- Molina Healthcare (Detroit, MI)
- …incorrectly; analyzes systems and collaborates with respective operational areas/provider billing to facilitate resolution. * Collaborates with the member ... enrollment, provider information management, benefits configuration and claims processing teams to appropriately address provider claim issues. * Assists in reviews of state and federal complaints related to claims. * Collaborates with other internal… more
- Ryder System (Lansing, MI)
- …forecast / annual plan; general ledger research to ensure all possible billing opportunities are captured + Operational Initiatives: Work closely with Director of ... Operations (DOO), Director of Sales (DOS) and Director of Rental (DOR) to identify and recommend opportunities for cost/productivity improvements + Financial Planning & Analysis: To include forecasting, business planning and branch performance analysis +… more
- Molina Healthcare (Sterling Heights, MI)
- …standard code systems (ICD-10CM, CPT, HCPCS, NDC, etc.) utilized in medical coding/ billing (UB04/1500 form) + Demonstrated understanding of key managed care concepts ... and provider reimbursement principles such as risk adjustment, capitation, FFS (Fee-for-Service), Diagnosis Related Groups (DRG's), Ambulatory Patient Groups (APG's), Ambulatory Payment Classifications (APC's), and other payment mechanisms. * Understanding of… more
- Henry Ford Health System (Detroit, MI)
- …applied from front-end coding and clinical teams for reimbursement and billing purposes. The CBO Coding Complex Specialist accurately abstracts information from ... the electronic health record for compilation of a patient database, which supports medical research projects, patient care evaluation and administrative decision making related to patient care. The coding function is considered a primary source for data and… more
- McLaren Health Care (Flint, MI)
- …Compensation * Experience working with Cerner and HPP electronic medical and billing systems * Experience in healthcare financial forecasting and analysis. * ... Experience working with large databases, data extraction and analysis. * Experience with various data management more
- University of Michigan (Ann Arbor, MI)
- …including registration, insurance eligibility and benefit verification, and front-end billing procedures. Assists with planning and implementation of new and ... that our information is correct. Works collaboratively to resolve registration and billing issues. Follows-up with external agencies to ensure registration and … more
- University of Michigan (Ann Arbor, MI)
- …with hospital policies, AMA guidelines, Federal and State law and National Uniform Billing Committee. Analysts work with a large variety of Revenue Cycle and ... causes, and recommend solutions based on standard coding and billing best practices. Strong excel skills are essential. Knowledge...of Work** Positions that are eligible for hybrid or mobile/ remote work mode are at the discretion of the… more
- Trinity Health (Livonia, MI)
- …needed to meet third party payer authorization deadlines assuring accurate billing . In addition, monitors all accounts for ongoing authorization needs to ... analysts in the tracking of authorizations and resolution of problematic billing issues. Monitors pending authorizations report and collaborates with both the… more
- McLaren Health Care (Shelby Township, MI)
- **Position Summary** : Under general direction, the Billing /Follow-up Rep Facility ( Remote ) is responsible for completing tasks associated with specific ... responsibilities will be in customer service, collections, cash posting, billing , etc. as assigned by CBO Managemen t. ...billing , etc. as assigned by CBO Managemen t. Billing / Follow-up Rep Facility is expected to perfo rm… more
- University of Michigan (Ann Arbor, MI)
- …be submitted. Apply Now **Job Summary** **Why Join Michigan Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals Specialist has ... populations. They are knowledgeable about insurance requirements and medical billing practices. The Appeals Specialist will collaborate with multiple departments… more