• Appeals Audit Specialist - McLaren Careers

    McLaren Health Care (Mount Clemens, MI)
    …outcomes and fulfills the obligation and responsibilities of the role to support the clinical team. 3. Collaborates with the Denials Appeals RN to ensure payer ... + Certified Medical Coder, Certified in Healthcare Compliance, Certified Coding Specialist, or Certified Clinical Documentation Specialist certifications more
    McLaren Health Care (09/26/25)
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  • Medical Claim Review Nurse (RN)

    Molina Healthcare (Warren, MI)
    …for a RN with experience with appeals , claims review, and medical coding . **Job Summary** Utilizing clinical knowledge and experience, responsible for review ... resource for Utilization Management, Chief Medical Officers, Physicians, and Member/Provider Inquiries/ Appeals . + Provides training and support to clinical … more
    Molina Healthcare (09/06/25)
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  • Regional Manager Denial Management - McLaren…

    McLaren Health Care (Grand Blanc, MI)
    …trends and direction to assist front-end processes such as utilization management, clinical documentation improvement, coding , and billing etc. to reduce ... of Medicine Degree **.** **4 years of utilization management, case management, clinical documentation, and/or denials/ appeals experience in an acute healthcare… more
    McLaren Health Care (09/26/25)
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