- Humana (Lansing, MI)
- …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
- Molina Healthcare (Ann Arbor, MI)
- …* Clearly and professionally communicates contract terms, payment structures, and reimbursement rates to physician, hospital and ancillary providers. * ... contract negotiations in a managed healthcare setting ideally in negotiating different provider contract types, ie physician, group and hospital contracting,… more
- Humana (Lansing, MI)
- …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… more
- State of Michigan (MI)
- …survey and certification activities on behalf of the Centers for Medicare and Medicaid Services (CMS). The health care surveyor position performs surveys for covered ... (LTC) providers, specifically nursing homes, county medical care facilities, and hospital long term care units. The position conducts onsite, initial certification… more
- Trinity Health (Chelsea, MI)
- …with other hospital leaders and areas to coordinate services to provide excellent patient care. Maintains fiscal and quality responsibility for area(s). Provides ... match. + Opportunity for growth and advancement throughout Trinity Health + Tuition Reimbursement **ABOUT CHELSEA HOSPITAL ** Chelsea Hospital is a 133-bed,… more
- Henry Ford Health System (Detroit, MI)
- …interdisciplinary teams. Knowledge of CMS, commercial payer requirements and hospital financial/ reimbursement processes desired. Excellent written/verbal ... their families to enhance comprehensive, integrated, and uninterrupted care in the hospital and to facilitate continuity of care in the community. Demonstrates… more
- University of Michigan (Ann Arbor, MI)
- …Refund Insurance and the U-M Travel Abroad Health Insurance plans. We provide exceptional customer service as liaisons between clients, clinical staff members, ... documents, Member Guide documents, fee schedules & other benefit information. + Provide coverage and benefit details related to each company's products or services… more
- Trinity Health (Livonia, MI)
- …using correct coding guidelines and rules and regulations. Analyzes physician/ provider documentation contained in assigned Emergency Department (ED) and Outpatient ... modifiers. Utilizes coding guidelines established by: + The Centers for Medicare/ Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting,… more
- Humana (Lansing, MI)
- …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
- Trinity Health (Chelsea, MI)
- …applying knowledge of techniques, procedures protocol, processes total body anatomy to provide studies for interpretation. + Screen patient for safety when receiving ... other team members. + Assist in transporting patients when necessary. + Provide quality patient care by considering age specific, developmental, and cultural needs… more