- 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
- 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
- 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
- McLaren Health Care (Port Huron, MI)
- …skills between patients, colleagues and community. 4. Assists in maintaining hospital compliance by providing patients with Important Message from Medicare (IMM) ... Outpatient Observation Notice (MOON) forms per Centers for Medicare and Medicaid Services (CMS) guidelines. 5. Communicates pertinent documentation to nursing and… 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
- 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