- 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
- R1 RCM (Detroit, MI)
- …encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. As our ** Clinical Appeals and Denials Manager** , you will serve as ... an expert on clinical appeals and denials management. Every day...Denials Manager** + Responsible for the oversight of department supervisor (s) and overall department vision. + Mentors, supports, and… more
- Area Agency On Aging 1-b (Southfield, MI)
- …an administrative clinical setting, including 1-2 years medicaid managed care appeals process & Health/Human Services. + The ability to effectively interact with ... organizational, training, and investigative skills. The ability to conduct clinical case/documentation reviews, present findings and appeals recommendations.… more
- R1 RCM (Detroit, MI)
- …reviews, call insurance companies to resolve authorization and claim denials, write appeals and letters to insurance companies to resolve denials, and follow up ... on appeals to the point of exhaustion or payment. To...email/phone from insurance companies. + Approve cases eligible for clinical review. + Assist with training of employees and… more