NewUMH Sparrow Health System - BILLING SPECIALIST University of Michigan Health-SparrowUMH Sparrow Health System - BILLING SPECIALISTLansing, MIThese may include but are not limited to: Maintaining a current knowledge base of department processes, protocols and procedures, pursuing self-directed learning, and continuing education opportunities, and participating in committees, task forces, and work groups as determined by management. Maintains daily work queues according to payer requirements, including late charges/credits, multiple visits in one day, 3-day rule, changes in insurance coverage, and claim errors.
Medical Bill Rev Specialist I/II Emergent Holdings IncMedical Bill Rev Specialist I/IILansing, MIResponsible for analyzing billings including outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software to determine appropriateness of codes and excessive charges. Minimum of two years of experience in a medical billing and/or coding position or similar relevant experience that would provide the necessary skills, knowledge and abilities to perform the required responsibilities.
SHS-BILLING CLERK University of Michigan Health-SparrowSHS-BILLING CLERKLansing, MIGeneral Requirements • None Work Experience • Minimum of one year billing experience, comprised of all insurance carriers Education • High school diploma or equivalent Specialized Knowledge and Skills • Experience with electronic billing systems, programs and applications • Excellent communication and interpersonal skills • Ability to work in team environment • Knowledge of medical terminology • Preferred- EPIC experience. General Purpose of Job: The Medical Billing Specialist assists in processing the accounts receivable.
Hospital Billing Coordinator Deloitte Touche Tohmatsu LtdHospital Billing CoordinatorMI$50,000–$60,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Billing Specialist - Shared Services Insurance Office of AmericaBilling Specialist - Shared ServicesLansing, MIRemote$40,000–$60,000 / yearFull timePlease note: If this position is posted as either fully remote and/or hybrid, in accordance with company policy, individuals residing within a 50-mile radius of a branch location may be required to work onsite in a hybrid capacity as there may be occasions when on-site presence is necessary to meet specific business needs. The Billing Specialist plays a critical role in supporting financial operations while delivering consistent, high‑quality results within established turnaround timelines.
SHS-BILLING FOLLOW-UP SPECIALIST University of Michigan Health-SparrowSHS-BILLING FOLLOW-UP SPECIALISTLansing, MIThese may include but are not limited to: Maintaining a current knowledge base of department processes, protocols and procedures, pursuing self-directed learning and continuing education opportunities, and participating in committees, task forces, and work groups as determined by management. • Professional, business-like appearance and demeanor • Recognizes and reports problems, errors and discrepancies to management • Shares information with co-workers • Ability to contribute to team efforts • Ability to assist with training of new employees as needed.
UMH Sparrow Health System - BILLING FOLLOW-UP SPECIALIST University of Michigan Health-SparrowUMH Sparrow Health System - BILLING FOLLOW-UP SPECIALISTLansing, MIThese may include but are not limited to: Maintaining a current knowledge base of department processes, protocols and procedures, pursuing self-directed learning and continuing education opportunities, and participating in committees, task forces, and work groups as determined by management. • Professional, business-like appearance and demeanor • Recognizes and reports problems, errors and discrepancies to management • Shares information with co-workers • Ability to contribute to team efforts • Ability to assist with training of new employees as needed.
Billing and Accounts Receivable Manager Deloitte Touche Tohmatsu LtdBilling and Accounts Receivable ManagerMIRemote$140,000–$160,000 / yearp>Information for applicants with a need for accommodation: https://www2.deloitte.com/us/en/pages/careers/articles/join-deloitte-assistance-for-disabled-applicants.html. As an Epic Billing and Accounts Receivable Manager you will help deliver back-end revenue cycle management (RCM) services, including billing and claims submission, A/R follow-up, denials management, payment posting, and credits and refunds, for health care provider client.
Hospital Billing Analyst Deloitte Touche Tohmatsu LtdHospital Billing AnalystLansing, MI$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Hospital Billing Operator Deloitte Touche Tohmatsu LtdHospital Billing OperatorMI$70,000–$90,000 / yearOur purpose comes through in our work with clients that enables impact and value in their organizations, as well as through our own investments, commitments, and actions across areas that help drive positive outcomes for our communities. This compensation range is specific to the remote role and takes into account the wide range of factors that are considered in making compensation decisions including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs.
Billing Analyst Stride, Inc.Billing AnalystLansing, MichiganSummary: The Billing Analyst compiles, validates, and analyzes data in order to prepare accurate and timely customer invoices, schedules, reconciliations, and journal entries to ensure the company flow of cash and revenue. Apply core competencies in work including Effective Communication, Accountability, Prioritization, Ownership, Technical Acumen, Operational Excellence, and Proactiveness.
NewProvider Relations Specialist Emergent Holdings IncProvider Relations SpecialistLansing, MIp>Three years' experience in an insurance organization with two years demonstrated technical knowledge in workers' compensation medical bill review or other relevant experience, which provides necessary skills, knowledge, and abilities. Responsible for analyzing billings including outpatient hospital and multiple surgeries by utilizing our Medical Bill Review (MBR) software and reference library to determine appropriateness of codes and excessive charges.
CLINICAL DOCUMENTATION SPECIALIST University of Michigan Health-SparrowCLINICAL DOCUMENTATION SPECIALISTMIp>General Requirements RHIT, RHIA, CCS, CCS-P, CPC or other professional HIM coding certificate EPIC or Revenue Cycle Certification preferred Clinical Documentation certification preferred Work Experience At least three (3) years of experience with healthcare documentation, coding requirements or revenue cycle experience At least one (1) year of experience as an educator or trainer in a healthcare setting Prior clinical experience preferred Experience using EPIC preferred Education Associate degree in Business, Nursing or related field; or equivalent experience in medical billing, coding, health information technology/management, health administration, business administration or another related field. The CDS understands and articulates data analysis specific to physician and APP clinical documentation, charge capture and revenue activity, provides updates on status and progress of efforts to improve revenue capture, and maintains a strong collaborative relationship with the Clinically Integrated Network (CIN) and other relevant departments.
Ambulance Medical Biller & Coder MOBILE HEALTH RESOURCES L L CAmbulance Medical Biller & CoderLANSING, MIKnowledge of the Health Insurance Portability and Accountability Act (HIPAA) 2. Knowledge of procedure and diagnostic codes (HCPCS and ICD-10 codes) 3. Knowledge of medical terminology, abbreviations, and acronyms 4. Knowledge of medical billing. This role is responsible for accurately and appropriately coding ambulance claims, including claim submission, follow-up on denied claims, and ensuring compliance with relevant billing regulations to facilitate timely reimbursement for services.
Medical Review Nurse -UM/Post Appeals (Michigan RN license req) Molina Healthcare IncMedical Review Nurse -UM/Post Appeals (Michigan RN license req)Bellevue, MIREQUIRED QUALIFICATIONS: At least 2 years clinical nursing experience, including at least 1 year of utilization review (prospective, retrospective and concurrent clinical review), medical claims review, long-term services and supports (LTSS), claims auditing, medical necessity review and/or coding experience, or equivalent combination of relevant education and experience. Utilizing clinical knowledge and experience, responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and coding regulations, and Molina policies; validates the medical record and claim submitted support correct coding to ensure appropriate reimbursement to providers.
Audit Quality Specialist Emergent Holdings IncAudit Quality SpecialistLansing, MIPRIMARY RESPONSIBILITIES: Conducts and executes the production statistics and quality audits of completed work in comparison to established documented procedures to determine accuracy within the Service Center in a timely fashion while being in compliance with statutory regulations (30%). EXPERIENCE REQUIRED FOR AUDIT QUALITY SPECIALIST: Two (2) years experience with AF Group within the Claims, Business Development, Finance, Service Center or equivalent Enterprise experience that provides the necessary skills, knowledge and abilities.
Product Development & Compliance Specialist III - Insurance Michigan Millers Mutual Insurance CompanyProduct Development & Compliance Specialist III - InsuranceLansing, MI$78,945–$108,575.50 / yearWestern National believes in supporting balance between work and life by providing a flexible work environment, which includes a variety of hybrid and remote work arrangements designed to balance individual, job, department, and company needs. We believe in striving for growth without sacrifice and know that our culture creates and cultivates happy and dedicated employees, which we believe gives us the ability to deliver the highest level of customer service.
UMH Sparrow Health System - CONTINUING EDUCATION SPECIALIST University of Michigan Health-SparrowUMH Sparrow Health System - CONTINUING EDUCATION SPECIALISTLansing, MIp>General Purpose of Job: Under general supervision of Patient Financial Services (PFS) Continuing Education Coordinator (CEC), the CEC Specialist will be responsible for assisting in the development of a formalized training and education program for Associates within the PFS Department. Requirements Shift: Days Days Degree Type / Education Level: High School / GED Status: Full-time Full-time Facility: Sparrow Hospital Sparrow Hospital Experience Level: New Grad New Grad.
PRE SERVICE SCHEDULING SPECIALIST University of Michigan Health-SparrowPRE SERVICE SCHEDULING SPECIALISTLansing, MIEducation Associate Degree in health care billing, accounting or business and a minimum of 1 year of health care healthcare scheduling and patient registration experience; OR High School Diploma/GED and a minimum of 3 years of health related experience in healthcare scheduling, billing, and registration. Responsibilities include: scheduling patient appointments, providing pre-registration, verification of insurance, obtaining insurance authorizations, collecting patient payments, providing estimates, entering ICD-10 codes and completing appropriate medical necessity checking.
Certified Medical Assistant Banner HealthCertified Medical AssistantHowell, MIActive Medical Assistant certification such as: Registered Medical Assistant (RMA) with proof of current membership from American Medical Technologists (AMT) or Certified Medical Assistant (CMA) with proof of current membership from American Association of Medical Assistants (AAMA) or Certified Clinical Medical Assistant (CCMA) with proof of current membership from National Health Career Association (NHA) (Test administered after 7/1/2017 only) or National Certified Medical Assistant (NCMA) with proof of current membership from National Certified Competency Testing (NCCT). Assists providers with exams and minor in-office procedures which could include taking patients' blood pressure, documenting respiration and heart rate/pulse, taking temperature, as well as performing phlebotomies, ear irrigation and EKG's.
Inbound Sales Specialist Wide Open WestInbound Sales SpecialistLansing, MichiganAs an Inbound Sales Specialist, you'll play a critical role in helping customers stay connected while contributing to WOW!'s sales success. Location Requirement: Although this is a work-from-home opportunity, c andidates must reside within 45 mi les of a WOW! market or office location to support operational and team collaboration needs.
NewPhysician Support Specialist AccentCare IncPhysician Support SpecialistLansing, MIp>As a professional, you know that what you do impacts you as much as our patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. At AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change.
Business Operations Specialist Bellefeuil Szur And Associates IncBusiness Operations SpecialistLansing, MIResponsibilities: This position will work closely with several managers including the Director of Business Operations, the VP of Revenue Operations, the Chief Revenue Officer, the Director of Marketing, Account Executives, Account Managers, CFO, and Controller to help develop and automate the order to cash process as well as take ownership and improve all quote to cash activities. This individual will be a part of the team that works directly with the salespeople, is involved in the early stages of developing a sale, drafting proposals, RFPs, and contracts, manage user and customer data in internal systems, and assists with client billing and collections.
Business Operations Specialist BS&ABusiness Operations SpecialistLansing, MIFull timeThis position will work closely with several managers including the Director of Business Operations, the VP of Revenue Operations, the Chief Revenue Officer, the Director of Marketing, Account Executives, Account Managers, CFO, and Controller to help develop and automate the order to cash process as well as take ownership and improve all quote to cash activities. This individual will be a part of the team that works directly with the salespeople, is involved in the early stages of developing a sale, drafting proposals, RFPs, and contracts, manage user and customer data in internal systems, and assists with client billing and collections.
Mental Health Professional (MHP) The Stepping Stones Group LLCMental Health Professional (MHP)Howell, MINew Jersey Asbury Park Atlantic City Barnegat Basking Ridge Bayonne BELLMAWR Bergenfield Berkeley Heights Blackwood Brick Bridgeton Bridgewater Butler Camden Cape May Court House Central Region Cherry HIll Chester Clementon Clifton Cranford Cresskill Deptford Dumont Dunellen East Brunswick East Orange Edgewater Park Edison Egg Harbor Township Elizabeth Englishtown Ewing Fair Lawn Flemington Franklin Lakes Freehold Garfield Gibbstown Hackensack Haddon Field Hainesport Hamilton Hammonton Hasbrouck Heights Haworth Hillsborough Holmdel Jamesburg Jersey City Lakewood Leonardo Lindenwold Little Egg Harbor Livingston Lodi Manalapan Manville Marlton Matawan Millington Millville Monmouth Monmouth Junction Monroe Township Montague Montclair Montville Morganville Mount Holly New Brunswick New Providence North Bergen Northfield Nutley Ocean Gate Oradell Parlin Parsippany Passaic Penns Grove Pennsauken Pequannock Perth Amboy Piscataway Pleasantville Point Pleasant Beach Pompton Plains Red Bank Ridgewood Rosenhayn Scotch Plains Skillman South Bound Brook South Orange Tenafly Tenefly Tinton Falls Toms River Tuckerton Union Vernon Verona Waldwick Wanamassa Watchung Wayne West Long Branch West New York Westampton Williamstown Willingboro Woodstown Wrightstown. Minnesota Aitkin Albert Lea Anoka Bemidji Bloomington Brooklyn Center Brooklyn Park Buffalo Burnsville Cedar Champlin Chaska Circle Pines Cloquet Cold Spring Columbia Heights Coon Rapids Cottage Grove Crosby East Grand Forks Eden Prairie Eden Valley Edina Elk River Faribault Forest Lake Hopkins Houston Hutchinson Inver Grove Heights Lakeville Mahtomedi Mankato Maple Grove Marine On Saint Croix Marshall Minneapolis Minnetrista Naytahwausch New Prague North Branch North St. Paul Oak Grove Onamia Osseo Princeton Prior Lake Red Wing Richfield Rollingstone Rosemount Roseville Rush City Saint Paul Sartell Sauk Centre Shakopee Shoreview South St. Paul Spring Lake Park St. Cloud St. Francis St. Louis Park St. Paul Stillwater Tofte Tower Wayzata West St. Paul White Bear Lake Willmar.
Neurology Account Specialist - (Lansing, MI) (Field Based) Eisai IncNeurology Account Specialist - (Lansing, MI) (Field Based)Lansing, MI$127,400–$167,300 / yearExperience working with U.S. healthcare industry (including delivery of care, market access and reimbursement landscape, and key stakeholders that influence decision-making within local markets and healthcare systems). E-Verify is an Internet based system operated by the Department of Homeland Security in partnership with the Social Security Administration that allows participating employers to electronically verify the employment eligibility of all new hires in the United States.
UMH Sparrow Health System - Manager of Denials, Audits & Appeals University of Michigan Health-SparrowUMH Sparrow Health System - Manager of Denials, Audits & AppealsLansing, MI2-5 years recent experience in utilization management, appeals, or case management preferred Education • Bachelor''s Degree in Finance, Accounting, Business Administration, Healthcare Administration or related field and minimum 5 years of experience in Revenue Cycle environments; OR Associates Degree in Finance, Accounting, Business Administration, Healthcare Administration or related field and minimum 5 years of experience in Revenue Cycle environments and minimum 2 years leadership experience; OR High School Diploma/GED and minimum 6 years of experience in Revenue Cycle environments and minimum 3 years leadership experience Specialized Knowledge and Skills • Detailed knowledge of payer reimbursement methodologies and billing compliance rules. Areas of focus will include denials analysis, denial write offs, appeals management, analysis of managed care contracts, and other clinically related denial issues.
PATIENT ACCESS REPRESENTATIVE University of Michigan Health-SparrowPATIENT ACCESS REPRESENTATIVELansing, MIGeneral Requirements • Member of National Association of Healthcare Access Management (NAHAM) - preferred • Certified CHAM or CHAA - preferred Work Experience • Minimum 1 year of healthcare office experience or similar setting Education • High School Diploma or GED or successful completion of 12 grades combined with continued enrollment in early college program Specialized Knowledge and Skills REQUIRED • Demonstrates excellent interpersonal and communication skills. General Purpose of Job: The Patient Access Representative is responsible for creating a positive impression for each patient, family member, visitor, and staff member while performing the tasks of identifying patients accurately in the system, insurance verification, and collection of pre-service payment according to department policy.
Prior Authorization Specialist II Memorial HealthcarePrior Authorization Specialist IIOwosso, MIJOB SUMMARY Under the guidance of the Supervisor/Manager of Patient Access and Director of Revenue Cycle, our Prior Approval Specialist level II will oversee the process of collecting all necessary documentation needed for approval of services in regards to Pharmacy and Oncology services as well as diagnostic services. Manage Free drug and White bagged drug list including but not limited to: patient enrollment and reenrollment, renewing prescriptions, scheduling the delivery of medications, cancelling appointments if medications are not arriving on time, working with new patients as they are added.
Phlebotomist/Tech Assistant - Satellite Office Memorial HealthcarePhlebotomist/Tech Assistant - Satellite OfficeOwosso, MIMust demonstrate knowledge of the principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirements relative to his/her age-specific needs, and to provide the care needed as described in the unit's and division's policies and procedures. Responsible for general secretarial duties including but not limited to answering the telephone, log physician requests, compile pertinent statistics, call reports, keeps office/testing area clean, and schedules outpatient testing.
Operations Trainer I Emergent Holdings IncOperations Trainer ILansing, MIEXPERIENCE REQUIRED: Two years of training experience in an organization which provides the necessary skills, knowledge, and abilities with demonstrated application of knowledge in the following areas: training, analytics, interpretation of data, process, procedure and workflow design, project management and user documentation AND three years of experience working in workers' compensation or insurance (in the higher levels of medical bill review, medical/indemnity claims, customer service, policy processing, underwriting technical, billing, assigned risk, premium audit, etc.) with demonstrated public speaking, researching, and training skills. Prepares and facilitates high-quality instructor-led, virtual-live, and blended learning sessions in a group or one-on-one setting for multiple customer groups, including set up of delivery technology, training environment and other assets, coordination and management of Producer role, as applicable.
Financial Counselor, Patient Access Trinity HealthFinancial Counselor, Patient AccessMIli>Knowledge of federal or state government agencies including but not limited to Medicare, Medicaid, VA or Charity Care programs, or patient management and healthcare accounts receivable within the healthcare revenue cycle preferred. Encounter worksites (e.g., patient homes) or travel to worksites that may have variable internal & external environmental conditions.
Financial Analyst A.J. Boggs & CompanyFinancial AnalystOkemos, MIThe Financial Analyst will be responsible for tracking and resolving outstanding payment issues, generating monthly reports, invoicing, account reconciliation, and communicating with customers. Assist in the month-end and year-end closing process and prepare related financial reports, including budget to actual comparisons, AR aging, cash receipts, & credit analysis.
NewDirector, Medical Payment Operations - Worker's Compensation (US Remote) AF GroupDirector, Medical Payment Operations - Worker's Compensation (US Remote)Lansing, MIRemoteConsult with Claims, Corporate Claims, Government Affairs and OGC leadership across the organization to provide necessary support and feedback to ensure most productive, efficient, compliant, and cost-effective ways to conduct business. SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED: * Working knowledge of workers' compensation statutes and fee schedules, medical reimbursement methodologies, filing procedures, settlement options, claims processes, and medical terminology.
Medical Only Claims Spec I/II Emergent Holdings IncMedical Only Claims Spec I/IILansing, MIp>Associate's degree in insurance, business administration, health administration and/or related field with progress towards or completion of Insurance Institute of America (IIA) or other insurance related designation(s) and two (2) years of insurance experience including one (1) year experience in a property & casualty claims role (i.e. applying regulations, guidelines, and/or policies that would impact claims and/or underwriting outcomes in a property & casualty environment). ADDITIONAL SKILLS/KNOWLEDGE/ABILITIES (SKA) REQUIRED FOR MOCS II: Demonstrated ability to use diplomacy, discretion, and appropriate judgment when responding to inquiries from staff and external customers as well as anticipating needs of the department.
Denial Management Coordinator Memorial HealthcareDenial Management CoordinatorOwosso, MIAbility to interact with co-workers, hospital staff, administration, patients, physicians, the public and all internal and external customers in a professional and effective, courteous and tactful manner, at all times, physically, verbally and in all written and electronic communication. Effectively disburse information to Patient Financial Services Manager and Director of Revenue Cycle to enable education around denials and solutions to reduce the number of denials.