- Baylor Scott & White Health (Lansing, MI)
- …specific rate will depend upon the successful candidate's specific qualifications and prior experience. **Minimum Requirements** + EDUCATION - Bachelor's or 4 years ... of work experience above the minimum qualification + EXPERIENCE - 5 Years of Experience As a health care system committed to improving the health of those we serve, we are asking our employees to model the same behaviours that we promote to our patients. As of… more
- McLaren Health Care (Flint, MI)
- …Systems, Accounting, Business, Finance, or related field. * One years of prior experience in finance/accounting. Preferred: * Experience in an integrated health ... system medical group, particularly in Provider 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… more
- Molina Healthcare (MI)
- …include those involved in formulary management (such as, reviewing prior authorization requirements, reviewing drug/provider utilization patterns and pharmacy costs ... management), clinical pharmacy services (such as, therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics regarding patient outcomes, medications safety… more
- Molina Healthcare (Detroit, MI)
- …plan providers, Molina staff and others as needed. * Performs prior authorization reviews of high-cost medications and deferred authorization requests as ... needed. * Researches, develops, and implements drug utilization and disease state management strategies and intervention techniques to deliver high quality, cost effective health care. * Assists in coordination of care for pharmacy-related issues between… more
- Henry Ford Health System (Grand Blanc, MI)
- …specialty coding certification or 5-7 years coding experience required. + Prior experience in a healthcare revenue cycle position required. Specialty coding ... experience preferred. + One to two (1-2) years college or additional course work in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred. + Must have through knowledge of anatomy, physiology, pathophysiology, disease processes,… more
- McLaren Health Care (Shelby Township, MI)
- **Position Summary:** Responsible for ensuring accounts are financially cleared prior to the date of service. Interview patients when scheduled for an elective, ... urgent, inpatient or outpatient procedure. **Essential Functions and Responsibilities:** + Financially clears patients for each visit type, admit type and area of service via the Electronic Medical Record- EMR, electronic verification tools. + Accurately and… more
- Molina Healthcare (Warren, MI)
- …of customers as it pertains to contracting, benefits, prior authorizations, fee schedules, and other business requirements. **KNOWLEDGE/SKILLS/ABILITIES** ... + Analyze and interpret data to determine appropriate configuration changes. + Accurately interprets specific state and/or federal benefits, contracts as well as additional business requirements and converting these terms to configuration parameters. + Handles… more
- Molina Healthcare (Grand Rapids, MI)
- …opportunities are available to lead national risk adjustment studies. Prior experience in Medicaid risk adjustment is not required. **KNOWLEDGE/SKILLS/ABILITIES** ... + Analyze risk score results - calculate financial impact and identify trends or other issues related to risk scores. + Calibrate risk adjustment models based on state programs + Develop and lead actuarial studies related to risk scores and present findings to… more
- Sharecare (Lansing, MI)
- …current and annual HIPAA certification **Qualifications:** + Bachelor's degree and prior experience, preferred + Extremely team oriented + High proficiency in ... Microsoft products required, Outlook, Word and Excel + Ability to work well in fast-paced, multi-tasking environment while prioritizing and meeting deadlines + Superior communication skills + Outstanding customer service with strong negotiation skills + Detail… more
- Sharecare (Lansing, MI)
- …**Qualifications:** + High School Diploma (GED) required + A minimum of 2 years prior experience in a medical records department or like setting preferred + Must ... have strong computer software experience -- general working knowledge of Microsoft Word and Excel required + Excellent organizational skills are a must + Must be able to type 50 wpm + Must be able to use fax, copier, scanning machine + Must be willing to learn… more