues and identify opportunities for improvement. + Ability to effectively interact with all levels of management. + Demonstrates flexibility to support rapid adjustments to strategy and priorities to… more
- Trinity Health (Chelsea, MI)
- …each patient while adhering to ethical practices per insurance guidelines for each payer . + Orients patients and families to the therapeutic purposes and procedures ... of physical therapy, and educates them about home programs, impairments and progress. + Provide daily oversight of the physical therapy provided by staff working under the physical therapist (could be physical therapist assistant, athletic trainer or physical… more
- Henry Ford Health System (Detroit, MI)
- …Ensure coding practices comply with local, state, and federal guidelines and payer policies. + Lead quality improvement activities related to coding and ... documentation integrity; use results to drive actionable change. + Represent coding services on internal committees and in external forums, promoting best practices, benchmarking, and system collaboration. EDUCATION/EXPERIENCE REQUIRED: + Bachelor's degree in… more
- Corewell Health (Greenville, MI)
- …appropriate medication therapy as defined by Corewell Health guidelines and health-system/ payer formulary. + Provides leadership in identifying and developing cost ... avoidance strategies in drug therapy, promoting more cost-effective treatment and reducing waste. + Participates in pharmacy decision-making process through continual feedback and committees. + Participates in department quality and safety programs. +… more
- Tenet Healthcare (Detroit, MI)
- …order to ensure accurate bill production. Ensures compliance with third party payer requirements. 6. Reconciles and corrects rejected erroneous data transactions as ... displayed on Transmission, Control and Errors (TCE) reports. 7. Accesses computerized system to enter and/or update electronic systems as needed and to answer patients, stakeholders and other pertinent parties inquiries. Responds to general inquiries as… more