- Trinity Health (Howell, MI)
- …Interviews patients and gathers information to assure accurate and timely claims submission. Interprets information collected to determine and create comprehensive ... insurance verification and authorization requirements and processes. Determines appropriate payment required at point of registration (deposits, co-pays, minimum… more
- Robert Half Accountemps (Marshall, MI)
- Description We are looking for a detail-oriented Accounts Receivable Specialist to join our team on a contract basis in Marshall, Michigan. In this role, you will ... calls in line with established procedures. * Assist patients in setting up payment plans for outstanding balances in accordance with hospital policies. * Guide… more
- CDM Smith (Grand Rapids, MI)
- …ID:** 40481BR **Business Unit:** FSU **Job Description:** The FEMA Costing Specialist : * Conducts preliminary damage assessments (PDAs) in the field for ... structure damaged by a disaster. * Reviews, evaluates and analyzes applicant-provided cost claims for reasonableness and accuracy as related to the scope of work. *… more
- CDM Smith (Detroit, MI)
- …**Business Unit:** FSU **Job Description:** The FEMA Disaster Management Construction Specialist : * Schedules and conducts site inspections with applicants, performs ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more
- Molina Healthcare (MI)
- …the credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. ... GED **Required Experience/Knowledge Skills & Abilities:** Certified Provider Credentialing Specialist (CPCS) or participation in a CPCS progression program.… more
- Henry Ford Health System (Troy, MI)
- …includes but is not limited to accounts not included in a payment arrangement, recognizing inaccurate information, partnering with legal to review bankruptcies, ... assisting with Coordination of Benefits, third party liability claims , etc. 5. Initiates and resolves account receivable errors with the hospital and professional… more
- Henry Ford Health System (Troy, MI)
- …of patient financial, insurance and demographic patient 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...Information + Organization: Corporate Services + Department: CBO - Payment Application + Shift: Day Job + Union Code:… more
- CDM Smith (Grand Rapids, MI)
- …**Business Unit:** FSU **Job Description:** CDM Smith is seeking a Forensic Accounting Specialist with expertise in disaster fraud claims . This role is critical ... in evaluating and analyzing financial data related to disaster-related claims , including property damage, business interruption, and other loss categories. The … more
- Banner Health (MI)
- …for improvement of clinical documentation and accurate MS-DRG, Ambulatory Payment Classification (APC) or ICD-10 assignments on health records. Provides ... Severity Adjusted System (MS-DRG),All Payer Group (APR-DRG) and Ambulatory Payment Classification (APC) or utilized operational systems. Provides explanatory and… more
- Elevance Health (Dearborn, MI)
- …preferred. + Broad knowledge of clinical documentation improvement guidelines, medical claims billing and payment systems, provider billing guidelines, payer ... and DRGs billed and reimbursed. Specializes in review of Diagnosis Related Group (DRG) paid claims . **How you will make an impact:** + Analyzes and audits claims … more