• Patient Access Specialist - Afternoon Shift

    Trinity Health (Ann Arbor, MI)
    …payment arrangements. Obtains medical authorization or referral forms, if appropriate. Audit authorizations for accuracy and determine if delay/deny policy needs to ... complex issues and escalates to Patient Access Lead for resolution. Assists in the training and education of colleagues upon hire and ongoing as new systems and… more
    Trinity Health (09/17/25)
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  • Accounts Payable Specialist

    Robert Half Accountemps (Wixom, MI)
    Description We are looking for a skilled Accounts Payable Specialist to join our team on a contract basis in Wixom, Michigan. The ideal candidate will bring ... Generate detailed monthly reports on accounts payable activities and assist with audit preparations. * Collaborate with procurement and manufacturing teams to ensure… more
    Robert Half Accountemps (09/10/25)
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  • SIU Specialist - Pharmacy Tech - Remote…

    Prime Therapeutics (Lansing, MI)
    …our passion and drives every decision we make. **Job Posting Title** SIU Specialist - Pharmacy Tech - Remote in the California market **Job Description** Responsible ... in accordance with procedures or to present to management to recommend for audit or investigation. Serves as a corporate resource on fraud, waste and abuse… more
    Prime Therapeutics (09/23/25)
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  • Patient Access Specialist 1

    Trinity Health (Howell, MI)
    …payment arrangements. Obtains medical authorization or referral forms, if appropriate. Audit authorizations for accuracy and determine if delay/deny policy needs to ... complex issues and escalates to Patient Access Lead for resolution. Assists in the training and education of colleagues upon hire and ongoing as new systems and… more
    Trinity Health (07/12/25)
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  • Diagnosis Related Group Clinical Validation…

    Elevance Health (Dearborn, MI)
    …coding principles, clinical guidelines, and objectivity in the performance of medical audit activities. + Draws on advanced ICD-10 coding expertise, mastery ... findings letters. + Maintains accuracy and quality standards as established by audit management. + Identifies potential documentation and coding errors by… more
    Elevance Health (09/23/25)
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  • Wound Care Medical Director (MD/DO)

    Munson Healthcare (Traverse City, MI)
    …Physician to ensure compliance with the foregoing and with quality assurance and medical audit programs of the Health System. + Clinical Advice and Supervision . The ... and procedures relating to the Program. + The qualifications, training , level of competence and degree of clinical skill...AWC and HBOT services. + Complete all documentation and coding on the date of service using EHR, complying… more
    Munson Healthcare (09/16/25)
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  • RN Clinical Appeals Nurse

    Molina Healthcare (Detroit, MI)
    …following: + Active and unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare ... Chief Medical Officer, Physicians, and Member/Provider Inquiries/Appeals. + Provides training , leadership and mentoring for less experienced appeal LVN, RN… more
    Molina Healthcare (09/26/25)
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