- Humana (Lansing, MI)
- **Become a part of our caring community and help us put health first** The Supervisor , Claims Review makes appropriate claim decision based on strong ... procedures, contract provisions, and state and federal legislation. The Supervisor , Claims Review works within thorough, prescribed guidelines and… more
- Sedgwick (Lansing, MI)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. **Skills & Knowledge** + Thorough knowledge of ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Sedgwick (Lansing, MI)
- …equivalent combination of education and experience required to include two (2) years claims supervisor experience. _As required by law, Sedgwick provides a ... management reports and takes appropriate action. + Performs quality review on claims in compliance with audit requirements, service contract requirements, and… more
- Carrington (Lansing, MI)
- **Come join our amazing team and work remote from home!** The Sr Claims &Recovery Analysis Loss Specialist is responsible for ensuring the proper incurred losses ... this position is $23.00/hr - $26.50/hr. **What you'll do:** Review reconciliation of all loan advances once the GSE...manual processes and activities. + Keep Team Lead and Supervisor informed of all trends and problems including, but… more
- Ryder System (Lansing, MI)
- _Job Seekers can review the Job Applicant Privacy Policy by clicking here (http://ryder.com/job-applicant-privacy-policy) ._ **Job Description** : **SUMMARY** This ... position supervises adjusters and directly handles claims within Ryder's self-insured, self-administered liability program. Oversees claim-handling processes… more
- Rock Family of Companies (Detroit, MI)
- As a Security Supervisor , you'll lead and inspire a team to create and maintain safety and security for all guests and team members while delivering unparalleled ... and assets + Create and distribute work schedules + Review , correct and approve direct reports' payroll + ...of all team members and guests + Investigate loss claims , conduct special investigations and surveillance for property operators… more
- Henry Ford Health System (Troy, MI)
- The Corporate Business Office (CBO) Supervisor works closely with the respective CBO Manager. Responsible for coordinating and leading a designated area within the ... working relationships with departments to resolve patient inquiries. Central Authorization: Supervisor is responsible for functions related to timely procurement of… more
- Henry Ford Health System (MI)
- Central Authorization: Supervisor is responsible for functions related to timely procurement of referrals and authorizations and denial management related to ... maintaining acceptable work queue volumes for Referrals, DNB's, Charge Review and Denials + Facilitating communication between insurance representatives, clinicians,… more
- Cardinal Health (Lansing, MI)
- …Collections is responsible for the timely follow-up and resolution of insurance claims . This role ensures accurate and efficient collection of outstanding balances ... receivable and increase cash flow for the organization. **_Responsibilities:_** + Review aging reports and work insurance accounts to ensure timely resolution… more
- Walgreens (Detroit, MI)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist is responsible for ensuring that elements of… more
- Walgreens (Grand Rapids, MI)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and assists in community events as requested by Store Manager, Healthcare Supervisor , District Manager or Pharmacy Manager. **Operations** + Under direct supervision… more
- Cardinal Health (Lansing, MI)
- …to patient inquiries in a professional and timely manner. **_Responsibilities:_** + Review aging reports and work patient accounts to ensure timely resolution and ... billing questions and set up payment arrangements if needed. + Analyze claims , process payments and complete adjustments + Analyze explanation of benefits (EOBs)… more
- Walgreens (Saginaw, MI)
- …outcomes services. Responsible for ensuring the proper compounding, dispensation, review , and verification of prescribed medications within regulatory guidelines, ... reflect the unique communities we serve as requested by Healthcare Supervisor or District Manager. + Supervises operation of pharmacy, including… more
- Walgreens (Traverse City, MI)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… more
- Cardinal Health (Lansing, MI)
- …payment + Work average of 50 to 100 denials per day based on supervisor requirements and accounts assigned + Works closely with insurance carriers for reimbursement ... + Consults with appeals department for disputed / denied claims . + Works / Understands electronic claim interchange +...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Henry Ford Health System (Detroit, MI)
- …analysis, and prevention of events which may injure patients, lead to malpractice claims , and cause loss to the health care system. The QRS II collaborates ... to complex risk situations; develops/ revises policies as needed. + Conducts literature review for trends and improvement ideas. Assists with or leads FMEA and other… more
- Walgreens (Cheboygan, MI)
- …as immunizations. Responsible for ensuring the proper compounding, dispensation, review and verification of prescribed medications within regulatory guidelines, ... and federal controlled substance laws when filling prescriptions. The Product Review /Retail Fill Process Pharmacist has the ultimate responsibility for ensuring that… more
- Elevance Health (Dearborn, MI)
- …referral and/or make referral appointment as circumstances warrant. + Review for medical appropriateness psychiatric/substance abuse cases utilizing professional ... practice that is relevant to the clinical area under review . + Provide reviews for predetermination of medical necessity....+ Conduct business in a professional manner. + Troubleshoot claims issues. + Investigate and research to resolve customer… more
- University of Michigan (Ann Arbor, MI)
- …agencies to ensure registration and billing information is accurate prior to claims being released. **Mission Statement** Michigan Medicine improves the health of ... choose. Unless otherwise agreed upon in advance with the supervisor /manager, additional hardware, software, printing, and cost of office...posted for a minimum of seven calendar days. The review and selection process may begin as early as… more
- CVS Health (Lansing, MI)
- …distribution of the monthly premium invoices. The Billing Premium Consultant must review invoices for reasonability and accuracy and make any necessary adjustments ... billing systems. + Execute monthly invoices on appropriate billing platform and review group specifications to ensure all appropriate information is included with… more