- Lincoln Financial (Lansing, MI)
- …to staff our ever-growing claims organization. As a Short Term Disability Claims Specialist , you will be responsible for conducting initial and ongoing ... home, then please read on! Click the following link Claims Specialist Job Preview (https://marketingmedia.lfg.com/lfg/DOCS/lfd/emailMarketing/Video/6369162297112.html) to see… more
- Cognizant (Lansing, MI)
- …of claim processing is required. **Travel:** None required **About the role:** As Claims Adjudication Specialist , you will be responsible for timely and accurate ... making payments with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare/ Medicaid payment ...1500) claims * Knowledge of Medicare/ Medicaid payment and coverage guidelines and regulations. * 1 year… more
- Corewell Health (Grand Rapids, MI)
- …These efforts will support the organization's cost containment efforts specific to medical claims payment and drive payment integrity performance. This ... Job Summary - Manager, Payment Integrity Seeking a strategic and results-driven leader...Integrity Strategy. + Develop/sustain and engagement model between the Claims integrity function and other business units within the… more
- Molina Healthcare (Grand Rapids, MI)
- …projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity. + Strong working knowledge of managed care ... This role focuses on identifying, leading, and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will… more
- Trinity Health (Ann Arbor, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- Molina Healthcare (Sterling Heights, MI)
- …projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity. + Strong working knowledge of managed care ... This role focuses on identifying and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will… more
- Molina Healthcare (MI)
- …projects from concept to execution, especially in the areas of provider reimbursement and claims payment integrity. + Strong working knowledge of managed care ... Analysis** + Uses a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. + Applies… more
- Intermountain Health (Lansing, MI)
- …insurance denials, secondary billing issues, credit balances, sequencing of charges, and non- payment of claims . + Reconcile accounts, research and resolve ... **Job Description:** The Revenue Cycle Specialist II is responsible for performing a variety...charges, insurance denials, secondary billing issues, sequencing charges, and non- payment of claims . + Identify issues and/or… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- University of Michigan (Ann Arbor, MI)
- …thoroughly document all actions, contacts, outcomes and interventions to assure appropriate payment of claims . + Provide and discuss authorization status ... Pre-Certification Specialist Apply Now **How to Apply** A cover...authorizations to assure accurate reimbursement. + Evaluate all patient payment sources, verify insurance eligibility, collect insurance benefit information… more