- McLaren Health Care (Grand Blanc, MI)
- …communication with related disciplines to address and integrate opportunities for denial appeals . **Essential Functions and Responsibilities as Assigned:** 1. ... Assists in ensuring day-to-day activities of the Denial Appeal department are conducted in an accurate and...tools, and methodologies. _Required:_ + State licensure as a Registered Nurse (RN) + Bachelor's degree in… more
- Molina Healthcare (MI)
- **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical processes - ensuring that appeals ... quality and cost-effective member care. Candidates with UM and Appeals experience are highly preferred Work hours: Monday- Friday...or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active… more
- McLaren Health Care (Mount Pleasant, MI)
- …auditors . Provides support to both internal and external customers for denial / appeals activities and audits. Assists with monitoring and auditing activities, ... requests for medical record documentation and the filing of responses and appeals . 1. Appropriately documents denial /appeal activities; oversees and documents… more
- Cognizant (Lansing, MI)
- …Monday to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work ... related to clinical denial management and managing clinical denials from Providers to...to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined… more
- Molina Healthcare (Detroit, MI)
- …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse (RN). License must be active and unrestricted in ... (Team will work on set schedule) Looking for a RN with experience with appeals , claims review, and medical coding. **Job Summary** Provides support for medical claim… more