- Molina Healthcare (Ann Arbor, MI)
- JOB DESCRIPTION Job Summary Provides support for claims recovery activities including researching claim payment and billing guidelines, audit results, and ... Standard Operating Procedures (SOPs). * Responds to provider correspondence related to claims recovery requests and provider remittances where recovery … more
- Molina Healthcare (Ann Arbor, MI)
- …ancillary) contracts highly desirable. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Certified Recovery Peer Specialist certification required in the state ... **_ Remote and must live in Michigan _** **Job...and timely maintenance of critical provider information on all claims and provider databases. Responsible for contracting/re-contracting of standard… more
- Molina Healthcare (Ann Arbor, MI)
- …ICD-10, HCPCS codes is highly preferred. Additional experience with 2 years in claims auditing, QA, or recovery auditing ideally in a DRG/Clinical Validation ... a plus. Work hours: Monday - Friday 8:00am- 5:00pm Remote position **Essential Job Duties** * Performs clinical/medical reviews...health care coding or management certification. 2+ years in claims auditing, QA, or recovery auditing ideally… more