UMH 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.
NewUMH Sparrow Health System - BILLING SPECIALIST Sparrow Health SystemUMH 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.
Centralized Billing Team Lead Plante and Moran TrustCentralized Billing Team LeadEast Lansing, MI$65,000–$99,000 / yearThis role will be expected to lead staff growth and development, including compass review sessions for new staff members, working closely with the Centralized Billing Manager and Internal Accounting (IA) Leadership. But dig a little deeper, and you'll see what makes us different: we're a relatively jerk-free firm (hey, nobody 's perfect) with a world-class culture, consistent recognition as one of Fortune Magazine's "100 Best Companies to Work For," and an endless array of opportunities.
NewPrivate Pay Billing Specialist Memorial HealthcarePrivate Pay Billing SpecialistOwosso, MIWork on weekly and monthly reports from above mentioned agencies to ensure timely billing of accounts for which insurance coverage is obtained, to maintain an accurate inventory of accounts being worked by above agencies, and to move accounts through the billing phase if insurance coverage is unable to be obtained. 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.
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.
NewPatient Billing/Services Representative II - Otolaryngology/Pediatric ENT Washington University in St LouisPatient Billing/Services Representative II - Otolaryngology/Pediatric ENTSt 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.
NewPatient Billing/Services Representative II - Neurology Washington University in St LouisPatient Billing/Services Representative II - NeurologySt 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.
NewInsurance Billing Clerk Memorial HealthcareInsurance Billing ClerkOwosso, 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. 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.
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.
NewSenior ARR & Billing FP&A Leader Verint SystemsSenior ARR & Billing FP&A LeaderLansing, MIThis role is critical in leading the financial planning and analysis of the company's recurring revenue, focusing on Annual Recurring Revenue (ARR) and billings. Candidates should have at least 7 years of finance or accounting experience, advanced Excel skills, and the ability to engage effectively with senior leadership.
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.
Senior Billing Coordinator Block Imaging International LLCSenior Billing CoordinatorHolt, MIDemonstrated analytical, organizational, and problem-solving skills, with proficiency in Microsoft Excel and business systems, and the ability to manage multiple priorities, work independently, and communicate effectively in a fast-paced environment. Job Description Statement: The Senior Billing Coordinator plays a critical role in safeguarding the organization's financial health by ensuring accurate invoices, timely collections, and exceptional customer account management.
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.
Senior Scheduler MHM Support ServicesSenior SchedulerSt LouisThe ideal candidate will be a proactive problem-solver who thrives in a fast-paced environment, demonstrates exceptional customer service skills, and is committed to ensuring a seamless experience for patients, providers, and clinical teams. This role works closely with physicians, hospitals, insurance carriers, and patients to ensure all required authorizations, referrals, and documentation are obtained prior to services being rendered.
UMH Sparrow Health System - CONTINUING EDUCATION SPECIALIST University of Michigan Health-SparrowUMH Sparrow Health System - CONTINUING EDUCATION SPECIALISTLansing, MIGeneral 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.
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.
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.
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.
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.
Pharmacy Benefit Verification Specialist Onco360 PharmacyPharmacy 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.
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.
Office Coordinator - Women's Health MHM Support ServicesOffice Coordinator - Women's HealthSt LouisUnder the direction of the Practice Manager, the Office Coordinator serves as a key resource for front-office operations, physician support, patient scheduling, registration, billing processes, insurance verification, staff coordination, and clerical workflow management. Mercy Hospital St. Louis is seeking a highly organized and customer-focused Office Coordinator to support the day-to-day administrative and operational functions of the New Ballas Clinic Towers (Clinic 101A).
REGISTRATION ASSOCIATE Covenant HealthCareREGISTRATION ASSOCIATESAGINAW, MichiganFull timeout of network, Workers Compensation, Occupational Medicine, Motor Vehicle Accident, Tattoo Removal, JP Farley insurance, Out of State Medicaid, patient accompanied by Child Protective Service staff, foreign address, foreign Insurance, employed through Employment Agency, St. Mary’s Health Insurance, ABW County Health Plan, Michigan Lutheran Seminary, Michigan Department of Corrections, Saginaw County Jail Inmates, Research Studies, VA Medical Center and when a patient needs HAR created for physician documentation purposes. Requires in-depth knowledge of procedures performed in Cardiology, Imaging and Diagnostics including Special Procedures/Sedation, PET Scans, Diabetes Management, Wound Healing Center, Radiation Oncology, Sleep Lab, Pulmonary Rehabilitation, PICC Team, Auditory Clinic, Child Birth Education, Pulmonary Function, Bariatric/Lap Band, Lactation and Partnership for Better Recovery.
Location Manager (Carson City, MI) Simplot Australia Pty. Ltd.Location Manager (Carson City, MI)MIPriority is to ensure all location personnel has a vigorous understanding and adherence of company's safety policies and procedures along with supervising operational and support staffs at the location(s); including staffing, training, order fulfillment, inventory management, budgeting, fleet management, equipment maintenance, procurement and records retention. We are a true farm-to-table company with an integrated portfolio including food processing and food brands, phosphate mining, fertilizer manufacturing, farming, ranching and cattle production, and other enterprises related to agriculture.
Phlebotomist MyMichigan HealthPhlebotomistAlma, MichiganPart time25%)* Performs invasive procedures including venipuncture, micro-capillary collections, central line draws (where applicable) and other test procedures on patients of all age groups by following exact protocols and procedures, including patient preparation prior to testing and administration of various glucose dosages. Summary: The phlebotomist is responsible for the collection of quality biological specimens for laboratory testing, distribution of specimens to proper departments, and proper preparation and handling of specimens for laboratory analysis.
NewPhlebotomist/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 patients status and interpret the appropriate information needed to identify each patients requirements relative to his/her age-specific needs, and to provide the care needed as described in the units and divisions policies and procedures. PRIMARY JOB RESPONSIBILITIES 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 Covenant HealthCareFINANCIAL COUNSELORSAGINAW, MichiganFull timeDynamic Task Prioritization: Demonstrated ability to work with high autonomy in a highly visible environment; must possess the strong organizational skills required to seamlessly shift between public-facing customer service (processing payments/applications) and detailed back-end revenue cycle workflows without compromising transaction accuracy or data integrity. Provide comprehensive institutional cashiering and banking support services, executing secure payment processing, balancing high-volume transactions, and logging deposits across multiple hospital departments into the corporate finance system.
SUPV-PATIENT ACCESS University of Michigan Health-SparrowSUPV-PATIENT ACCESSLansing, MISpecialized Knowledge and Skills Demonstrates strong written and verbal communication skills Ability to work independently Maintains an atmosphere that supports and encourages high performance, high levels of caregiver engagement, teamwork, customer service and continual improvement within a specific area of responsibility Strongly supports the direction of Sparrow and the members of the Sparrow team Willingness to learn new skills Demonstrate ability to manage multiple priorities and strong attention to details Demonstrates ability to use a keyboard as may be required to perform the essential duties of the job. Supervise daily Patient Access operations; organizes, schedules, prioritizes and balances the work directly involved in admissions, collections, and patient financial counseling of accounts receivable, providing guidance and direction.
Medical Only Claims Spec I/II Emergent Holdings IncMedical Only Claims Spec I/IILansing, MIAssociate'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.
Shipping & Receiving Specialist National Dentex, LLCShipping & Receiving SpecialistLansing, MI$20 / hourPart timeWe are seeking to fill a number of key positions within our organization including this Shipping & Receiving Specialist opportunity at NDX Dental Art Laboratory in Lansing, MI . Responsible for utilizing UPS and FedEx software and properly maintaining database integrity and account naming procedures.
Shipping & Receiving Specialist National Dentex LabsShipping & Receiving SpecialistLansing, MichiganWe are seeking to fill a number of key positions within our organization including this Shipping & Receiving Specialist opportunity at NDX Dental Art Laboratory in Lansing, MI . Responsible for utilizing UPS and FedEx software and properly maintaining database integrity and account naming procedures.
Manager, Telephonic Nurse Case Management PaneraManager, Telephonic Nurse Case ManagementSaint LouisRemoteThe Nurse Case Manager works collaboratively with treating physicians, the Third Party Administrator (TPA), adjusters, legal counsel, managers, and HR to ensure claims progress efficiently, medical costs are appropriate, and injured employees are supported throughout recovery. The Nurse Case Manager serves as the clinical resource within the Risk Management & Safety team, providing telephonic nurse case management to support injured employees through the workers' compensation process from initial injury through return to work.