- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** ** Claims Analyst ** **Location:** Trinity Health PACE Corp Michigan, Livonia, MI **Status:** Full time ... HYBRID, will work in the office each Wednesday. **Position Purpose:** The Claims Analyst is responsible for analyzing and reviewing claims for accuracy,… more
- Deloitte (Detroit, MI)
- …who wants to work in a collaborative environment? As an experienced Epic Billing and Claims Senior Analyst you will have the ability to share new ideas and ... + Certified in Epic Hospital Billing Administration/Professional Billing Administration and Claims + Experience in performing configuration changes and system builds… more
- Molina Healthcare (Detroit, MI)
- …review of production support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains understanding of solution ... functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received on … more
- Molina Healthcare (Detroit, MI)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... data among operational and claims systems and application of business rules as they apply to each database. Validate data to be housed on databases and ensure adherence to business and system requirements of customers as it pertains to contracting,… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing claims information ... Prior Denials or AR experience in Hospital or Physician claims and experience working in a production-based environment is...you will experience working as a Denials & AR Analyst I:** + You will be investigating and analyzing… more
- University of Michigan (Ann Arbor, MI)
- Health Information Analyst II - Compliance & Auditing Apply Now **Job Summary** Use the EPIC EHR Release Module within specified timeframes to find, review, and ... produce medical records needed for Hospital and Professional Billing claims when requested by payers, auditors, or governmental agencies. Prepare medical records for… more
- Elevance Health (Dearborn, MI)
- **Test Analyst - Pharmacy Benefit Management (PBM)** **Location:** This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and ... a strong, clinical-first lens to deliver member-centered, lasting pharmacy care. The **Test Analyst (Business Analyst III)** will be responsible for serving as… more
- R1 RCM (Detroit, MI)
- …operating costs and enhancing the patient experience. As our **Medicare Bad Debt Analyst ** you will work with the project leads and managers to ensure quality ... part of the Government Navigation Suite service line, the Analyst will partner with team members to primarily work...and systems to review and test Medicare bad debt claims for Medicare reimbursement. **Responsibilities:** + Analyze and interpret… more
- Henry Ford Health System (Troy, MI)
- Reporting to the CDM Manager, the CDM Analyst is responsible for supporting and maintaining the Charge Description Master (CDM), including being responsible for the ... accuracy and completeness of the CDM. The CDM Analyst also supports the CDM Coordinator and Senior CDM...+ EPIC certification in CDM Management, PB or HB Claims certified preferred. + If not EPIC CDM certified,… more
- Sedgwick (Detroit, MI)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Data Analyst **PRIMARY PURPOSE OF THE ROLE:** To create comprehensive reporting and analysis ... for this or other roles.** **Sedgwick is the world's leading risk and claims administration partner, which helps clients thrive by navigating the unexpected. The… more
- R1 RCM (Detroit, MI)
- …sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Product Support Analyst II - Revenue Cycle Digital Solutions is a pivotal role ... with IT to manage Electronic Data Interchange (EDI) transactions, including claims (837), electronic remittances (835), claim status inquiries, and eligibility… more
- Molina Healthcare (Detroit, MI)
- …accurate and timely implementation and maintenance of critical information on claims databases. Maintains critical information on claims databases. Synchronizes ... strong experience with Benefits and contracts configuration in QNXT + Must have claims processing experience + Knowledge is SQL + Experience is Excel is required… more
- Deloitte (Detroit, MI)
- …and functional expertise in the areas of Underwriting, Rating, Policy Administration, Claims and/or Distribution to deliver effective solutions to clients. As a ... of the following areas: Insurance Products, Underwriting, Rating, Policy Administration, Claims or Distribution + 2 years' experience in logical structuring,… more
- Molina Healthcare (Detroit, MI)
- **JOB DESCRIPTION** **Job Summary** Performs research and analysis of complex healthcare claims data, pharmacy data, and lab data regarding network utilization and ... cost containment information. Evaluates, writes, and presents healthcare utilization and cost containment reports and makes recommendations based on relevant findings. **KNOWLEDGE/SKILLS/ABILITIES** + Uses existing software and systems to support the… more
- Truist (Bloomfield Hills, MI)
- …or improvements. + Analyze and support the processing of proceeds from insurance loss claims . + Support the collection of delinquent loan payments, as well as the ... reporting of same. + Assist in the accurate and timely maintenance of the loan servicing system database regarding the loan accounting records, collateral-and borrower-related records, or other relevant records. + Identify and report borrower breaches of loan… more
- Trinity Health (Livonia, MI)
- …Term Disability, Military Leave, Family Medical Leave and Workers' Compensation claims with internal areas of expertise and external vendors.Acts independently to ... years of progressive experience with increased responsibility in a Disability Analyst /Coordinator/Specialist or support role, in a high-volume work environment or an… more
- Molina Healthcare (Detroit, MI)
- …staff for mentoring, coaching, and analysis questions. + Reviews Medical Economics analyst work products to ensure accuracy and clarity. + Reviews regulatory ... management or team leadership experience + 10 years' work experience preferable with claims data and/or healthcare environment + Strong knowledge of Excel, SQL, and… more