- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals Supervisor ** , you will help support ... excelling in this remote position. **Here's what you will experience working as a Clinical Appeals Supervisor :** + Track and monitor the workflow of the … more
- Integra Partners (Troy, MI)
- …criteria (eg, InterQual, CMS, health plan policies). + Review and process clinical and administrative appeals ; coordinate with Medical Director when required. ... The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and...team performance, escalating issues as needed to the UM Clinical Manager. + Ensure compliance with all regulatory, contractual,… more
- Trinity Health (Livonia, MI)
- …and initiates resolutions for denial prevention. May assist PFS with complex denial appeals . Works with PFS and other Revenue Integrity leaders to create and ... active participation. + Elicits feedback from interdisciplinary team, including clinical colleagues, and involves them in decision-making as appropriate. Ensure… more
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