- Cognizant (Lansing, MI)
- …provider, rendering provider, place of service, admission date, referring physician, prior authorization/referral number, procedure code (CPT) and the number of ... units performed, modifiers, and diagnosis code. + Ensure productivity and quality standards are adhered. + Highlights any process improvement ideas. + Update the daily workflow forecast process with any challenges. Requirements: + 2-3 years of experience with… more
- Cengage Group (Detroit, MI)
- …+ Professional certifications such as CFA or equivalent experience, CPA, or CMA + Prior experience in the K-12 industry, working in a business unit and matrixed ... organization + Experience in financial planning and analytics function + Experience in mergers and acquisitions activities, including due diligence and integration + Experience in cross-functional collaboration and influencing decision-making at various levels… more
- Henry Ford Health System (Troy, MI)
- …information upon pre-admission and/or admission to ensure account is secure prior to discharge. Obtains benefit, co-pay, deductible, and co-insurance information. ... Verifies insurance eligibility and benefit information and confirms that all insurance requirements are met, including but not limited to referrals and authorizations. Resolves problem accounts to determine primary insurance and/or COB information.… more
- Sharecare (Lansing, MI)
- …Care/Case Management + NCQA experience preferred + Certified Case Manager preferred + Prior management and supervision of a clinical team is preferred. + Health Plan ... experience is required. + Demonstrates computer competencies to include electronic medical records, word processing, spreadsheet, presentation preparation, and. Demonstrated ability to learn customized computer applications. + Maximize all technology inclusive… more
- Trinity Health (Livonia, MI)
- …Experience** + **2+ years of Home Health RN experience** + **1-3 years prior experience in a customer service, homecare intake, case management, discharge planning ... or admissions role preferred.** + In CA: Must have one year of professional nursing experience by regulation. + Graduate of an approved Nursing education program. + Current Registered Nurse licensure in the state in which practicing. + Must be proficient with… more
- Molina Healthcare (Ann Arbor, MI)
- …peers **PREFERRED EDUCATION and experince:** Bachelor's Degree or equivalent experience Prior experience in Payment Integrity and/or COB/Claims roles at a health ... plan or vendor. Familiarity with claim recovery audits and regulatory reporting requirements (Medicaid). Exposure to EDI transactions (837, 835) and COB data exchange protocols. Experience with SQL. **PHYSICAL DEMANDS:** Working environment is generally… more
- Trinity Health (Livonia, MI)
- …Degree or equivalent combination of education and experience + 5 years of prior experience in Colleague and Labor Relations, Legal, HR Operations/Shared Services, or ... HR Business Partner, Internal Audit, or compliance-related field required. + Excellent analytical, problem-solving, and decision-making skills with the ability to assess risks, develop effective mitigation strategics, and execute on those strategies. + Passion… more
- McLaren Health Care (Flint, MI)
- …Systems, Accounting, Business, Finance, or related field. * Three years of prior experience in finance/accounting. * Two years of experience in healthcare financial ... forecasting and analysis. * One year working with large databases, data extraction and analysis. _Preferred:_ * Experience in an integrated health system medical group, particularly in Provider Compensation * Experience working with Cerner and HPP electronic… more
- Trinity Health (Livonia, MI)
- …initiatives. + Workday Certification or experience with Workday Community. + Prior technology implementation experience is a plus. **Physical & Mental Requirements ... & Working** **Conditions (General Summary)** **Direct Healthcare Services / Indirect Healthcare / Support Services:** + Exposure to conditions which may be considered unpleasant to sight, touch, sound & / or smell. Occasional + Exposure to fumes, odors, dusts,… more
- Sharecare (Lansing, MI)
- …attention and care to patients and patient representatives. **Qualifications:** + 1 year prior experience in a medical records department or like setting + Strong ... computer software experience: general working knowledge of Microsoft Word & Excel + Excellent organizational skills a must and must be able to multi-task + Must be able to type 50 wpm + Must be able to use fax, copier, scanning machine + Must be willing to… more