Billing Jobs in Troy

Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs ... on semi-routine assignments. Responsibilities The Billing & Reconciliation Representative..

Description The Billing & Reconciliation Representative 2 determines discrepancies between company records and the records of Center for Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs varied activities ..

Description The Nurse Auditor 2 performs clinical audit/validation processes to ensure that medical record documentation and diagnosis coding for services rendered is complete, compliant and accurate to support optimal reimbursement. Responsibilities ..

Description The Senior Fraud and Waste Professional conducts investigations of allegations of fraudulent and abusive practices. The Senior Fraud and Waste Professional work assignments involve moderately complex to complex issues where ..

Troy office of a BCG Attorney Search Top Ranked Law Firm seeks criminal associate attorney with 2+ years of experience, either defense or prosecution. The candidate will work with the CEO, ..

Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation Representative 2 performs ... is looking for an experienced billing associate that truly..

Billing Coordinator The candidate will provide ... Coordinator The candidate will provide billing support and other professional support ... client based on preference (e-mail, e-Billing system, mail). Request approval for..

Electronic Billing and Project The candidate will ... ad-hoc pre-bill/proforma documents. Coordinate specialized billing processes for assigned attorneys, including, ... follow-up on rejection/appeals for electronic billing; serving as a liaison..

Job Information Humana Sr. DevOps Cloud Engineer in Troy Michigan Description Do you thrive on working on leading edge technology such as AKS and Kubernetes? Do you embrace the DevOps workstyle ..

Description The Provider Engagement Professional 1 develops and grows positive, long-term relationships with physicians, providers and dental healthcare systems in order to support and improve financial and quality performance within the ..

Description The Medical Records Retrieval Representative travels to provider offices within the region and scans medical records into a secure system. The records are reviewed by Humana's Coding staff. Responsibilities The ..

Description The Dental Fraud and Waste Investigator conducts investigations of allegations of fraudulent and abusive practices. The Dental Fraud and Waste Investigator work assignments are varied and frequently require interpretation and ..

Description Responsibilities The Billing & Enrollment Representative will assist members in a fast-paced inbound call center environment. You will be responsible for: Processing enrollments, payments, address changes or other enrollment related ..

Job Information Humana Billing & Reconciliation Representative 2-Remote in ... in Troy Michigan Description The Billing & Reconciliation Representative 2 determines ... Medicare and Medicaid Services. The Billing & Reconciliation..

Description The Senior Claims Research & Resolution Professional manages claims operations that involve customer contact, investigation, and settlement of claims for and against the organization. Approves all claims issues/complaints within contractual ..

Fraud and Waste Investigator Duties: The candidate collaborates in investigations with law enforcement authorities. Assembles evidence and documentation to support successful adjudication, where appropriate. Conducts on-site audits of provider records ensuring ..

Job Information Humana Fraud and Waste Investigator - Work At Home (Anywhere in the US) in Troy Michigan Description Humana is looking for an experienced Healthcare Investigator to join its industry ..

Description The Claims Processing Representative 2 reviews and adjudicates complex or specialty claims, submitted either via paper or electronically. The Claims Processing Representative 2 performs varied activities and moderately complex administrative/operational/customer ..

Description Humana Healthy Horizons in Florida is seeking a STARS Improvement Professional 2 who will develop, implement, and manage oversight of the company's Medicaid Stars Program. They will direct all quality ..

Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..

... Professional - Product Owner, Premium Billing Systems in Troy Michigan Description ... Implementation Professional to join the Billing and Reconciliation team. This Senior ... for one of our Premium..

Job Information Humana Director, Billing & Enrollment - Humana Military ... that is responsible for key Billing and Enrollment functions in support ... enterprise as relates to key billing and..

Description Responsibilities The Billing & Enrollment Representative will assist members in a fast-paced inbound call center environment. You will be responsible for: Processing enrollments, payments, address changes or other enrollment related ..