- Advance Local (Grand Rapids, MI)
- …and your contact information._ Advance Local Media does not provide sponsorship for work visas or employment authorization in the United States. Only candidates ... **The Role** We're looking for a motivated Business Development Representative to be the front line of our growth...closing deals in hospitality, travel, or marketing technology. + Prior success closing deals in a rapid paced, SaaS… more
- CVS Health (Lansing, MI)
- …You will maintain complete, timely, and accurate documentation of reviews. As a Prior Authorization Representative you will make the determination if ... do it all with heart, each and every day. **Position Summary** The Prior Authorization colleague takes in-bound calls from providers, pharmacies, members, etc.… more
- Henry Ford Health System (Troy, MI)
- …with personnel at the clinic site Communicating with insurance payors regarding authorization issues. May be the hospital representative at external meetings ... with high risk of denial or with high charges are verified for accuracy prior to claim submission Managing authorization related denied claims to ensure the… more
- Henry Ford Health System (MI)
- …with personnel at the clinic site + Communicating with insurance payors regarding authorization issues. May be the hospital representative at external meetings ... impacted staff on payor regulations/ requirements, + Coordinating staff work load to ensure referrals and authorizations are secured...denial or with high charges are verified for accuracy prior to claim submission + Managing authorization … 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)
- …reconciles multi-department deposit. + Obtains insurance authorizations and/or verifies that prior authorization has been obtained; assists with retroactive ... Job Summary As a Patient Services Representative with Corewell Health, you'll play a vital...in delivering top-notch healthcare service to our patients. You'll work as part of a team to provide registration,… more
- Molina Healthcare (MI)
- …Services (CMS) standards. * Provides coordination and processing of pharmacy prior authorization requests and/or appeals. * Explains point-of-sale claims ... not limited to: formulary information, copay amounts, pharmacy location services and prior authorization outcomes. * Assists members and providers with… more
- Highmark Health (Lansing, MI)
- …claims history, clearly defines the medical necessity of non-formulary and prior authorization medication exception requests. Interacts with pharmacy network ... requests for drug authorizations or denials. + Review of prior authorization criteria for drug products. +...practices through paid clams review. + Participate as pharmacy representative in onsite member appeals and grievances sessions. +… more
- General Motors (Warren, MI)
- …OF GM AS THE IMMIGRATION EMPLOYER OF RECORD ON A GOVERNMENT FORM, AND ANY WORK AUTHORIZATION REQUIRING A WRITTEN SUBMISSION OR OTHER IMMIGRATION SUPPORT FROM THE ... with applicable state laws. The compensation may not be representative for positions located outside of New York, Colorado,...employer of record on a government form, and any work authorization requiring a written submission or… more
- General Motors (Warren, MI)
- …OF GM AS THE IMMIGRATION EMPLOYER OF RECORD ON A GOVERNMENT FORM, AND ANY WORK AUTHORIZATION REQUIRING A WRITTEN SUBMISSION OR OTHER IMMIGRATION SUPPORT FROM THE ... with applicable state laws. The compensation may not be representative for positions located outside of New York, Colorado,...employer of record on a government form, and any work authorization requiring a written submission or… more
