CBO Transaction Flow Specialist - Revenue Cycle - Full Time Days Henry Ford HospitalCBO Transaction Flow Specialist - Revenue Cycle - Full Time DaysTroy, MIGENERAL SUMMARY: Under minimal supervision, this position is responsible for the Henry Ford Health System's (HFHS) transaction flow processes, including effective design of the insurance recovery and patient pay workflows, research and identification of root causes resulting in edits and denials, development of error prevention initiatives, and coordination with CBO staff, HFHS business units, and internal customers to drive performance improvement. Strong organizational and time management skills required to effectively prioritize workflow to meet third party requirements.
Insurance Specialist (HHC) - 40 hrs - Days - Henry Ford HospitalInsurance Specialist (HHC) - 40 hrs - Days -Detroit, MIGENERAL SUMMARY: Under general supervision, identifies and determines in accordance with established policies and procedures the accuracy and completeness of financial, insurance and/or demographic information for patients receiving care HFHS. Handles insurance questions and/or obtains information from various HFHS areas including but not limited to clinics, physicians, patients, attorneys, employers and outside agencies via telephone or mail.
Patient Visit Specialist - Hematology Oncology Ann Arbor Campus Trinity Health CorporationPatient Visit Specialist - Hematology Oncology Ann Arbor CampusYpsilanti, MIAssure that patients who are unfamiliar with the Cancer Center are personally guided to their destination and provided a "warm hand-off" to the staff. At Trinity Health IHA Medical Group, we are committed to delivering outstanding patient care through our core values of Commitment, Advocacy, Respect, Efficiency, and Service.
Research Budget Specialist McLaren Health Care CorpResearch Budget SpecialistSouthfield, MIMaintain communication with Research Finance, Sponsored Programs Office, and Patient Billing Systems to ensure accurate costing data. Facilitate the legal review, execution, and billing processes of Cell Line License Agreements and Material Transfer Agreements.
Scheduling Specialist, Patient Access Trinity Health CorporationScheduling Specialist, Patient AccessAnn Arbor, MITrinity Health Specialist (I-II) Scheduling, Patient Access Must possess a comprehensive knowledge of multiple scheduling systems & have demonstrated proficiency in complex diagnostic testing appointment scheduling processes with a minimum of five plus (5) years of scheduling experience in an acute care setting. Synthesizes & analyzes data & provides detailed summaries including graphical data presentations illustrating trends & recommending practical options or solutions while considering the impact on business strategy & supporting leadership decision making.
Pharm Tech Specialist Home Infusion Trinity Health CorporationPharm Tech Specialist Home InfusionAnn Arbor, MIThe pharmacy focuses on providing complex, often high-risk treatments for patients requiring intravenous medications, such as chemotherapy, antibiotics, iron or immunotherapy drugs. Performs pharmacy supportive functions requiring an advanced level of training and additional levels of responsibility; may focus on advanced technical skills.
Clinical Sales Specialist, CMF (Southeast Michigan) - Johnson & Johnson MedTech - Orthopaedics Johnson & JohnsonClinical Sales Specialist, CMF (Southeast Michigan) - Johnson & Johnson MedTech - OrthopaedicsMIThe overall responsibilities of the Clinical Sales Specialist position include advancing the Company's sales of orthopedic surgical products by providing clinical and logistical expertise in hospitals and operating rooms - such as independent coverage of surgical cases, management of billing/purchase orders, logistics, and asset management. DePuy Synthes solutions, in specialties including joint reconstruction, trauma, craniomaxillofacial, spinal surgery and sports medicine, are designed to advance patient care while delivering clinical and economic value to health care systems worldwide.
AR Follow Up Specialist 360careAR Follow Up SpecialistTroy, MichiganCustomer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds. Working aged receivable reports; identify errors and work claims, calling insurance companies if necessary and posting adjustments and payments as well.
Specialist, Appeals & Grievances (Must live in TX and Medicaid experience) Molina Healthcare IncSpecialist, Appeals & Grievances (Must live in TX and Medicaid experience)Sterling Heights, MIRequests and reviews medical records, notes, and/or detailed bills as appropriate; formulates conclusions per protocol and other business partners to determine response; assures timeliness and appropriateness of responses per state, federal and Molina guidelines. Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members, providers, and related outside agencies to ensure that internal and/or regulatory timelines are met.
Medical Coder Outpatient University of MichiganMedical Coder OutpatientAnn Arbor, MIMichigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. Michigan Medicine is comprised of over 30,000 employees and our vision is to attract, inspire, and develop outstanding people in medicine, sciences, and healthcare to become one of the world's most distinguished academic health systems.
BCBA- Board Certified Behavior Analyst McCulloh ConsultingBCBA- Board Certified Behavior AnalystTaylor, MichiganExperience may include: Discrete Trial Training (DTT), Natural Environment Teaching (NET), Errorless Learning, Pivotal Response Training (PRT), Functional Communication Training, Differential Reinforcement, Contingency Management, Verbal Behavior programming, Skill acquisition programming, Behavior reduction programming, Parent and caregiver training, Functional Behavior Assessment, Functional Analysis and Staff supervision. Internal Leadership Opportunities- The organization prioritizes developing talent internally and provides pathways for clinicians interested in future leadership, training, clinical development, operational, or senior-level opportunities.
Account Resolution Specialist Prime Healthcare Management IncAccount Resolution SpecialistGarden City, MichiganFull timePrime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. Responsibilities: The Specialist, Account Resolution is the lead responsible for the timely follow-up of Managed Care/Commercial accounts.
Front Desk Wellness Specialist Dr Bridget A DevlinFront Desk Wellness SpecialistFerndale, Michigan$14–$24 / hourOur mission is to help patients Get Better Results Faster through chiropractic care, massage therapy, Nutrition Response Testing, cold laser therapy, custom orthotics, wellness education, and supportive services. Unlike conventional medicine, which focuses on attempting to treat disease once it occurs, Claddagh Chiropractic Wellness Center emphasizes improving your health in an effort to reduce the risk of pain and illness in the first place.
Account Resolution Specialist Non-Government Prime Healthcare Management IncAccount Resolution Specialist Non-GovernmentGarden City, MichiganFull timePrime Healthcare operates 54 hospitals and has more than 360 outpatient locations in 15 states providing more than 3.0million patient visits annually. Responsibilities: The Account Resolution Specialist focused is responsible for the timely follow-up of Managed Care and Commercial accounts.
Rev Cycle Accounts Receivable Manager University of MichiganRev Cycle Accounts Receivable ManagerAnn Arbor, MIRemoteMichigan Medicine improves the health of patients, populations and communities through excellence in education, patient care, community service, research and technology development, and through leadership activities in Michigan, nationally and internationally. You will play a key role in assisting the unit with providing information to Revenue Cycle leadership, Chairs and Clinical Department Administrators regarding issues related to payer policies, payer audits, and appeals.
Medical Director/Primary Care Physician Indian Health ServiceMedical Director/Primary Care PhysicianDetroit, MIPreferred experience in primary care and in serving patients from diverse backgrounds Two plus years of leadership, supervisory, and clinical management experience Board certification preferred Prior experience in FQHC, community health setting, or Tribal health a plus Experience leading integrated care models (medical, behavioral health, care coordination) Master''s degree in Public Health (MPH), Healthcare Administration (MHA), or Business Administration (MBA) preferred Must be able to obtain admitting privileges for at least one local hospital Administrative, management, or supervisory experience Ability to motivate, train and work effectively with subordinates who have a variety of backgrounds and training. Duties: Essential Administrative Duties and Responsibilities: Provides oversight of delivery of medical care by providers through direct supervision and audits Directly supervises, Physicians, Mid-level providers, including Nurses, Registered Dietician, Medical Assistants,, and Client Care Coordinator Serves as collaborating physician, providing oversight of all agency affiliated NP/PA prescriptive authority, including DEA compliance, consultation, and required co-signatures in accordance with state regulations.
Auditor CONTACT GOVERNMENT SERVICESAuditorDetroit, MI$90,000–$105,000 / yearAnalyze and audit program and benefit funding, eligibility determinations, application materials, identity documents, SNAP/Medicaid/Medicare/SSA records, UI claims, tax records, grant expenditures, procurement submissions, and other records relevant to benefit and program fraud, identity theft, and false-statement offenses. Analyze large, complex datasets-including EBT transaction logs, UI payment histories, tax records, medical billing data, student aid disbursement records, IP logs, or identity-verification datasets-and organize digital and documentary evidence using analytical and visualization tools.
Digitial Analsyt Optech, LLCDigitial AnalsytDetroit, MIThis role will focus on system testing, data validation, business rule interpretation, issue analysis, and cross-functional collaboration across business, IT, and vendor teams. The ideal candidate is a strong analytical thinker who can understand business requirements, evaluate system results, identify discrepancies and patterns, and communicate findings clearly to technical and business stakeholders.
Auditor Contact Government Services LLCAuditorDetroit, MI$90,000–$105,000 / yearAnalyze and audit program and benefit funding, eligibility determinations, application materials, identity documents, SNAP/Medicaid/Medicare/SSA records, UI claims, tax records, grant expenditures, procurement submissions, and other records relevant to benefit and program fraud, identity theft, and false-statement offenses. Analyze large, complex datasets-including EBT transaction logs, UI payment histories, tax records, medical billing data, student aid disbursement records, IP logs, or identity-verification datasets-and organize digital and documentary evidence using analytical and visualization tools.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNDearborn, MichiganOther: • Collaborates closely with, providing oversight as needed to, the Clinical Manager/Charge RN acting as nurse manager, the Medical Director, and the physicians regarding the direct patient care responsibilities within the facility to ensure the provision of outstanding quality of patient care, as defined by the FMS quality goals, and compliance with the pertinent company policies and procedures. • Demonstrated leadership competencies and management skills for the position, including excellent communication, customer service, continuous quality improvement, relationship development, results orientation, team building, motivating employees, performance management and decision making.