- Trinity Health (Spring Lake, MI)
- …- Friday. No weekends or Holidays. + Comprehensive benefit packages available including medical , dental, vision, paid time off and 403B + Mercy Health Physician ... in timely fashion with proper documentation. + Works denied claims for missing prior authorization or referral within the...the EMR system. + Confirms payer is in-network with specialist . If not, contacts patient to discuss and make… more
- Centene Corporation (Lansing, MI)
- …(NCQA) HEDIS measures. Provides education for HEDIS measures, appropriate medical record documentation and appropriate coding. Assists in resolving deficiencies ... community physician and small provider practices in appropriate HEDIS measures, medical record documentation guidelines and HEDIS ICD-9/10 CPT coding in accordance… more
- Elevance Health (Dearborn, MI)
- …regular basis to determine whether treatment meets Carelon Behavioral Health criteria for medical necessity. Refers cases to an MD or Clinical Management staff if ... unable to determine that medical necessity criteria have been met. Establish and deliver...+ Conduct business in a professional manner. + Troubleshoot claims issues. + Investigate and research to resolve customer… more
- Medtronic (MI)
- …articulate to customers. + Execute engaging field sales and clinical specialist field education programs that are targeted, purposeful, and support electrophysiology ... Clinical Expert + Translates complex technical messaging, dispels competitive claims , resolves complex technical issues, and maintains customer relationships through… more
- Ford Motor Company (Dearborn, MI)
- …+ Define vendor strategy and lead the selection of strategic partners ( medical /dental/vision carriers, PBMs, and carve-out specialty vendors) that align with Ford's ... team to deliver consistently excellent health care plan administration, including medical , pharmacy, dental, and vision programs across union and non-union… more
- Morley (Saginaw, MI)
- …**_Questions Before You Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 8 am - 5 pm Eastern ... provides - your total compensation package. **_Health & Wellness Benefits_** + Medical and prescription coverage, including free annual physicals + Dental and vision… more
- Robert Half Office Team (Brighton, MI)
- …impact of people, culture and business success? Join our team as an HR Specialist and become a trusted partner to managers and employees, driving engagement, growth, ... help deliver culture programs. Benefits Administration: Assist with benefits updateS, claims , and leave tracking. Support open enrollmentiand provide information on… more
- Brunswick (Lowell, MI)
- …recreation._ **Position Overview:** Navico Group is seeking a **Senior Technical Specialist ** to enhance service delivery across our electronics solutions network. ... Experience processing replacement orders + Prior Experience with warranty policies, claims and processing + Professional poise and presence with excellent… more
- Morley (Lansing, MI)
- …**_Questions Before You Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 8 am - 5 pm Eastern ... provides - your total compensation package. **_Health & Wellness Benefits_** + Medical and prescription coverage, including free annual physicals + Dental and vision… more
- Morley (Saginaw, MI)
- …**_Questions Before You Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 8 am - 5 pm Eastern ... provides - your total compensation package. **_Health & Wellness Benefits_** + Medical and prescription coverage, including free annual physicals + Dental and vision… more