16 billing specialist jobs found in Saginaw, MI

Overview: The Denials Management Tech essentially works to coordinate the payor denials/appeal communication as part of the denial management process. Denials management tech is responsible for tracking communication from Covenants CRM Department, CBO Department, Request for Information Department, various insurance payors, and various payor audits. Coordinate all denials and appeals correspondence. Responsible for maintaining tracking and communication through the EPIC electronic medical record application, requesting information from ROI, and preparation of support information used in the appeal process. Works closely with Denials Management Specialists, Utilization Management, Billing, and Insurance Payors. Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation....

Overview: This position is responsible for being proficient in one or more of the following positions:  Patient Cook and/or Catering Specialist.  May also include experience in any Food Service Group A or B positions.  This position is responsible for promoting a team approach within the work environment by assisting coworkers and demonstrating self-initiative.  Work assignments may vary as needed.  This position must be able to complete all assigned job tasks in accordance with Food Safety Guidelines prescribed by the County Health Department and ServSafe.Demonstrates excellent customer service in that his/her attitude and actions are always consistent with the standards contained in the Vision, Mission, and Values of Covenant and the commitment to Extraordinary Care for Every Generation.  Responsibilities: Builds effective working relationships and a spirit of teamwork within the work unit. Contributes to organization success targets for patient satisfaction and net operating...

Overview: This position is responsible for being proficient in one or more of the following positions: Patient Cook and/or Catering Specialist. May also include experience in any Food Service Group A or B positions. This position is responsible for promoting a team approach within the work environment by assisting coworkers and demonstrating self-initiative. Work assignments may vary as needed. This position must be able to complete all assigned job tasks in accordance with Food Safety Guidelines prescribed by the County Health Department and ServSafe.Demonstrates excellent customer service in that his/her attitude and actions are always consistent with the standards contained in the Vision, Mission, and Values of Covenant and the commitment to Extraordinary Care for Every Generation.  Responsibilities: Builds effective working relationships and a spirit of teamwork within the work unit. Contributes to organization success targets for patient satisfaction and net operating margin....

Overview: The Denials Specialist is responsible for investigating and resolving denied insurance claims, ensuring timely resolution and optimal reimbursement for professional services performed at outpatient, urgent care or physician offices at Covenant HealthCare. This position will monitor and analyze quality of coding, compliance issues, billing, documentation and reimbursement and interpretation. Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation. Responsibilities: Analyze denied claims by identifying reasons for denial and verify claim information against payer policies and contracts. Resolve denials by determining appropriate actions and submitting appeals within specified deadlines. Compile supporting documentation and evidence to strengthen appeal cases,...

Overview: The Health Information Management Coding Specialist Outpatient provides timely and accurate clinical and administration data to ensure optimal reimbursement for facility outpatient, ambulatory surgery, observation, recurring accounts to support the facility coding needs. This may include coverage on some Rehab or Skilled Care accounts. Primary patient contact is only social.   Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to providing Extraordinary Care for Every Generation. Responsibilities: Contributes to organization success targets for patient satisfaction. Formulates and uses effective working relationships with all members of the HIM department, physicians, external customers, patients, and other department staff members. Adhere to coding rules for outpatient coding, APC assignment,...

Overview: The Health Information Management Outpatient Coding Specialist Lead provides timely and accurate clinical and administration data to ensure optimal reimbursement for facility outpatient, ambulatory surgery, observation and recurring accounts to support the facility coding needs. The Lead OP Coder will be the go-to person prior to taking issues to the Manager. The Lead will orient, coordinate and lead training of new Coders. Gather, research, and help disseminate materials and updates. Will gather feedback and input from Coders and work closely with the manager on evaluating and implementing process improvements or regulatory updates. In addition, the Lead will provide feedback to staff, may audit specific areas needing improvements and monitoring performance of the group. Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant...

Overview: The Radiology Advanced Practice Provider (Radiology APP) is a licensed NP or PA-C employed in Fluoroscopic and Interventional Radiology (IR) will be trained and expected to perform a combination of various gastrointestinal and genitourinary fluoroscopy studies, diagnostic and therapeutic arthrograms, lumbar punctures, myelograms, CT guided bone marrow biopsies, nuclear medicine injections, paracentesis and thoracentesis procedures, chest tubes, central lines/ports and Aspira drains. Additional training will be required for the. Radiology APP to perform pediatric fluoroscopy. The Radiology APP will provide IR directed patient care including pre/post procedural evaluation and consultation The Radiology APP demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to Extraordinary Care for Every...

Overview: Summary The Cytotechnologist demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant and the commitment to Keeping our Promise of Caring. This individual is responsible for performance and reporting results promptly and proficiently on tests and patient specimens. Perform quality control procedure, instrument checks and maintenance, quality assurance studies and help maintain appropriate records as needed. Help as directed with research, new procedures, training and orientation. Comply with Covenant policies and procedures and help maintain a safe and efficient workplace. Insures assigned service meet CLIA 1988 accreditation standards and OSHA safety standards and provides quality service in an expeditious manner. Responsibilities: Responsibilities Performs all cytologic tests ordered by a physician using automated and/or manual...

Overview: � The Dialysis Tech is a trained specialist that is proficient in ordering and maintaining supplies and equipment needed in the inpatient care areas. They will facilitate transport of patients to and from the dialysis unit and communicate such coordination of patient transfers with the transport and dialysis staff. Demonstrates excellent customer service performance in that his/her attitude and actions are consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation.�� Responsibilities: Responsible for TABLO dialysis supply and machine maintenance by monitoring par levels and ordering supplies including straws, testing strips, flushes, and any other inventory with the machine.� Demonstrates proficiency in checking machines for chemical disinfectant and heating cycles, water sampling, and filter changes.� Must be knowledgeable about the operation of equipment necessary to...

Overview: Eligible for a commitment agreement up to 30K The  Registered Respiratory Therapist demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant and the commitment to Extraordinary Care for Every Generation.   This individual is responsible for the delivery of Respiratory Care including Patient assessment, ventilator management, non-invasive and bi-level ventilation, metered dose inhalers, medicated nebulizer therapy, chest physical therapy, airway maintenance, patient education, arrest team, rapid response team and transport team duties. The Registered Respiratory Therapist is especially focused on the Respiratory needs of patients in critical care units including, SICU, NTICU, CCU, CVICU, PICU, and RNICU. Has clinical and social contact with patients, including all age groups, and is able to appropriately assess, care for and treat...

Overview: The Physician Assistant (PA) demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation. The PA will function in a supervised and independent capacity with the Covenant HealthCare physician team. Supervision, where necessary, will be provided by the practice’s designated supervising physician. Responsibilities: Provide care to patients within Inpatient Practices, including Hospital Medicine and the ECC Observation Unit. May also work with Critical Care depending on prior training or existing privilege credentialing. I. Direct Patient Care: Strong patient assessment skills; taking medical history, ordering and interpreting laboratory tests, performing physical exams and treating illnesses and injuries. Perform hospital H&P’s, Discharge Summaries, and subsequent...

Overview: The Nurse Practitioner (NP) demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation. The NP will function in a supervised and independent capacity with the Covenant HealthCare physician team. Supervision, where necessary, will be provided by the practice�s designated supervising physician. Responsibilities: Direct Patient Care Patient assessment/medical screening exams: taking medical history, ordering and interpreting laboratory tests, performing physical exam, diagnosing and treating illnesses and injuries. Perform diagnostic/therapeutic procedures under general supervision of physician, such as chest tube insertion, atrial line insertion, central venous catheter insertion, and endotracheal intubation. Prescribes or dispenses medication within the scope of...

Overview: The Educational Specialist is responsible for improving the quality of patient care delivered through education and collaboration with the health care team. As a Registered Nurse, this position plans, implements and evaluates orientation, in-service education and continuing education activities for Covenant at Home. The Education Specialist acts as a change agent, professional role model and patient advocate. Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation. Responsibilities: Coordinates, plans, implements and evaluates core orientation and training. Develops simulation training tools with the Covenant at Home Sim Lab for staff growth and development. Maintains staff competency and meets joint visit requirements. Oversees nursing and therapy...

Overview: The Call Center Specialist delivers exceptional customer service and builds relationships by handling inbound and/or outbound calls in a timely, professional, and courteous manner to support Covenant HealthCare communication and physician answering services . The Call Center Specialist initiates emergency notification procedures and provides after hour critical issue support by managing communications with key staff in various departments. Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation. Responsibilities: Customer Interaction & Support Answer high volume of inbound calls from patients, caregivers, and healthcare providers in a courteous, empathetic manner. Take calls and messages for the IT Helpdesk Bio Med, Endoscopy, Hospital Medicine...

Overview: The Certified Child Life Specialist (CCLS) is responsible, accountable and has the authority for patient and financial outcomes that result from the quality of care within an assigned pediatric patient population and siblings or children of current patients when consulted.  Integrating excellent communication skills, leadership, decision-making abilities, and advanced knowledge and clinical skills, the CCLS continuously strives for improvements in the delivery and outcomes of care provided to pediatric patients.Demonstrates excellent customer service performance in that his/her attitude and actions are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant HealthCare and the commitment to Extraordinary Care for Every Generation. Responsibilities: Collaborates with the pediatric health care team and other departments, such as ECC, Pre-Admission Testing and Surgical Services, to develop consultation process to developmentally...

Overview: The Care Management Patient Navigator provides support for care coordination services to both moderate and high-risk patients with acute and chronic illnesses in a primary care setting. This position will optimize health and management of chronic conditions to prevent/minimize long term complications to patients, assist patients with community resources, medication cost assistance, social determents of health, and coordination of patient appointments. Will serve as a member of the patients care team working closely with Care Management Specialist, Care Connect, Behavioral Health Specialists, providers, and medical staff to ensure continuity of care. The Care Management Patient Navigator demonstrates excellent customer service performance in attitude and actions that are at all times consistent with the standards contained in the Vision, Mission and Values of Covenant Healthcare and the commitment to Extraordinary Care for Every Generation. Responsibilities:...