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.
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.
Patient Billing/Services Representative II - Ophthalmology Washington University in St LouisPatient Billing/Services Representative II - OphthalmologySt Louis, WashingtonCustomer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration Grade . The screenings will include criminal background check and, as applicable for the position, other background checks, drug screen, an employment and education or licensure/certification verification, physical examination, certain vaccinations and/or governmental registry checks.
Insurance Billing Clerk Memorial HealthcareInsurance Billing ClerkOwosso, MIINTERPERSONAL SKILLS Ability 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. Motor Coordination: While performing the duties of the job, it is required to regularly perform functions that include using hand and finger movement, handle or feel objects, be able to use tools or equipment that requires reaching with hands and arms.
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.
NewSpecialty Billing Representative I Emergent Holdings IncSpecialty Billing Representative ILansing, MIADDITIONAL EXPERIENCE REQUIRED FOR THE LEVEL II: Minimum of five (5) years experience in billing, underwriting, policy processing or equivalent work. Contacts include: Enterprise employees, agents and policyholders, external collection agencies, NCCI and legal representatives.
NewAccounting Manager Peak Performance Physical TherapyAccounting ManagerLansing, MichiganThis position directly supervises the Billing Specialist and is responsible for: Assigning and monitoring work. Experience working with electronic medical record (EMR), practice management, payroll, and accounting software.
Pharmacy Benefit Verification Specialist Onco360Pharmacy Benefit Verification SpecialistSaint LouisSkills/Knowledge: Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. Pharmacy Benefit Verification Summary The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs.
Provider Relations Specialist Emergent Holdings IncProvider Relations SpecialistLansing, MIThree 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.
Provider Relations Specialist Emergent Holdings, Inc.Provider Relations SpecialistLansing, MIThree 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.
SCHEDULING SPECIALIST University of Michigan Health-SparrowSCHEDULING 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.
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.
Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistSaint LouisSkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Inpatient Eligibility Specialist/FT/Onsite- Mercy Hospital STL MercyInpatient Eligibility Specialist/FT/Onsite- Mercy Hospital STLSt LouisCustomer service ability, strong face to face communication skills, background working with customers or patients on document completion and applications, knowledge of medical expenses and associated bills, knowledge of patient insurance, ability to multitask, ability to learn complex state requirements for programs and explain to patients, bias for action, patient/consumer-focused, entrepreneurial and commitment to excellence and service. Minimum years and type of experience: 1-2 years of experience in the healthcare industry, social work, or case management environment, interacting with patients regarding financial concerns, working with self-pay, underinsured, or a compromised population in a face-to-face customer service capacity proactively explaining complicated programs.
NewImmunology Account Specialist - Lansing/Saginaw/Flint, MI AmplityImmunology Account Specialist - Lansing/Saginaw/Flint, MILansing, MichiganWith a deep grasp on product lifecycles, marketing hurdles, operational nuances + the complex needs of providers and patients, we help our clients launch products + operate smoothly with precision — across all business shapes, sizes + specialties. Representatives may be required to submit and maintain required credentials such as requests for vaccination information, trainings, adherence to HCP/Hospital policies, and other job-related documentation, to gain compliant access to hospitals or healthcare providers.
Administrative Assistant, Communicable Disease Control Ingham County MichiganAdministrative Assistant, Communicable Disease ControlLansing, MIPhysical Requirements: This position requires the ability to sit, stand, walk, twist, bend, stoop/crouch, squat, kneel, lift, carry, push, pull, reach, handle, type, endure repetitive movements of the wrists, hands or fingers. Performs account payable and receivable tasks, oversees the TB Incentive and Enablers Program, maintains list of supplies on hand, submits request to replenish inventory of gift cards, taxi vouchers, and bus tokens, etc.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNLansing, 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.
NewSTCI-AUTHORIZATION & CHARGE RECONCILIATION SPEC University of Michigan Health-SparrowSTCI-AUTHORIZATION & CHARGE RECONCILIATION SPECLansing, MIResponsibilities include obtaining insurance for orders placed by CV providers, verification of insurance, data entry of charges for services provided outside of EPIC, denial work queues, working as a liaison between referring physician caregivers and STCI to assist in ensuring appropriate authorization/medical necessity. General Purpose of Job: Under the direction of the CV Authorization and Charge Reconciliation Supervisor, the Authorization and Charge Reconciliation Specialist's main objective is to ensure charge capture for professional charges for the CV Service for the ambulatory location.
NewIntake Coordinator AdvisaCareIntake CoordinatorEast Lansing, MIDaily/continuous monitoring of task flow screen related to all insurance issues including, but not limited to the following: verify Medicare eligibility, complete insurance verification, review eligibility alerts, obtain initial authorization, re-verify insurance at recertification and resumption of care. The Intake Specialist is responsible for ensuring that benefit information, initial authorization and patient liability are obtained prior to the clinical staff starting care.
Call Center Specialist Memorial HealthcareCall Center SpecialistOwosso, MIINTERPERSONAL SKILLS Ability 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. JOB SPECIFICATIONS EDUCATION High School graduate or GED required and post-high school courses in medical terminology and/or anatomy and physiology or documented knowledge and experience required.