Top 1480 Practice consultant Jobs in Michigan

Encounter Data Specialist
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- 5 years
- Word processing
- Research
- Dental insurance
- Opportunities for advancement
Oracle Cloud ERP Financial Systems Specialist
CFS —Detroit, MI
- $120,000 - $180,000 a year
- Hybrid work
- Oracle
- Finance
- SQL
14d
ERP Applications Consultant (REMOTE)
Trinity Health —Livonia, MI
- $98,240.28 - $147,360.42 a year
- Full-time
- Remote
- Research
- Mid-level
- 3 years
Senior Labor Relations Consultant, Remote Opportunity
Trinity Health —Livonia, MI
- $122,855 - $202,711 a year
- Full-time
- Remote
- 7 years
- Customer service
- Microsoft Office
18h
Practice Lead
Alta Vista Technology LLC —Royal Oak, MI
- $140,000 - $170,000 a year
- Full-time
- Remote
- Supervising experience
- Mentoring
- Senior level
- Disability insurance
- Health insurance
Quick Apply
11d
Transformation Project Consultant I- Remote Opportunity
Trinity Health —Livonia, MI
- $100 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- 5 years
18h
Dimensions Applications Consultant (REMOTE)
Trinity Health —Livonia, MI
- Full-time
- Remote
- 5 years
- Bachelor's degree
- Product management
18h
Clinical Documentation Specialist - (Remote)
Trinity Health Michigan —Pontiac, MI
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
- Disability insurance
- Health insurance
Senior Consultant - Clinical Documentation Specialist
Deloitte —Detroit, MI
- $110,700 - $218,300 a year
- Full-time
- Microsoft Word
- Nursing
- RN License
Senior Managing Consultant (Mechanics)
Engineering Systems Inc —Ann Arbor, MI
- $170,000 - $250,000 a year
- Full-time
- Construction site
- 11+ years
- Office
- Paid holidays
- Health insurance
Applications Consultant
AAA The Auto Club Group —Michigan
- $107,036 - $140,000 a year
- Full-time
- Remote
- Computer Science
- Pass drug screening
- Bachelor's degree
- Paid jury duty
- Health savings account
Business Proc Consultant
University of Michigan —Ann Arbor, MI
- Full-time
- Hybrid work
- Background check
- Microsoft Excel
- 3 years
- Health insurance
- Dental insurance
Supplier Relations Analytics Senior Consultant
Plante Moran —Southfield, MI
- $83,000 - $126,500 a year
- Full-time
- Computer Science
- Mid-level
- Office
- Disability insurance
- Health insurance
12d
Senior Managing Consultant (Metallurgy)
Engineering Systems Inc —Ann Arbor, MI
- Full-time
- 6 years
- Construction site
- Residential
- Paid holidays
- Health insurance
Senior SAP EWM Consultant
Arccus Inc —Novi, MI
- $60 - $90 an hour
- Full-time
- Computer science
- Azure
- Computer Science
Quick Apply
Consultant-Customer Experience
Blue Cross Blue Shield of Michigan —Detroit, MI
- Full-time
- Marketing
- 5 years
- Master's degree
Actuarial Consultant
Blue Cross Blue Shield of Michigan —Detroit, MI
- Full-time
- Mid-level
- Office
- Analysis skills
Telehealth Lactation Consultant
Nest Collaborative —Michigan
- Weekends as needed
- Remote
- Google Workspace
- Customer service
- Computer literacy
- Paid parental leave
- Paid holidays
Quick Apply
1d
Outpatient Content Management Consultant
Solventum —Michigan
- $125,600 - $172,700 a year
- Full-time
- Master's degree
- 8 years
- High school diploma or GED
- Health savings account
- Disability insurance
Senior Staff Consultant (Auto Reconstruction / Crashworthiness)
Engineering Systems Inc —Ann Arbor, MI
- Full-time
- Management
- Construction site
- 5 years
- Paid holidays
- Health insurance

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Encounter Data Specialist

Delta Dental of Michigan -
Okemos, MI

Apply Now

Job Details

Full-time

Benefits

Dental insurance
Opportunities for advancement

Qualifications

Benefits administration
Word processing
Spreadsheets
Bachelor's degree
Desktop applications
Productivity software
Health insurance management

Full Job Description

Job Title:

Encounter Data Specialist

Number of Positions:

Location:

Okemos, MI

Location Specifics:

Hybrid Position

Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description:

Analyzes, corrects, and recommends solutions to internal and external stakeholders regarding encounter data issues, policies, processes, requirements, and records.

Primary Job Responsibilities:

Corrects rejected encounters in compliance with internal and external processing guidelines and best practices.
Researches, reviews, and interprets encounter data to identify potential issues and address rejected records.
Monitors, manages, and audits encounter submissions to ensure timely and accurate file submission and processing.
Develops, maintains, and updates all encounter policies and procedures.
Monitors related processes to ensure internal and external requirements are met, partners with functional areas to maintain claims system support tables, and performs data entry or general data maintenance for eligibility, providers, fee sets, and benefits for related records.
Conducts root cause analysis for encounter errors reviews results, processes, and/or system programming with other departments to minimize repeat issues.
Creates and maintains an encounter error library, policies and procedures to correct rejected encounters, and daily and weekly reports.
Analyzes trends of rejected encounters, identifies opportunities for improvement, and recommends solutions.
Develops and tests internal audit and Integrated Data Management reports to prevent rejections and oversees the completion of audit reports in other departments.
Establishes and maintains strong relationships with internal and external plans, partners, and other stakeholders to correct, prevent, and resolve encounter errors.
Serves as a subject matter expert and internal consultant on encounter data, policies, processes, corrections, and provides training to internal stakeholders regarding regulatory changes.
Leads and participates in encounter data and compliance meetings as assigned.
Oversees compliance with data integrity policies for all system configurations.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

#LI-Hybrid

Minimum Requirements:

Position requires a bachelor’s degree in business administration or a related field and five years of experience identifying, analyzing, or resolving business, system, or process issues in the administration of health plan benefits. Previous experience in the administration of Medicare and/or Medicaid programs and Centers for Medicare and Medicaid regulations and guidelines is preferred. Will accept any suitable combination of education, training, or experience.

Position requires knowledge of word processing, spreadsheet, presentation, and database applications; strong verbal and written communication skills; strong analytical skills; the ability to work independently and as part of a team; the ability to manage multiple assignments with competing deadlines; and the ability to identify and resolve complex problems using independent judgement.

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

Apply Now

Refine Your Search

practice consultant jobs in michigan

Encounter Data Specialist

Oracle Cloud ERP Financial Systems Specialist

ERP Applications Consultant (REMOTE)

Senior Labor Relations Consultant, Remote Opportunity

Practice Lead

Transformation Project Consultant I- Remote Opportunity

Dimensions Applications Consultant (REMOTE)

Clinical Documentation Specialist - (Remote)

Senior Consultant - Clinical Documentation Specialist

Senior Managing Consultant (Mechanics)

Applications Consultant

Business Proc Consultant

Supplier Relations Analytics Senior Consultant

Senior Managing Consultant (Metallurgy)

Senior SAP EWM Consultant

Consultant-Customer Experience

Actuarial Consultant

Telehealth Lactation Consultant

Outpatient Content Management Consultant

Senior Staff Consultant (Auto Reconstruction / Crashworthiness)

I want to receive the latest job alert for practice consultant in michigan

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