- McLaren Health Care (Mount Pleasant, MI)
- …of the role to support the clinical team. 3. Collaborates with the Denials Appeals RN to ensure payer appeal/filing deadlines are met and ... education sessions to maintain competency and knowledge of regulations in denials , utilization management, care management, clinical documentation, and… more
- University of Michigan (Ann Arbor, MI)
- Utilization Rev Appeals Spec Apply Now **Job Summary** **Why Join Michigan Medicine's Hospital Billing Audits & Appeals (HBAA) Department?** The Audit and ... knowledgeable about insurance requirements and medical billing practices. The Appeals Specialist will collaborate with multiple departments to maintain compliance… more
- Henry Ford Health System (Detroit, MI)
- …role is responsible for overseeing pre- and post-payment audit processes, managing denials and appeals , and driving payer behavior change through data-driven ... for pre- and post-payment audit processes. This is more than managing denials -it's about driving payer behavior change, leveraging data to influence outcomes, and… more