- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains ... action employer. **Job Detail** **Job Opening ID** 246886 **Working Title** Prior Authorization Specialist **Job Title** Patient Services… more
- Henry Ford Health System (West Bloomfield, MI)
- … is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from members/patients, physicians, ... expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES AND RESPONSIBILITIES:… more
- University of Michigan (Ann Arbor, MI)
- Pre-Certification Specialist Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of ... eligibility, collect insurance benefit information and determine insurance referral and authorization requirements based on level of care determination. + Complete… more
- Henry Ford Health System (Bingham Farms, MI)
- …place referral for patient follow-up in specialty clinics/departments, and facilitate prior authorization with appropriate pharmacy partners across the system. ... GENERAL SUMMARY: The Pharmacy Specialist provides oversight and leadership for appropriate drug...primary care or managed care is strongly desired. . Prior experience and knowledge or integrated health systems .… more
- Henry Ford Health System (Troy, MI)
- … is responsible for handling drug claim adjudication issues, prescription prior authorization , and pharmacy benefit inquiries from members/patients, physicians, ... expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE DUTIES AND RESPONSIBILITIES:… more
- Centene Corporation (Lansing, MI)
- …+ Takes member/prescriber/pharmacist inquiry calls for benefit questions including prior authorization requests + Offers options including submission ... workplace flexibility. Job Description **Position Purpose:** The Pharmacy Resolution Specialist receives and responds to calls from members, provider/physician's...of a prior authorization request + Thoroughly researches issues… more
- Universal Health Services (Auburn Hills, MI)
- …or partial hospitalization), substance abuse treatment, or medical setting preferred. + Prior authorization experience in a hospital setting preferred. .EEO ... us at www.havenwyckhospital.com POSITION SUMMARY: The Utilization Management Precertification Specialist has responsibility for obtaining prior authorizations… more
- University of Michigan (Ann Arbor, MI)
- Communications Specialist Apply Now **How to Apply** A cover letter is required for consideration for this position and should be attached as the first page of your ... diversity, equity, inclusion, and accessibility (DEIA). **Job Summary** The Communications Specialist is responsible for managing the overall public presence of… more
- L3Harris (Grand Rapids, MI)
- …accounting mail for proper distribution + Review printed checks to ensure proper authorization and mailing addresses prior to mailing + Supporting Sales Tax ... Job Title: Accounts Payable Specialist Job Code: 11408 Job Location: Grand Rapids,...or equivalent and a minimum of 6 years of prior relevant experience or 2 years post-Secondary/Associates Degree with… more
- Cummins Inc. (Troy, MI)
- **Technical Support Specialist ** **Description** **Our culture believes in** _POWERING YOUR POTENTIAL_ **. We provide global opportunities to develop your career, ... about.** We are looking for a talented Technical Support Specialist to join our team specializing in Sales for...**Experience** + Intermediate level of relevant work experience required. Prior experience in a technical role is preferred. +… more
- AbbVie (Grand Rapids, MI)
- …the payer policy processes, published criteria and documentation for coverage, coding, prior authorization , and appeal processes. + Demonstrated understanding of ... on Twitter, Facebook, Instagram, YouTube and LinkedIn. Job Description Field Access Specialist , Migraine. Grand Rapids, MI The Migraine Field Access Specialist … more
- GE Aerospace (Grand Rapids, MI)
- **Job Description Summary** The Lead Project Management Specialist - Project Planner will support the Integrated Product Development Team (IDPT) in detail project ... to access to export-controlled technology. GE will require proof of status prior to employment. **Job Description** **Roles and Responsibilities:** + Develop and… more
- GE Aerospace (Grand Rapids, MI)
- …: Consistent with the role of the ITC team, the primary tasks of Specialist - ITC include, but are not necessarily limited to): + Process shipments for ... or equivalent experience and minimum of 6 years of prior relevant trade experience + Experience with and/or in...final offers will be contingent on ability to obtain authorization for access to US export-controlled information from the… more
- Fifth Third Bank, NA (Grand Rapids, MI)
- …closing process. This includes the satisfaction of credit approval conditions prior to the preparation of commercial loan documentation. These responsibilities ... this determination, notifies sales, credit, title company, outside counsel, etc. of authorization to close the transaction. The loan closing cannot occur without… more
- GE Aerospace (Grand Rapids, MI)
- …to access to export-controlled technology. GE will require proof of status prior to employment. **Job Description** **Essential Responsibilities:** In this role, you ... to access to export-controlled technology. GE will require proof of status prior to employment.** **Desired Characteristics:** + Analytical and energetic nature +… more
- Trinity Health (Grand Rapids, MI)
- …testing in timely fashion with proper documentation. + Works denied claims for missing prior authorization or referral within the EMR system. + Confirms payer is ... in-network with specialist . If not, contacts patient to discuss and make...required. + Extensive knowledge of the insurance market & prior authorization requirements. + Billing and coding… more
- G-TECH Services, Inc. (Detroit, MI)
- …Retail Pharmacy * Experience in provider/member call center or helpdesk * Process prior authorization requests Required Skills/Experience - The rest of the ... facing webtool. Preferred Skills/Experience - Optional but preferred skills/experience. Include: * Prior Authorization on Pt B specialty medications * Knowledge… more
- LifePoint Health (Ishpeming, MI)
- … specialist offices, hospitals, community resources and all other agencies. Obtains prior authorization for all procedures and diagnostic tests as necessary. ... direct supervision. Knowledge of medical terminology Knowledge of regulations pertaining to prior authorization of tests and treatments. *Minimum Education* X… more
- Air National Guard Units (Selfridge, MI)
- …flying wing. The primary purpose is to assist a higher graded specialist in researching/studying/analyzing and administering all aspects of the assigned function(s). ... accountability and disposition of automated and manual records. 3. Employment: Authenticates prior and non- prior service enlistments, and prepares and processes… more
- Cummins Inc. (Troy, MI)
- …areas critical to success in the role. + Operates as a recognized specialist in a discipline or product area within the immediate team. **Qualifications** **Skills** ... licensing for compliance with export controls or sanctions regulations. **Experience** + Prior Senior or Lead Engineer equivalent work experience in a relevant… more