- Molina Healthcare (Ann Arbor, MI)
- …functionality through project inclusion and documentation review to understand proper claims processing for the applicable solution. Validates data received ... support issues related to EDI transaction editing and custom claims processes to determine root cause of issue. Gains...claims to identify billing issues that will impact claims processing and payment. Monitor new solutions implemented to… more
- Molina Healthcare (Ann Arbor, MI)
- …Maintains critical provider information on all claims and provider databases. Synchronizes data among multiple claims systems and application of business ... rules as they apply to each database. Validate data to be housed on provider databases and ensure...and best practices while suggesting improvement processes to ensure systems are working more efficiently and improve quality. +… more
- Molina Healthcare (Ann Arbor, MI)
- … 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...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Molina Healthcare (Ann Arbor, MI)
- … 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...information into the claim payment system and other applicable systems . + Participates in defect resolution for assigned component… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** Responsible for the data capture, analysis & reporting information to assist the Trinity Health leadership ... & expertise in the program, services & applications. Trinity Health Senior Coding Compliance Specialist Assists management in conducting annual, periodic and… more
- Walgreens (Commerce Township, MI)
- …by Pharmacy Manager, Staff Pharmacist and Store Manager including utilizing pharmacy systems to enter patient and drug information, ensuring information is entered ... the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and… more
- University of Michigan (Ann Arbor, MI)
- …analytical skills. Analysts must demonstrate the ability to pull and analyze data and documentation, determine root causes, and recommend solutions based on standard ... proper use. + Learn, utilize, and maintain Charge Master data in FinThrive and in the Epic EAP master...and Cost Center Table (BCC) + MiChart Rules (Router, Claims Manager, Revenue Guardian, etc.) + Fee Schedules +… more