- R1 RCM (Detroit, MI)
- …and systems to review and test Medicare bad debt claims for Medicare reimbursement . **Responsibilities:** + Analyze and interpret patient accounts for ... operating costs and enhancing the patient experience. As our ** Medicare Bad Debt Analyst ** you will work...Bad Debt preferred + Experience with cost reporting, hospital reimbursement , and auditing and/or MAC ( Medicare Admin… more
- Trinity Health (Livonia, MI)
- … reimbursement practices adhere to federal, state and other third-party reimbursement regulations. Prepares Annual Medicare , Medicaid, Blue Cross and Tricare ... potential financial impact on the member organizations of major changes in Medicare and Medicaid policies. Assists in related advocacy efforts regarding such… more
- Molina Healthcare (MI)
- **JOB DESCRIPTION** **Job Summary** The Senior Analyst , Medical Economics provides support and consultation to the Clinical Center of Excellence, Health Plan, and ... programs will lead to value + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job Qualifications** **Required Education:**… more
- Molina Healthcare (Grand Rapids, MI)
- …and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of reimbursement ... **Job Description** **Job Summary** Sr. Analyst , Network Strategy, Pricing & Analytics guides the investment of our network partners through contract valuation and… more
- R1 RCM (Detroit, MI)
- …while reducing operating costs and enhancing the patient experience. As a Revenue Cycle Analyst , you will execute audits and conduct reimbursement research for a ... research and validate hospital reporting. + Build and maintain expertise in Medicare and Managed Care billing, coding, and reimbursement policies. +… more
- Intermountain Health (Lansing, MI)
- …the patient's account within Intermountain's policies and procedures. Revenue Integrity Analyst II 1.Analyze data, develop reports, review trends, and recommend ... compliant application with charge/coding capture, charge editing, and audit and reimbursement practices. Researches and collaborates on regulation updates to ensure… more
- McLaren Health Care (Grand Blanc, MI)
- **Position Summary:** Responsible for compiling complex reimbursement data to support management decision making and internal and external reporting for assigned ... subsidiaries. Assists in coordination of reimbursement functions related to the strategic financial planning process....reviews the schedules required to support the submission of Medicare , Medicaid and Blue Cross cost report, complying with… more
- Banner Health (MI)
- …information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or ... treatment information or documentation to coding support tech, coding quality analyst or coding manager for clarification/additional information for accurate code… more
- Banner Health (MI)
- …information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… more