- Area Agency On Aging 1-b (Southfield, MI)
- The Appeals and Compliance Specialist is responsible for providing comprehensive responses in compliance with contract, regulatory and accreditation ... during the administrative hearing process. Works closely with the Compliance Officer and is an active member of the...communicate disposition of case . + Triages case inquiries, appeals , and prepares case files/packets for appeal hearings. Attend… more
- Henry Ford Health System (Detroit, MI)
- GENERAL SUMMARY: Under the direction of the Compliance Audit Manager, the Principal Compliance Investigator will oversee compliance auditing and monitoring ... with Federal and State regulatory and contractual requirements. The Principal Compliance Investigator is responsible for conducting compliance audits, reporting… more
- University of Michigan (Ann Arbor, MI)
- …(Senior Patient Account/Billing Reps- 7 FTEs, Financial Counselor- 1 FTE, 1 Billing & Compliance Specialist - 1 FTE). + Manage work queues and perform monthly ... + Oversee external regulatory payer audits (including Medicare) to ensure compliance including tracking, fulfillment and writing/completing appeals . +… more
- Trinity Health (Livonia, MI)
- …(PBS) teams, when needed, to help resolve billing, claims, denial and appeals issues affecting reimbursement. Maintains CEUs as appropriate for coding credentials as ... coding and reimbursement Federal, State and local laws and regulations, the Compliance Accountability Program, Code of Ethics, as well as other policies and… more
- Trinity Health (Livonia, MI)
- …(PBS) teams, when needed, to help resolve billing, claims, denials and appeals issues affecting reimbursement. Exhibits awareness of health record documentation or ... of applicable Federal, State and local laws/regulations; the Trinity Health Integrity and Compliance Program and Code of Conduct; as well as other policies and… more