- Highmark Health (Lansing, MI)
- …Inc. **Job Description :** **JOB SUMMARY** This job is responsible for supervising member service call center and ensuring timely, professional, and courteous ... to other areas as necessary for resolution. Investigate escalated member inquiries. The incumbent may be required to make...routine medical approval decisions. **This role sits within the Medicaid Market - looking for someone who has Customer… more
- Prime Healthcare (Port Huron, MI)
- …Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of Approval(R) for ... a wide range of inpatient and outpatient health care services to residents of St. Clair and Sanilac counties...with its performance standards. Learn more atwww.mylakehuron.com. As a member of Prime Healthcare, Lake Huron Medical Center is… more
- Molina Healthcare (Grand Rapids, MI)
- …to answer, and average hold time are compliant with Centers for Medicare and Medicaid Services (CMS) regulations. * Ensures that adequate staffing coverage is ... optimization of medication related health care outcomes, and quality cost-effective member care. **Essential Job Duties** * Hires, trains, develops, and supervises… more
- Starfish Family Services, Inc. (Westland, MI)
- …Social Services Description POSITION SUMMARY: The Access & Customer Service Specialist is responsible for answering calls, determining eligibility, and gathering ... as well as for the purpose of creating service partnerships and increasing referrals for services ....working knowledge of 3rd party billing procedures for Medicare, Medicaid , MCPN and commercial insurance companies. + Monitors failed… more
- Starfish Family Services, Inc. (Livonia, MI)
- …and accurately communicate both orally and in writing. 15. Ability to meet client service hours expectation as assigned by program supervisor . 16. Ability and ... will assist in program development, marketing, staff training and service monitoring for the clinic's Infant Mental Health program....as collect and report all necessary data to the supervisor . This position will also maintain a caseload with… more
- Molina Healthcare (Ann Arbor, MI)
- …and in compliance with all relevant federal, state and local regulations. Provider Services staff are the primary point of contact between Molina Healthcare and ... policies and procedures while achieving the highest level of customer service . **KNOWLEDGE/SKILLS/ABILITIES** This role serves as the primary point of contact… more
- CVS Health (Royal Oak, MI)
- …referral to clinical resources and other interdisciplinary team members. + Collaborates with supervisor and other key stakeholders in the member 's healthcare in ... with members to evaluate the medical needs of the member to facilitate the member 's overall wellness....on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex… more
- CVS Health (Detroit, MI)
- …referral to clinical resources and other interdisciplinary team members. * Collaborates with supervisor and other key stakeholders in the member 's healthcare in ... on our members who are enrolled in Medicare and Medicaid and present with a wide range of complex...with members to evaluate the medical needs of the member to facilitate the member 's overall wellness.… more
- Prime Healthcare (Port Huron, MI)
- …Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of Approval(R) for ... a wide range of inpatient and outpatient health care services to residents of St. Clair and Sanilac counties...with its performance standards. Learn more atwww.mylakehuron.com. As a member of Prime Healthcare, Lake Huron Medical Center is… more
- Prime Healthcare (Port Huron, MI)
- …Patient Safety Excellence Award, rated four stars by the Centers for Medicare & Medicaid Services and earned The Joint Commission's Gold Seal of Approval(R) for ... a wide range of inpatient and outpatient health care services to residents of St. Clair and Sanilac counties...with its performance standards. Learn more atwww.mylakehuron.com. As a member of Prime Healthcare, Lake Huron Medical Center is… more