- 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
- 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
- City of Detroit (Detroit, MI)
- …$137,796.00 Annually Location Michigan, MI Job Type Certified-Regular Civil Service Remote Employment Flexible/ Hybrid Job Number 20240213201123OCFOJS Department ... 11:59 PM Eastern Bargaining Unit 9000-Non Union Salary Regular Service General + Description + Benefits + Questions Description...administration and operation of City agencies. Settles all disputed claims in favor of or against the City as… more
- University of Michigan (Ann Arbor, MI)
- …authorizations. The Authorization Specialist will be accountable to one or more designated service lines across all sites of service to ensure payor requirements ... are met and authorizations are obtained timely and appropriately prior to service . The Authorization Specialist will provide subject matter expertise in the payor… 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
- University of Michigan (Ann Arbor, MI)
- …Revenue Cycle, to achieve department objectives and provide stellar customer service . **Mission Statement** Michigan Medicine improves the health of patients, ... and communities through excellence in education, patient care, community service , research and technology development, and through leadership activities in… more