• Prospective Payment Specialist Coordinator

    Corewell Health (Watervliet, MI)
    Job Summary Responsible for ensuring optimal reimbursement through analytical review of medical records and collaboration with interdisciplinary teams, including ... aspects of IRF-PAI tool including transmission of records to the Centers for Medicare and Medicaid Services (CMS) and other insurances as needed. Monitor and educate… more
    Corewell Health (07/22/25)
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  • Business Operations Specialist

    Hospice of Michigan (Traverse City, MI)
    …of Non-Coverage Forms for signature after completion by clinical manager and team physician . Follows up as needed to ensure regulatory requirements are met. + ... provision). + Supports clinical leadership by pulling payroll reports for review /approval. + Prepares summary reports on EHR documentation performance, audit… more
    Hospice of Michigan (08/17/25)
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  • Multi-Site Director of Case Management

    Prime Healthcare (Port Huron, MI)
    …Medical Group which offers patient-centered care through primary and specialty care physician practices located throughout the Blue Water Area. Raising the bar for ... Healthgrades Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of… more
    Prime Healthcare (08/08/25)
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  • Radiology Technologist - Contingent

    Trinity Health (Chelsea, MI)
    …previous experience. **What the X Ray Radiology Technologist will do:** + Review requests ad schedules patients for radiologic procedures, arranging for patient ... transport to the procedure area. + Review requests for procedures, using reason(s) for the procedures, department guidelines, physician recommendations and… more
    Trinity Health (08/01/25)
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  • Radiography Technologist

    Trinity Health (Chelsea, MI)
    …Day Shift **Description:** **Position Purpose** The Radiology Technologist is responsible to review the Physician Order and reason for exam, position, and ... **What the Radiology Technologist - C-Arm will do:** + Review requests for procedures and schedule patients for radiologic...having a double, five-star rating from the Centers for Medicare and Medicaid Services. **Our Commitment** Rooted in our… more
    Trinity Health (08/01/25)
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  • Medical Claims Adjudication - remote

    Cognizant (Lansing, MI)
    …team and collaborate with stakeholders and other teams. **Primary Responsibilities** : + Review claim system data and verify against UB or HCFA paper or EDI ... minimum of 2 years' claims processing experience is required. + Knowledge of physician practice and hospital coding, and medical terminology, CPT, HCPCA, ICD-10 +… more
    Cognizant (08/01/25)
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  • Claims Adjudication Specialist - Remote

    Cognizant (Lansing, MI)
    …* A minimum of 2 years claim processing is required. * Knowledge of physician practice and hospital coding, and medical terminology, CPT, HCPCS, ICD-10 * Experience ... with UB/institutional (CMS-1450) and/or professional (CMS 1500) claims * Knowledge of Medicare / Medicaid payment and coverage guidelines and regulations. * 1 year of… more
    Cognizant (08/15/25)
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  • Patient Care Technician - PCT

    Fresenius Medical Center (Escanaba, MI)
    …(QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. ... the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and… more
    Fresenius Medical Center (08/14/25)
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  • Case Manager (RN) - Soc Work

    Prime Healthcare (Port Huron, MI)
    …Medical Group which offers patient-centered care through primary and specialty care physician practices located throughout the Blue Water Area. Raising the bar for ... Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's...to perform a holistic and comprehensive admission and concurrent review of the medical record for the medical necessity,… more
    Prime Healthcare (08/14/25)
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  • Patient Care Technician - PCT - Dialysis Preceptor

    Fresenius Medical Center (Battle Creek, MI)
    …(QD). + Evaluate intradialytic problems and provide intervention as prescribed by physician order or as directed. + Monitor patients' response to dialysis therapy. ... the designated clinical application in an accurate and timely manner. + Review treatment sheets for completeness, ensure nursing signatures are documented, and… more
    Fresenius Medical Center (08/13/25)
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