- Humana (Lansing, MI)
- …caring community and help us put health first! The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic ... clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require… more
- Sedgwick (Lansing, MI)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Workforce Planning Representative **PRIMARY PURPOSE** : To provide a great customer and colleague ... Supports the organization's quality program(s). **QUALIFICATIONS** **Education & Licensing** Associate 's degree from an accredited college or university preferred.… more
- Humana (Lansing, MI)
- …+ Intermediate experience with Microsoft Word and Excel **Preferred Qualifications** + Associate or Bachelor's Degree + Experience handling multiple projects and ... of our caring community and help us put health first** The Appeals Representative 4 - IRT (Internal Review Team) Investigates and resolves member and practitioner… more
- US Physical Therapy (Big Rapids, MI)
- …Therapy has an immediate opportunity for a positive and enthusiastic **Patient Account Representative ** in our Big Rapids Central Billing Office. + Work closely with ... to obtain prior authorizations and verify coverage + Follow up on unpaid claims and denials + Maintain accurate and up-to-date patient account information + Provide… more
- Molina Healthcare (MI)
- …and/or providers using one or more contact center communication channels and across multiple states and/or products. To include, but not limited to, phone, chat, ... member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job… more
- Otsuka America Pharmaceutical Inc. (Lansing, MI)
- ** Associate Director, Small Molecule Analytical Development** + Lead and oversee phase appropriate method development and optimization for drug substance and drug ... in wider clinical development plans. + Serve as early-stage CMC representative of the department in effectively communicating program related updates, strategies,… more
- Highmark Health (Lansing, MI)
- …+ High school diploma or GED + Experience in pharmacy prescription claims processing/submission/payment. **Preferred** + Associate degree + Pharmacy technician ... in monitoring and ensuring adherence to the health plan's state and federal multiple drug benefit design offerings. The incumbent responds to physician and pharmacy… more