- Datavant (Lansing, MI)
- …software tools. The specialist serves as a key liaison between coding, billing, utilization review , case management, and payer relations to reduce denials and ... + Previous experience with revenue integrity functions in a hospital or large physician group setting. + Familiarity with DRG and APC reimbursement methodologies. +… more
- Elara Caring (Ludington, MI)
- …Identifies and reports potential payment/coverage problems. + Supervises and coordinates utilization review activities. + Participates in strategic development ... Key Accounts, including participation in weekly, monthly, and quarterly review meetings, as needed. + Ensures accuracy of all...as required by state or federal guidance + Licensed physician , registered nurse or holds an undergraduate degree +… more
- Veterans Affairs, Veterans Health Administration (Southfield, MI)
- …and record relevant] patient information. Completed work should need only a general review by a registered nurse (RN) or physician (MD/DO) for appropriateness ... coaching. Responsible for completing focused data collection by the utilization of all clinical reminders as outlined in the...completed work may require routine or detailed higher level review depending upon the complexity of the duties involved.… more
- Henry Ford Health System (Jackson, MI)
- …the needs of all Respiratory Therapy patients. Monitors attendance, productivity and utilization of labor, supplies and services in a fiscally prudent manner. Acts ... staff to ensure treatment is provided in accordance with physician 's orders and approved department, institutional, regulatory policies and procedures.… more
- Trinity Health (Auburn Hills, MI)
- …3 Review and properly scores polysomnograms for assessment by Physician . 1. Score the polysomnogram and generate report summarizing sleep/wake periods, REM ... consistent with standards established by the Association of Polysomnographic Technology. Record review and scoring of polysomnograms is an integral part of the job.… more
- Sedgwick (Negaunee, MI)
- …physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... FUNCTIONS and RESPONSIBILITIES** + Performs other duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS** **Education & Licensing** Bachelor's degree from an accredited college or university preferred.… more
- Cognizant (Lansing, MI)
- …guidelines and regulations + Experience in the analysis and processing of claims, utilization review /quality assurance procedures + Must be able to work with ... is required + Facets experience is highly preferred + Knowledge of physician practice and hospital coding, billing, and medical terminology, CPT, HCPCS, ICD-9… more
- University of Michigan (Ann Arbor, MI)
- …process. + Coordinate and expedite patient transfer to inpatient unit by utilization of MiChart and paging in collaboration with ABCC, nursing (inpatient/ED), and ... physicians, create visit and transfer note, connect the referring physician to the Unified Transfer Center (UTC). + Facilitate...posted for a minimum of seven calendar days. The review and selection process may begin as early as… more
- Sedgwick (Troy, MI)
- … physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. + Performs other ... duties as assigned. + Supports the organization's quality program(s). + Travels as required. **QUALIFICATIONS & LICENSING** **Education & Experience** Bachelor's degree from an accredited college or university preferred. **Experience** Four (4) years of claims… more
- Henry Ford Health System (Novi, MI)
- …float pool utilization and maintaining payroll records + Manage and review office correspondence such as invoices, statements, credit cards, petty cash, mileage ... for you! What You'll Do + Coordinate the daily operations of a busy physician practice or health center + Serve as the liaison between practice physicians, office… more
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