- Sedgwick (Southfield, MI)
- …great place to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Services Associate ( Hybrid ) **This is a ... **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Provides initial research/data collection on claims file. + Performs file audits according to jurisdictional standards… more
- Trinity Health (Livonia, MI)
- …Type:** Full time **Shift:** Day Shift **Description:** This opportunity consists of a hybrid or remote position, with the majority or all hours being remote. This ... is within the Integrity and Compliance department of IAS in the professional services Center of Excellence, providing support for the seven elements of an effective… more
- Henry Ford Health System (Troy, MI)
- …grievances following established guidelines from: The Center for Medicaid and Medicare Services (CMS), MAXIMUS Federal Services , Department of Labor (DOL), ... Department of Insurance and Financial Services (DIFS), Michigan Department of Health and Human ...Perform other related duties as assigned. EDUCATION/EXPERIENCE REQUIRED: + Associate degree in healthcare or a related field. +… more
- University of Michigan (Ann Arbor, MI)
- Patient Business Associate Apply Now **Job Summary** The Outpatient Financial Clearance and Authorization team is looking for a full-time Patient Business ... Associate to provide timely and thorough insurance and financial...insurance and financial risk assessment review for scheduled outpatient services . **Mission Statement** Michigan Medicine improves the health of… more
- Zurich NA (Detroit, MI)
- …AM - Farmington Remote Working: Hybrid Schedule: Full Time Employment Sponsorship Offered: No Linkedin Recruiter Tag: #LI-BN1 #LI- ASSOCIATE #LI- HYBRID ... assignments of higher technical complexity ensuring a high level service to customers. This is a market facing position...and 6 or more years of experience in the Claims or Underwriting Support areaOR + Zurich Certified Insurance… more
- Corewell Health (Royal Oak, MI)
- …Diploma or equivalent. + 5 years of relevant experience Patient Financial Services . Preferred + Associate 's Degree. + CRT-Revenue Cycle Representative, Certified ... processes of a healthcare organization. They ensure that the claims are submitted accurately and timely, and that the...with other areas within revenue cycle, operations, and shared service areas to address and prioritize work efforts. +… more
- University of Michigan (Ann Arbor, MI)
- …criteria and level of care determinations. The precert team obtains authorizations for services based on our level of care decisions, preliminary coding and payer ... and communities through excellence in education, patient care, community service , research and technology development, and through leadership activities in… more
- University of Michigan (Ann Arbor, MI)
- Specialty- Pharmacy Technician Apply Now **Job Summary** Specialty Pharmacy Services supports a growing list of patient populations, including Transplant, Hepatitis, ... and communities through excellence in education, patient care, community service , research and technology development, and through leadership activities in… more
- Trinity Health (Livonia, MI)
- …(ED) and Outpatient Observation health records (electronic, paper or hybrid ) to determine the principal diagnosis, secondary diagnoses, principal procedure ... Utilizes coding guidelines established by: + The Centers for Medicare/Medicaid Services (CMS) ICD-CM Official Coding Guidelines for Coding and Reporting, ICD-PCS… more
- University of Michigan (Ann Arbor, MI)
- …and communities through excellence in education, patient care, community service , research and technology development, and through leadership activities in ... regulatory agency requirements, and nursing standards. Includes data from readmissions, claims , incidents, and daily habit to frame doable improvements. +… more