- Trinity Health (Livonia, MI)
- …fraud prevention. Reviews bulletins to maintain an understanding of regulatory & payer changes to assure correct charging & billing. Coordinates pricing increases as ... charging processes & audits & clinical billing. Working knowledge of third-party payer rules & requirements, computer operations & electronic interfaces related to… more
- Hart Medical Equipment (Southfield, MI)
- …individual and team training modules as it relates to products and changes to payer policies. + Accountable to manage to budget and adjust operations to meet ... industry and multiple facets/departments of operations which includes equipment, payer sources, regulatory aspects, and front-line/customer engagement experience. Language… more
- Intermountain Health (Lansing, MI)
- …leadership team. + Performs extensive data mining, mentoring/training, regulatory and payer policy review, abstracting of financial and clinical information from ... and operational success. + Demonstrates advanced knowledge of regulation, payer policy, charge capture and/or revenue monitoring. **Preferred** + Cardiovascular… more
- R1 RCM (Detroit, MI)
- …(ie:Documentation Guidelines '95 & '97) + Extensive knowledge of government, and commercial payer guidelines. + Must be able to use standard office equipment and ... of the top 100 US health systems, and handles over 270 million payer transactions annually. This scale provides unmatched operational insight to help healthcare… more
- Trinity Health (Livonia, MI)
- …5. Continually learns and applies key healthcare ecosystem dynamics (eg, payer , regulatory, political, consumer, physician group, employer, etc.) for multiple ... in strategy, transactional management (mergers and acquisitions), health systems, payer , management consulting, valuation firm, investment banking, private equity,… more
- Trinity Health (Chelsea, MI)
- …patient while adhering to ethical practices per insurance guidelines for each payer . Works with site leader, director and/or secretarial staff to ensure schedules ... each patient while adhering to ethical practices per insurance guidelines for each payer . + Works with site leader, director and/or secretarial staff to ensure… more
- Cardinal Health (Lansing, MI)
- …according to departmental procedures. + Follow up on unpaid claims within payer -specific guidelines and timelines. + Coordinate with other billing team members, ... providers to resolve claim discrepancies. + Maintain up-to-date knowledge of payer policies, coding changes, and reimbursement guidelines. + Ensure compliance with… more
- Wolters Kluwer (Lansing, MI)
- …Central time zone, have experience in the Healthcare Technology space with either Payer , Provider, or Vendor. **Key Tasks: ** + Manage and nurture relationships with ... equivalent experience. + Experience in the healthcare technology space either in payer , provider, or vendor. + Experience working with risk adjustment software. +… more
- Cardinal Health (Lansing, MI)
- …with federal and state regulations and laws, CMS and other third-party payer billing rules and internal documentation, coding and billing policies and procedures. ... subject matter expert and authoritative resource regarding federal, state and payer documentation, billing and coding rules and regulations, maintaining awareness of… more
- Henry Ford Health System (Troy, MI)
- …information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials and follows up on any claims that require a payer ... response. Responsible for the billing and collection of payments for all Henry Ford Health System hospitals, outpatient clinics and employed physicians. + High school diploma or equivalent required. + Two years of experience in an office environment or… more