- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our R37 GenAI Lab Process Analyst in the Perfect Claim pillar, you will play a key role in both ... enabled product platform. **Here's what you will experience working as a Process Analyst :** + Analyze and optimize current edits in claim scrubbers to improve claim… more
- Henry Ford Health System (Detroit, MI)
- …PRINCIPLE DUTIES AND RESPONSIBILITIES: 1. Responsible for building basic payer /plan-specific contract terms, including common reimbursement methodologies. 2. Achieve ... and analyzing issues for areas of opportunities. 6. Escalate payer contract non-compliance issues to contract administrators/consultants EDUCATION/EXPERIENCE REQUIRED:… more
- Trinity Health (Livonia, MI)
- …to home office third party cost reports, third party appeals, third party payer contract negotiations, analysis of financial impact of changes in third party ... models and analyses to assure proper reimbursement. Participates in third-party payer preparing impact analysis and recommendations. Participates in developing and… more