- Starfish Family Services, Inc. (Livonia, MI)
- Description Position Summary The Supervisor of Access, Customer Service, and Reception provides leadership, oversight, and coordination for front-line staff who ... verification, and compliance with agency and regulatory requirements. The Supervisor is accountable for staff training, workflow development, client scheduling… more
- Molina Healthcare (Warren, MI)
- …when providers have issues or complaints (eg claims and encounter data, eligibility , reimbursement, and provider website). * Serves as a resource to support ... providers, hospitals, integrated delivery systems, and ancillary providers with Medicaid , Medicare, and or Marketplace products, or equivalent combination of… more
- Fresenius Medical Center (Wyoming, MI)
- …+ Educates on the availability of alternative insurance options (ie, Medicare, Medicaid , Medicare Supplement, State Renal programs and COBRA). + Ensures patients ... insurance options when insurance contracts are terminated. Responsibilities involving Medicare and Medicaid include but are not limited to: + Determining Medicare … more
- Hospice of Michigan (Kalamazoo, MI)
- …and death/dying, and pain & symptom management. A solid understanding of hospice eligibility criteria and the palliative care model is r equired. + Familiarity with ... to identify patient and family needs, establish goals of care, and determine eligibility for palliative and hospice services. The Palliative Care Nurse must be… more
- Starfish Family Services, Inc. (Westland, MI)
- …& Customer Service Specialist is responsible for answering calls, determining eligibility , and gathering information required for services at Starfish Family ... the client is in crisis. + Utilizes basic clinical knowledge to determine eligibility for various therapeutic services offered. + Verifies client mental health and… more
- CVS Health (Lansing, MI)
- …can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... to clinical resources and other interdisciplinary team members. + Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming… more
- Corewell Health (Grand Rapids, MI)
- …State and Federal decisions are properly implemented. Assist the Lead, Supervisor and/or Manager in coordinating activities and in the development/collection of ... relevant experience Member or Provider Customer service, Claims, Legal and/or enrollment/ eligibility + Working knowledge of Priority Health systems for claims… more
- CVS Health (Kalamazoo, MI)
- …can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... to clinical resources and other interdisciplinary team members. + Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming… more
- CVS Health (Dearborn, MI)
- …can have life-changing impact on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex health and social challenges. With ... to clinical resources and other interdisciplinary team members. + Collaborates with supervisor and other key stakeholders in the member's healthcare in overcoming… more
- Cognizant (Lansing, MI)
- …Resolving underpaid claims from various payer products, including HMO, PPO, Medicaid , Medicare, and Workers' Compensation. + Articulating contract provisions to ... discrepancies to leadership. + Identifying payer trends and communicating them to the supervisor for further action or escalation. + Serving as a subject matter… more
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