- Lincoln Financial Group (Lansing, MI)
- …**Requisition #:** 74121 **The Role at a Glance** We are excited to bring on a Claims Customer Care Associate to join our claimant excellence team supporting ... Group Protection in a remote environment. Background Details The Claimant Excellence Team will...development to perform in this fast-paced environment. As a Claims Customer Care Associate , you… more
- Humana (Lansing, MI)
- …and judgement to make determinations whether requested services, requested level of care , and/or requested site of service should be authorized at the Inpatient ... communication of decisions to internal associates, and possible participation in care management. The clinical scenarios predominantly arise from inpatient or… more
- Takeda Pharmaceuticals (Lansing, MI)
- …in order to bring life-changing therapies to patients worldwide. Join Takeda as Associate Director, Global Labeling Lead where you will be responsible for the ... labeling requirements to be provided to patients and Health Care Providers while minimizing the risk of write-offs. +...to ensure consistency with the overall product strategy, product claims and information in the CCDS and to ensure… more
- Trinity Health (Farmington Hills, MI)
- …health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial ... Type:** Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $18.8367-$28.2551) Performs the day-to-day billing and… more
- Trinity Health (Livonia, MI)
- …knowledge base and a minimum of three (3) years' experience in a health care setting. The minimum of an associate 's degree is required, Bachelors preferred. ... Full time **Shift:** Day Shift **Description:** This opportunity consists of a hybrid or remote position, with the majority or all hours being remote . This role… more
- Molina Healthcare (Ann Arbor, MI)
- …**Pharmacy Technicians** who are State Licensed/Certified and/or PTCB certified. This role is 100% remote , and the hours will be **Mon-Fri 9am to 530pm or 11am to ... medical necessity for medications along with assisting with pharmacy claims . **Highly qualified candidates for this role will have...work within several computer systems at once + Managed care experience + High level of communication skills, both… more
- Trinity Health (Livonia, MI)
- …resolves claim edits that occur after coding to support timely final claims submission. Assigns appropriate code(s) by utilizing coding guidelines established by: + ... Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial and appeals issues affecting reimbursement. Maintains CEUs as appropriate… more
- Molina Healthcare (MI)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... participates in special projects as requested. **JOB QUALIFICATIONS** **Required Education** Associate degree in Business or equivalent combination of education and… more
- Molina Healthcare (MI)
- …who is **BOTH** State Licensed/Certified and Nationally certified. This role is 100% remote , and the hours will be **Mon-Fri 11am to 730pm Central Standard Time** ... at once, MS Note experience a plus + Managed care experience + High level of communication skills, both...High School Diploma or GED equivalent **Preferred Education** : Associate degree **Required Experience** : 2 years' experience as… more
- Henry Ford Health System (Troy, MI)
- …to review bankruptcies, assisting with Coordination of Benefits, third party liability claims , etc. 5. Initiates and resolves account receivable errors with the ... EDUCATION/EXPERIENCE REQUIRED: * High school diploma or GED equivalent. Associate 's degree in Business Administration, Accounting, Billing, Coding, or related… more
- Trinity Health (Livonia, MI)
- …Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denials and appeals issues affecting reimbursement. Exhibits awareness of health ... Completion of an AHIMA-approved coding program or an AAPC-approved coding program, or Associate 's degree in Health Information Technology or a related field or an… more
- Trinity Health (Farmington Hills, MI)
- …health insurance company, managed care organization or other health care financial service setting, performing medical claims processing, financial ... Type:** Full time **Shift:** Day Shift **Description:** **POSITION PURPOSE** Work Remote Position (Pay Range: $18.8367-$28.2551) Performs day- to- day customer… more
- Molina Healthcare (Grand Rapids, MI)
- …to, and the appropriate approvals and escalations are achieved. Coordinates with both the Associate Vice President of Fraud, Waste and Abuse (FWA) and Associate ... Access, Word and Excel * Knowledge and understanding of claims processing systems and medical claims *...Master's degree **Preferred Experience** * Formalized training/experience in Health Care Insurance Fraud * Experience with Power BI, SAS,… 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 ... behavior **MINIMUM QUALIFICATIONS** Completion of an AHIMA-approved coding program or Associate 's degree in Health Information Management or a related field or… 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...patients, populations and communities through excellence in education, patient care , community service, research and technology development, and through… more
- Merck (Lansing, MI)
- **Job Description** The Associate Director Data Science will be responsible for developing and communicating data-driven and actionable insights that drive greater ... analyze data leveraging advanced analytical/statistical techniques from disparate databases/sources ( claims data/EMR Data and other sources) to drive optimization… more
- Michigan State University (East Lansing, MI)
- Position Summary As a Research Associate in the NIH-funded MIRACLE Center of Excellence and the Maternal Health Equity Lab in the College of Human Medicine at ... in "real world" settings to improve health and health care . Dr. Meghea leads both the Center and the...data + Experience working with large datasets including medical claims , + Strong writing and verbal communication skills Required… more
- McLaren Health Care (Shelby Township, MI)
- …. **Qualifications:** **_Minimum_** **:** + High School Diploma or GED **_Preferred:_** + Associate Degree in Health Care , Finance or related area. Equivalent ... **Position Summary** : Under general direction, the Billing/Follow-up Rep Facility ( Remote ) is responsible for completing tasks associated with specific assignments.… more
- University of Michigan (Ann Arbor, MI)
- CLINICAL NURSE SPECIALIST (CNS)- CVC 4, Cardiovascular Intensive Care Unit Apply Now **Job Summary** The Clinical Nurse Specialist will be responsible for providing ... ICU (CVC 4) which is a 24-bed adult intensive care unit caring for patients who have recently undergone...agency requirements, and nursing standards. Includes data from readmissions, claims , incidents, and daily habit to frame doable improvements.… more
- University of Michigan (Ann Arbor, MI)
- …clinical documentation to support medical necessity criteria and level of care determinations. The precert team obtains authorizations for services based on ... our level of care decisions, preliminary coding and payer requirements. The Precertification...patient class as appropriate and follow-up on OB admission claims issues until resolution when needed. + Clearly and… more