- Humana (Lansing, MI)
- …medical record and documentation programs + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization + ... Medical Terminology and/or ICD-10 codes + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization +… more
- Trinity Health (Muskegon, MI)
- …Hospital discharge orders. Delivery of equipment to room, confirming Insurance, obtaining prior authorization , scanning paperwork back into EMR. This is an ... orders. + Primary duties will be DATA Entry, Insurance verifications, and Prior Authorizations. + Obtains insurance authorization and recertification as needed.… more
- Corewell Health (Grand Rapids, MI)
- …3) Act proactively on member's behalf with routine benefits, gaps in care and prior authorization processes. 4.) Works directly with members with rising risk or ... proactively on member's behalf with routine benefits, gaps in care and prior authorization processes. + Works directly with members with rising risk or… more
- Humana (Lansing, MI)
- …to advanced) **Preferred Qualifications** + Experience with Utilization Review and/or Prior Authorization , preferably within a managed care organization + ... + 1+ years' experience working in an administrative support capacity + Prior professional experience of Microsoft Word, Outlook and Excel with the ability… more
- United Therapeutics (Detroit, MI)
- …coverage/utilization management criteria, insurance forms & procedures, benefits investigation, prior authorization , appeal, and/or claims resolution + Educate ... and consultative approach providing education to offices related to insurance authorization and/or reimbursement of products for appropriate patients. + Manage… more
- Henry Ford Health System (Grand Blanc, MI)
- …+ Identifies and assists with patient medication access including, benefit investigation, prior authorization , and financial assistance. + Assists Pharmacist in ... Tech credentialed from the Michigan Board of Pharmacy obtained prior to hire date or job transfer date. -...credentialed from the Pharmacy Technician Certification Board (PTCB) obtained prior to hire date or job transfer date. -… more
- Wayne State University (Detroit, MI)
- …and scheduling appointments as needed. Confirms patient demographics, insurance information, prior authorization , and physician referrals as needed. Perform ... or university preferred. Experience: Intermediate (3 to 4 years job-related experience) Prior medical or billing experience preferred. Prior experience in public… more
- Actalent (Grand Rapids, MI)
- …Technician Certification. + Experience with managed care and claims processing. + Prior Authorization expertise. + Strong customer service skills. + Proficiency ... patients, primarily focusing on Medicare. The role involves managing prior authorizations, with a focus on intake and tech...of your home. Responsibilities + Manage the intake of prior authorizations and set up PAs in the system.… more
- Henry Ford Health System (Warren, MI)
- …+ Identifies and assists with patient medication access including, benefit investigation, prior authorization , and financial assistance. + Assists Pharmacist in ... equivalency with 2 years of cumulative experience + Must have prior Hospital and or sterile compounding experience. CERTIFICATIONS/LICENSURES REQUIRED: + Pharmacy… more
- University of Michigan (Ann Arbor, MI)
- …+ Maintain, order, and stock clinical supplies and medications. + Provide coverage for prior authorization work when needed. + Provide cross coverage to all ... Medical Assistant: + 0-1 years of relevant experience **Desired Qualifications + Prior medical assistant experience in an ambulatory care clinical setting is… more