- Integra Partners (Troy, MI)
- …Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while maintaining appropriate ... Integra policies and procedures, including HIPAA compliance. If you have previous medical billing or claims experience, this role may be of interest as a next… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- …Job Summary: Under close supervision, the Medical Billing and Coding Specialist is responsible for processing health insurance claims for services provided ... Medical Billing & Coding Specialist Department:...at all clinics. Employee is responsible for submitting claims for reimbursement and coach healthcare providers to achieve… more
- Integra Partners (Troy, MI)
- …the healthcare industry, including pre-authorization and utilization reviews, along with medical claims processing. + Proven experience in designing multiple ... our Operations Training & Development team as an Operations UM Training Specialist , specializing in Utilization Management (UM) processes. The ideal candidate will… more
- Sevita (Detroit, MI)
- …a company that positively impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company's commitment to serve others by ... sending claims to the payer in a timely and accurate...finance-related field preferred + 2-3 years of experience with Medical Collections in a high-volume environment preferred Knowledge of… more
- Sedgwick (Detroit, MI)
- …Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Senior Estimate Review Specialist **PRIMARY PURPOSE** **:** To review all estimates and supporting ... services. + Monitors, assists, tracks, and provides approval for all claims that are re-inspected by the Carrier. **ADDITIONAL FUNCTIONS and RESPONSIBILITIES**… more
- Trinity Health (Livonia, MI)
- …Type:** Full time **Shift:** **Description:** **CERTIFIED RISK ADJUSTMENT CODING SPECIALIST ** **Location:** Trinity Health PACE Corp Michigan **Status:** Full time ... ICD/CPT codes to participant health information for data retrieval, analysis, and claims processing. Duties also include abstracting and validating data from … more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Under minimal direction, the Quality/Risk Specialist (QRS) II supports the effective surveillance, analysis, and prevention of events which may ... injure patients, lead to malpractice claims , and cause loss to the health care system....multidisciplinary health care teams to reduce and prevent adverse medical outcomes, minimize the risk of injury to patients,… more
- Henry Ford Health System (Troy, MI)
- …service capacity may be considered in lieu of the degree. + Course in Medical Terminology (required completion within six months of post- employment. + Minimum of ... programs + Fundamental understanding of HMO/PPO/POS delivery system and claims billing + Must be able to work flexible...Ford is one of the nation's most respected academic medical centers and is leading the Future of Health:… more
- Henry Ford Health System (Detroit, MI)
- …coding practices; prepares reports of findings and meets with providers and medical office staff to provide education and training on accurate coding practices ... with one or more of the following areas: Utilization Management, Claims , Pharmacy Operations, Compliance, FDR oversight activities, Quality Management, Care… more
- Trinity Health (Livonia, MI)
- …Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial, and appeals issues affecting reimbursement. 10. Maintains CEUs as ... Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) is required. Page 3 3. Three (3) years of… more
- Trinity Health (Livonia, MI)
- …Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial and appeals issues affecting reimbursement. Maintains CEUs as appropriate ... Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) is required. Three (3) years of current acute care… more
- Trinity Health (Livonia, MI)
- …Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial, and appeals issues affecting reimbursement. 10. Maintains CEUs as ... Information Technician (RHIT), Registered Health Information Administrator (RHIA), or Certified Coding Specialist (CCS) is required. Page 3 3. Three (3) years of… more