- Highmark Health (Lansing, MI)
- …of a grievance/appeal; documents, investigates, refers and coordinates grievances and appeals ; initiates a case file for each grievance and appeal; ensures ... all involved parties. + Participate in workgroup meetings to address trends in appeals and grievances and to work on process improvement initiatives with cross… more
- Corewell Health (Grand Rapids, MI)
- …Essential Functions + Responsible for complex and thorough investigation of appeals , external complaints, and fair hearing reviews including: formulate action plan ... Support root cause analysis to determine corrective actions related to the appeals process by researching system issues to determine course correctionsApply strong… more
- University of Michigan (Ann Arbor, MI)
- Financial or Bus Analyst Sr Apply Now **Job Summary** Under limited supervision, the Business Analyst plays a critical role within Hospital Billing to pull data ... on best practice methods to assist with completing the appeals process while staying informed with policy reforms, new...**Job Opening ID** 265912 **Working Title** Financial or Bus Analyst Sr **Job Title** Financial or Bus Analyst… more
- Robert Half Accountemps (Flint, MI)
- Description We are looking for a meticulous Medical Claims Analyst to join our team in Flint, Michigan. In this role, you will play a pivotal part in ensuring the ... compliance and reimbursement requirements to the staff. * Address claims appeals and oversee billing functions to resolve discrepancies effectively. Requirements *… more
- R1 RCM (Detroit, MI)
- …analytics, AI, intelligent automation, and workflow orchestration. As our Denials & AR Analyst I, you will help R1 clients by analyzing claims information so that ... you will experience working as a Denials & AR Analyst I:** + You will be investigating and analyzing...to learn the status of previously resubmitted claims, written appeals , or updates on incoming claims payments. + Utilizing… more
- Evolent (Lansing, MI)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** ** Analyst , Client Analytics** Integrate and analyze claims and enrollment data from multiple ... Evolent's clinical services (ie, specialty care, utilization management, care management, appeals & grievances) + Using analytical tools to integrate various data… more