- CVS Health (Lansing, MI)
- …from multiple business units. Ensure timely, customer focused response to complaints/ appeals . Identify trends and emerging issues and report and recommend solutions. ... in the United States. **What you will do** Review and process appeals filed by participating providers. Assist with adherence to regulatory requirements, conducts… more
- Cardinal Health (Lansing, MI)
- …documenting patient health insurance benefit investigations, prior authorizations, and appeals , preferred + Knowledge of Medicare, Medicaid and Commercially insured ... payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of the Health Insurance Market Place and the Affordable Care Act preferred + Knowledge of Medical/Pharmacy billing and coding is preferred + Important to… more
- Cardinal Health (Lansing, MI)
- …Events and follow process for timely submission. Review all requests for appeals and ensure supporting documentation is present. Support team with call overflow ... when needed. Ability to mediate situations in which parties are in disagreement and facilitate a positive outcome. Effectively be able to multitask daily tasks and workload. + **TRAINING AND WORK SCHEDULES** : Your new hire training will take place… more
- State of Michigan (Lansing, MI)
- … coordinator assisting with all actions related to hearings, appeals , monitoring litigations, and processing subpoenas for BSBP programs including Business ... Reimbursement (SSCR) portal, verifying customer social security information accuracy, initiating appeals , and remedying any disputes or discrepancies related to SSA-… more
- Origami Brain Injury Rehabilitation Center (Mason, MI)
- …leadership of the Business Office Manager, in addition to the admissions and care coordinator teams, you'll act as a vital liaison between funding sources and the ... Origami team. Your responsibilities will include processing initial appeals and redeterminations, ensuring timely and accurate filing of utilization review… more