- Munson Healthcare (Traverse City, MI)
- …five (5) years' experience in a revenue cycle role (billing, registration, insurance verification, referral coordinator , etc) . Ability to work independently ... of Utilization Management and works closely with the Utilization Management and Appeals team . Interacts independently with all Munson Health Care departments.… more
- Corewell Health (Southfield, MI)
- …reviews. Coordinates activities involved in the certification, recertification, and concurrent appeals process, conducting referrals for 2nd level review, as needed. ... received by the physician/provider and utilization reviews. Initiates concurrent appeals to address patient class/status downgrades or clinical denials related… more
- Corewell Health (Watervliet, MI)
- …companies regarding authorizations and denials. Executes standard work regarding Medicaid appeals /denials, change requests, and all insurance authorizations. + ... Collaborate with coding, billing, denials and other departments as needed.Monitor CMS/ insurance updates, regulations and educate staff as needed. + Subacute… more
- Corewell Health (Royal Oak, MI)
- …when appropriate. Works collaboratively with departmental, revenue cycle, and clinical appeals staff, physicians, and payers to obtain authorization for care and ... and more! + Optional identity theft protection, home and auto insurance , pet insurance + Traditional and Roth retirement options with service contribution and… more
- State of Michigan (Lansing, MI)
- …processing or analyzing complex regulatory documents, healthcare claims, or provider appeals , preferably in a healthcare or insurance regulatory setting. ... Flexible/Hybrid Job Number 6501-25-DIFS-093 DEPT ALT-E Department Department of Insurance and Financial Services Opening Date 07/23/2025 Closing Date 8/2/2025… more
- State of Michigan (Lansing, MI)
- …Inclusion . Reviews, coordinates and represents the Department on statewide appeals of preadmission screenings/annual resident reviews Medicaid recoveries before the ... Departments Appeals Division. Represents the Department on appeals for no nursing home determinations with Department of Licensing and Regulatory Affairs… more
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