- 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
- Trinity Health (Ann Arbor, MI)
- …liability on patient accounts, works with patients or their representatives to provide financial assistance, and facilitates processing of Medicaid and other ... Michigan's most advanced cancer providers. We use cutting edge treatment technology, provide the latest clinical research trials, offer classes, events and support… more
- Trinity Health (Livonia, MI)
- …HCPCS codes, modifiers, internal edits and claim edits that could impact hospital reimbursement . Interprets bundling and unbundling guidelines (NCCI edits) as ... be proficient on identifying NCCI, LCD/NCD edits to ensure accurate hospital reimbursement . Current experience utilizing encoding/grouping software and Computer… more
- Cardinal Health (Lansing, MI)
- …understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive ... implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy… 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
- State of Michigan (MI)
- …and/or team survey activities on behalf of the Centers for Medicare and Medicaid Services (CMS). The HCS position will participate in federal initial and ... years of registered nurse experience in a nursing home, hospital , hospice, home health agency, or other health care...(SMQT) in accordance with the Centers for Medicare and Medicaid Services' standards and procedures. View the job specification… more
- Trinity Health (Ann Arbor, MI)
- …on patient accounts, and works with patients or their representatives to provide financial assistance or secure payment. Facilitates processing of Medicaid ... deposits and payments. Assists potentially eligible patients in completing forms for Medicaid , Trinity Health charity care and other sources of financial assistance… 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
- Henry Ford Health System (Detroit, MI)
- …interdisciplinary teams. + Knowledge of CMS, commercial payer requirements and hospital financial/ reimbursement processes desired. + Excellent written/verbal ... to enhance comprehensive, integrated, and uninterrupted care in the hospital and to facilitate continuity of care in the...+ Knowledge of child and adult protection laws, state Medicaid guidelines, NASW code of ethics (professional standards), and… 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
- LifePoint Health (Marquette, MI)
- …you are not just what you can do. UPHS - Marquette is a 222 bed hospital and houses the region's only Level II Trauma Center and Neonatal Intensive Care Unit (NICU). ... We also provide outreach with programs like annual health and safety...Program - mental, physical, and financial wellness assistance Tuition Reimbursement /Assistance for qualified applicants Opportunities for education and training… more
- Trinity Health (Chelsea, MI)
- …may require emergency actions and initiating appropriate responses. + Provide accurate diagnostic image identification, processes diagnostic images, and monitors ... largest Catholic healthcare organizations in the country + Tuition Reimbursement Click Here (http://www.trinityhealthmichigan.org/careers/working-here/) to learn more about the… more
- Trinity Health (Chelsea, MI)
- …of information acquired pertaining to patient, physicians, employees, and visitors. + Provide quality patient care by considering the age specific, developmental and ... largest Catholic healthcare organizations in the country + Tuition Reimbursement Click Here (http://www.trinityhealthmichigan.org/careers/working-here/) to learn more about the… more
- State of Michigan (Kalamazoo, MI)
- …Job Number 3909-20-043 Department Health and Human Services - Kalamazoo Psychiatric Hospital Opening Date 10/01/2023 Bargaining Unit UNITED AUTO WORKERS (UAW) + ... Description + Benefits + Questions Job Description The MDHHS mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable… more
- Trinity Health (Chelsea, MI)
- …that may require emergency actions and initiating appropriate responses. + Provide accurate diagnostic image identification, process diagnostic images, and monitor ... largest Catholic healthcare organizations in the country + Tuition Reimbursement Click Here (https://www.stjoeshealth.org/careers/current-openings/benefits) to learn more about… more
- Trinity Health (Chelsea, MI)
- …that may require emergency actions and initiating appropriate responses. + Provide accurate diagnostic image identification, process diagnostic images, and monitor ... largest Catholic healthcare organizations in the country + Tuition Reimbursement Click Here (https://www.stjoeshealth.org/careers/current-openings/benefits) to learn more about… more
- Trinity Health (Chelsea, MI)
- …workflow and facilitating throughput by starting IV's, etc. as needed. + Provide quality patient care by considering the age specific, development and cultural ... largest Catholic healthcare organizations in the country + Tuition Reimbursement Click Here (http://www.trinityhealthmichigan.org/careers/working-here/) to learn more about the… more
- Grifols Shared Services North America, Inc (Flint, MI)
- …territory including major accounts and large players (ie, Commercial, Medicare, and Medicaid ) + Coordinate with Hospital SSR counterpart to understand the ... Grifols portfolio of plasma therapies. If a neighboring hospital does not have a formulary contract or use...needs and impact pull-through (eg, MSL, IG Nurse Educator, reimbursement specialist) + Gather and provide customer… more