• Manager , Payer Billing

    Datavant (Lansing, MI)
    …and life experiences to realize our bold vision for healthcare. **Position Summary** The ** Payer Billing Manager ** leads the end-to-end billing cycle ... specialists. **Key Responsibilities** + Manage and execute all aspects of monthly client billing for payer -related accounts + Research and apply contract and… more
    Datavant (07/23/25)
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  • Billing Specialist II (Experienced) Full…

    Henry Ford Health System (Troy, MI)
    …accounts from payer denials and follows up on any claims that require a payer response. Responsible for the billing and collection of payments for all Henry ... preferred. + Ability to communicate effectively with colleagues, supervisor, and manager . + Ability to work independently. + Strong organizational and time… more
    Henry Ford Health System (07/31/25)
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  • *Transaction Flow Manager - Payor…

    Henry Ford Health System (Troy, MI)
    GENERAL SUMMARY: The Transaction Flow Manager leads a dedicated consultative support team that partners with Patient Access, Central Authorization, Insurance ... monitor every transaction from the first patient encounter through final payer adjudication. The team delivers deep analytics, root-cause investigations, and… more
    Henry Ford Health System (07/10/25)
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  • Field Reimbursement Manager - East Region

    Otsuka America Pharmaceutical Inc. (Lansing, MI)
    …Nephrology experience strongly preferred + Comprehensive understanding of US healthcare system payer billing practices + Proficiency in MS Office suite ... **Position Summary** The Field Reimbursement Manager (FRM) serves as the subject-matter expert on...reimbursement processes, claims submissions, and coding requirements + Analyze payer criteria and provide product access expertise to healthcare… more
    Otsuka America Pharmaceutical Inc. (05/23/25)
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  • Manager Payment Integrity

    Corewell Health (Grand Rapids, MI)
    …or physician billing , or equivalent experience with a managed care payer + Experience working with government programs including Medicare, Medicaid and FEHB + ... Job Summary - Manager , Payment Integrity Seeking a strategic and results-driven...efforts, ensuring interdependencies across Network Contracting, Utilization Management, and Billing Policy are effectively managed to support the organization's… more
    Corewell Health (07/18/25)
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  • Director - Revenue Cycle Vendor Management,…

    Corewell Health (Grand Rapids, MI)
    …within the following departments: Revenue Cycle Education, Vendor Management, Payer Enrollment, and Ancillary Support Services (including Revenue Cycle (Epic) ... Builder Program, sFTP file management, Payer Portal Access Team & Epic Payer ...bill editing functionality, and flexible workflow management to complement billing processes to improve collection rates and reduce accounts… more
    Corewell Health (06/04/25)
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  • Manager Special Investigation Unit

    Corewell Health (Grand Rapids, MI)
    …or physician billing , or equivalent experience with a managed care payer . Preferred + Preferred + CRT-Accredited Health Care Fraud Investigator (AHFI) - NHCAA ... Job Summary - Manager Special Investigation Unit The SIU Manager is responsible for leading and managing the Special Investigation Unit (SIU) with a focus on… more
    Corewell Health (07/19/25)
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  • Registered Nurse or Physical Therapist Denials…

    CenterWell (Lansing, MI)
    …related to revenue recovery including but not limited to Government and private payer requests. + Collaborates with branch and billing department staff to ... Functions:** + Responsible for responding to, managing and monitoring all payer requests for additional documentation (ADR), appeals and denials. Works with… more
    CenterWell (07/30/25)
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  • Medicare Product Development Manager

    Molina Healthcare (Ann Arbor, MI)
    …invoices for payment of services rendered by vendors and understand vendor billing process + Adheres to and consistently applies organizational and departmental ... acceptable. **REQUIRED EXPERIENCE:** + 7+ years of experience in Healthcare ( payer experience), Vendor Management, Data Analytics, Contract Terms and Conditions,… more
    Molina Healthcare (07/25/25)
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  • Principal Compliance Investigator | Full Time

    Henry Ford Health System (Detroit, MI)
    …State guidelines. + Reports on the accuracy of CPT, E&M, ICD-10-CM/PCS coding, and billing to ensure compliance with payer , legal and procedural policies. + ... GENERAL SUMMARY: Under the direction of the Compliance Audit Manager , the Principal Compliance Investigator will oversee compliance auditing and monitoring to assess… more
    Henry Ford Health System (07/29/25)
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