- Humana (Lansing, MI)
- …part of our caring community and help us put health first** The Senior Claims Research and Resolution Professional reports to the Claims Research ... including their applications to assignments. The Senior Claims Research and Resolution Professional follows general guidance and processes and must… more
- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Claims Research and Resolution Professional 2 reports to the Claims Research ... objectives, including their applications to assignments. The Claims Research and Resolution Professional 2 follows general guidance and processes and… more
- Intermountain Health (Lansing, MI)
- …Provides extraordinary care to our customers through friendly, courteous, and professional service through a broad understanding of account handling processes, ... payments to patient accounts, using both electronic and manual posting systems + Research , validate and make adjustments to payment postings. Follow up in accordance… more
- Travelers Insurance Company (Detroit, MI)
- …or their legal representatives. + Recognizes and implements alternate means of resolution . + Manages litigated claims . Develops litigation plan with staff ... resolving assigned Specialty Liability related Bodily Injury and Property Damage claims . Provides quality claim handling throughout the claim life cycle (customer… more
- Humana (Lansing, MI)
- …determining objectives and approaches to assignments. The Senior Encounter Data Management professional ensures data integrity for claims errors that result from ... and help us put health first** The Senior Encounter Data Management Professional develops business processes to ensure successful submission and reconciliation of… more
- Trinity Health (Ypsilanti, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- Humana (Lansing, MI)
- …work with complex systems that manage electronic health records, referrals, and claims . This position provides the opportunity to collaborate closely with team ... Your daily activities will include design, development, support, bug fixes, testing, and research . You will help build and maintain platforms that are vital to… more
- Trinity Health (Livonia, MI)
- …resolves claim edits that occur after coding to support timely final claims submission. Assigns appropriate code(s) by utilizing coding guidelines established by: + ... Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial and appeals issues affecting reimbursement. Maintains CEUs as appropriate… more
- Cardinal Health (Lansing, MI)
- …* Handle all escalations based upon region and ensure proper communication of the resolution within required timeframe agreed upon by the client * Serve as a liaison ... team with call overflow and intake when needed * As needed conduct research associated with issues regarding the payer, physician's office, and pharmacy to resolve… more
- Cardinal Health (Lansing, MI)
- …and ICD-10 codes by analyzing patient medical records. + Availability to assist with research of denied claims . + Maintains a functional knowledge of enterprise ... manages audits to determine organizational integrity of billing for professional (physician) services and/or hospital (technical) services, including: detection and… more