- 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
- Humana (Lansing, MI)
- …part of our caring community and help us put health first** The Sr. Medicare (PPS) Provider Hospital Reimbursement Analyst will be an integral part of the ... of the team as it expands to accommodate the increased responsibilities. The Provider Hospital Reimbursement Analyst r will be primarily responsible… more
- Molina Healthcare (Sterling Heights, 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
- AmeriHealth Caritas (Detroit, MI)
- …contracts that align with company standards and regulatory requirements. + Ensure provider contracts comply with pricing methodologies, Medicaid fee schedules, ... & Contracting** + Lead the development and management of hospital and physician networks across current and expansion markets....or healthcare setting. + 3 to 5 years of provider contracting and reimbursement experience. + 3… more
- J&J Family of Companies (Grand Rapids, MI)
- …+ Account Management and/or Reimbursement experience working in the hospital and/or provider office setting, building strong customer relationships. + ... to payer approval processes and business acumen. + Understanding of Medicare, Medicaid , and private payer initiatives affecting reimbursement of pharmaceutical… more
- Cognizant (Lansing, MI)
- We strive to provide flexibility wherever possible. Based on this role's business requirements, this is a remote position open to qualified applicants in the United ... Monday to Friday - Eastern Time **About the role:** As an AR Physician Hospital Billing Follow Up, you will be responsible for resolving aged hospital … more
- AbbVie (Detroit, MI)
- … provider , the RBA offers approved tools and standardization methods to provide reimbursement and technical knowledge to gain patient access while reducing ... degree required + Preferred experience includes Previous Sales, District Management, Hospital , Managed Markets, Access and Reimbursement , or practice experience… more
- Henry Ford Health System (Detroit, MI)
- …financial audits. + Maintain deep expertise in Medicare, Blue Cross, Medicaid , and other reimbursement regulations, ensuring organizational compliance. + ... academic and integrated health systems, is seeking a Director of Corporate Reimbursement to lead critical financial functions that directly impact the organization's… more
- Henry Ford Health System (Troy, MI)
- …of underpayment recovery strategies and systems designed to facilitate and maximize reimbursement for HFHS hospitals, provider , and ambulatory revenue cycle ... or seven (7) or more years of experience in Hospital or Professional Billing, Contracting, Payment Variances, or other...a Healthcare or Business setting. + Knowledge of Medicare, Medicaid , Medicaid OPPS reimbursement , and… more
- Henry Ford Health System (Troy, MI)
- …practices focusing on revenue cycle integrity. The RI Specialist understands hospital payor contracts and reimbursement methodologies. Works collaboratively with ... Integrity staff to identify charge system weakness, recommends changes, provide education, and tracks utilization. Due to its service...issues at a high level. + Knowledge of Medicare, Medicaid , Medicaid OPPS reimbursement , and… more
- Gentiva (Fremont, MI)
- …hospice agency promptly if unable to complete F2F visits as scheduled. + May provide F2F coverage for multiple provider numbers with approval. **About You** ... physicians, interdisciplinary group (IDG) members, patients, caregivers, and families. + Provide clinical recommendations to the IDG based on F2F assessment… 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
- Henry Ford Health System (Detroit, MI)
- …interdisciplinary teams. Knowledge of CMS, commercial payer requirements and hospital financial/ reimbursement processes desired. Excellent written/verbal ... years MSW Case Management in a large acute care hospital setting. GENERAL SUMMARY: The Case Manager SW provides...required. Knowledge of child and adult protection laws, state Medicaid guidelines, NASW code of ethics (professional standards), and… more
- Trinity Health (Chelsea, MI)
- …hours required The Trinity Health St Joseph Mercy Health System and Chelsea Hospital is seeking a contingent Radiation Oncology Medical Physicist to join its team ... of six (6) Medical Physicists and six (6) Dosimetrists that provide coverage for five (5) facilities across the greater Ann Arbor area. We are an integrated system… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** Day Shift **Description:** Analyzes physician/ provider documentation contained in assigned Emergency Department (ED) and ... modifiers. Utilizes coding guidelines established by: + The Centers for Medicare/ Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting,… more
- Molina Healthcare (Grand Rapids, MI)
- …modeling current and future contract rate proposals. * Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. * Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
- Molina Healthcare (Detroit, MI)
- …modeling current and future contract rate proposals. + Research, analyze, and consult Medicaid and Medicare reimbursement methodologies, evaluate the impact of ... Business Intelligence tools (Medinsight, PowerBI), and Executive Dashboard. + Generate hospital performance analytics tools on a quarterly basis; develop reports on… more
- University of Michigan (Ann Arbor, MI)
- …Rev Appeals Spec Apply Now **Job Summary** **Why Join Michigan Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and Appeals Specialist ... denials. They manage and respond to Medicare, Medicare Advantage, Varis, Medicaid and other various commercial audits. The Appeals Specialist will communicate… more
- Trinity Health (Chelsea, MI)
- …exam. + Complete patient related documentation in accordance with department and hospital policy. + Study is reviewed and completed in medical record according ... of problems related to safety, sanitation and maintenance of the environment. Provide quality patient care by considering the age specific, development and cultural… 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