- Henry Ford Health System (Troy, MI)
- …services provided. 10.Serves as a regulatory resource of Medicare, Medicaid , Medicaid OPPS reimbursement and other third-party billing rules and coverage ... GENERAL SUMMARY: The Revenue Integrity Specialist position identifies revenue opportunities and works collaboratively...experience required. + Knowledge of Medicare, Medicaid , Medicaid OPPS reimbursement, and other third-party billing … more
- Trinity Health (Howell, MI)
- …service delivery. Knowledge of insurance and governmental programs, regulations and billing processes (Medicare, Medicaid , Social Security Disability, Champus, ... account analysis and problem solving. Resolves patient account issues. Initiates billing and rebilling of accounts as appropriate. Under limited supervision;… more
- Trinity Health (Howell, MI)
- …service delivery. Knowledge of insurance and governmental programs, regulations and billing processes (Medicare, Medicaid , Social Security Disability, Champus, ... account analysis and problem solving. Resolves patient account issues. Initiates billing and rebilling of accounts as appropriate. Under limited supervision;… more
- Trinity Health (Farmington Hills, MI)
- …In depth knowledge of insurance and governmental programs, regulations and billing processes (eg, Medicare, Medicaid , Social Security Disability, Champus, ... data, draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a technical resource and subject matter… more
- Trinity Health (Farmington Hills, MI)
- …utilization management. Knowledge of insurance and governmental programs, regulations and billing processes (eg, Medicare, Medicaid , Social Security Disability, ... draws conclusions, and reviews findings with all levels of Payment Resolution Specialist for further review. Serve as a resource to Payment Resolution Specialists… more
- Trinity Health (Ann Arbor, MI)
- …required modifiers. Utilizes coding guidelines established by the Centers for Medicare/ Medicaid Services (CMS), American Hospital Association (AHA) _Coding Clinic_ , ... documentation issues. Collaborates with Patient Financial Services in resolving billing and utilization issues affecting reimbursement. Identifies concerns and… more
- University of Michigan (Ann Arbor, MI)
- …appropriate by applying expert knowledge, expertise, and experience. Acting as a specialist in the complex Michigan Medicine credentialing process, has the authority ... and privileging following strict requirements of Centers for Medicare and Medicaid (CMS), The Joint Commission (TJC), the National Committee for Quality… more
- Trinity Health (Livonia, MI)
- …ICD-CM Official Coding Guidelines for Coding and Reporting, Centers for Medicare/ Medicaid Services (CMS) ICD-PCS Official Guidelines for Coding and Reporting * ... and Patient Business Services (PBS) teams, when needed, to help resolve billing , claims, denial and appeals issues affecting reimbursement. Maintains CEUs as… more