- Cardinal Health (Lansing, MI)
- …+ Manage workload of inbound faxes (if applicable) + Investigate and resolve patient/ physician inquiries and concerns in a timely manner + Have the ability to ... obtain missing information + Mail out appropriate documents to physician offices + Interact with the patient referral sources...work with a sense of urgency + Knowledge of Medicare , Medicaid and Commercially insured payer common practices and… more
- Corewell Health (Grand Rapids, MI)
- …provider, etc. Investigates, collects and documents findings for management review . Investigation may include research, interviews, data analysis, and substantive ... desk or onsite medical record review . Responsible for preparing case file, final report and...and Federal laws related to fraud, waste or abuse, Medicare and Medicaid regulations, etc. + Ability to work… more
- Trinity Health (Chelsea, MI)
- …Evening Shift **Description:** **Position Purpose:** The Radiology Technologist is responsible to review the Physician Order and reason for exam, position, and ... maintain ARRT certification. **What the Radiology Technologist will do:** + Review requests for procedures, using reason(s) for the procedures, department protocols,… more
- Trinity Health (Chelsea, MI)
- …week **Position Purpose:** The MRI Technologist is responsible for reviewing the Physician Order and reason for exam, preparing the patient, positioning, and ... media required per specific diagnostic protocols and may also assist the physician /APP with the performance of MRI-guided invasive procedures. **What the MRI… more
- Corewell Health (Grand Rapids, MI)
- …tactics. Manage the vendors that are hired to perform Universal program review and audit functions for Priority Health. Oversee all activities associated with ... supporting cost containment activities. + Establishes process for case assignment to review and respond to Provider appeals. + Knowledge and understanding of plan… more
- Corewell Health (Grand Rapids, MI)
- …general direction, is a liaison for health plan initiatives with physician hospital organizations, physician organizations state-wide and community entities. ... programs to ensure objectives are achieved. + Responsible for the analysis, review and dissemination of network performance information, including but not limited to… more
- Trinity Health (Howell, MI)
- …third-party authorizations, referrals) and contacts physicians and Case Management/Utilization Review personnel, as needed. Obtains and verifies the accuracy and ... completeness of physician orders for tests and procedures, which includes name,...of insurance and governmental programs, regulations and billing processes ( Medicare , Medicaid, Social Security Disability, Champus, and Supplemental Security… more
- Gentiva (Grand Rapids, MI)
- …patients and provide detailed clinical documentation to support the physician 's certification or recertification of hospice eligibility-based on CMS regulatory ... and document physical assessments for Face-to-Face (F2F) hospice recertification + Review diagnostic tests, treatment plans, medication lists, and lab results to… more
- University of Michigan (Ann Arbor, MI)
- …address, phone numbers, other personal/demographic information, emergency contacts, primary-care physician , insurance information and the person who is financially ... seamless registration and admission process. Obtain signatures on consent-to-treat and Medicare admission forms. Collect copays for both Adult Emergency Department… more
- Marshfield Clinic (Marquette, MI)
- …Technologist I performs electroneurodiagnostic tests independently when ordered by a physician . The individual will perform patient care activities, gather the ... during the diagnostic testing and report findings to the physician for further analysis. **JOB QUALIFICATIONS** **EDUCATION/EXPERIENCE** _For positions requiring… more