Top 397 Michigan Medical PC Jobs

Remote Insurance Verification Specialist, Specialty (Michigan)
Walgreens —Remote
- Remote
- Computer literacy
- Mid-level
- Windows
Clinical Counselor
Bear River Health —Jenison, MI
- $22.65 - $28.05 a year
- Full-time
- CPR Certification
- Applied behavior analysis
- Addiction Medicine
- Continuing education credits
- Health savings account
Quick Apply
12d
Physical Therapist Assistant
St. John's Health Care P.C. Medicare Division —Ludington, MI
- Part-time
- Background check
- CPR Certification
- Current TB test
- Travel reimbursement
- Mileage reimbursement
Quick Apply
Physical Therapist - Mid-Michigan areas of Jonesville, Napoleon, Leslie, and Jackson
Orthopaedic Rehab Specialists, PC —Jackson, MI
- $75,000 - $100,000 a year
- Full-time
- Background check
- Physical & Rehabilitation Medicine
- Mid-level
- Profit sharing
- Continuing education credits
Quick Apply
Coordinate Measuring Machine Programmer
Hi-Lex Controls —Litchfield, MI
- Full-time
- Mid-level
- Microsoft Office
- 3 years
- Relocation assistance
Quick Apply
Pediatric Dayshift and Nightshift Private Duty RN/LPN- Stanwood
St. John's Health Care P.C. —Stanwood, MI
- 12 hour shift
- CPR Certification
- RN License
- BLS Certification
- COVID-19 protective measures
- Disability insurance
Quick Apply
9d
Medical Billing and Authorization Specialist
Muskegon Surgical Associates, PC —Muskegon, MI
- Full-time
- Background check
- Surgery
- Medical office experience
Quick Apply
Clinical Counselor
Bear River Health —Mount Pleasant, MI
- $22.65 - $26.05 an hour
- Full-time
- CPR Certification
- Addiction Medicine
- Mid-level
- Continuing education credits
- Health savings account
Quick Apply
Registered Dental Hygienist
ProSmile —Lakewood, NJ
- $58 - $63 an hour
- Full-time
- CPR Certification
- Dental office
- BLS Certification
- Health savings account
- AD&D insurance
Quick Apply
Primary Care Physician in Stevensville, MI
Stevensville Area Post-Acute Care Practice —Stevensville, MI
- $202,000 - $238,000 a year
- Full-time
- Skilled nursing facility
- Primary Care
- Mid-level
- Health savings account
- Health insurance
Assistant Home Supervisor
MOKA —Allendale, MI
- From $18.33 an hour
- Full-time
- 18 years or older
- Management
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
5d
Diesel Mechanic Technician
Ryder System —Roseville, MI
- $38.15 an hour
- Full-time
- Computer literacy
- DOT physical examination
- Pass drug screening
- Paid training
- Paid parental leave
1d
Field Service Technician
Star SU LLC —Michigan
- From $70,000 a year
- Full-time
- Clean driving record
- Up to 50% travel
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
Assistant Home Supervisor
MOKA —Muskegon, MI
- From $18.33 an hour
- Full-time
- 18 years or older
- Management
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
8d
Dental Hygienist
Dexter Family Dentistry —Dexter, MI
- $38.28 - $45.00 an hour
- Part-time
- CPR Certification
- Dental office
- Current TB test
- Paid holidays
- Health insurance
Quick Apply
Dental Hygienist
Whittaker Road Dental —Ypsilanti, MI
- $38.28 - $45.00 an hour
- Full-time
- CPR Certification
- Dental office
- Current TB test
- Paid holidays
- Health insurance
Quick Apply
11d
Travel Hospice RN
Fusion Medical Staffing —Battle Creek, MI
- $1,549 - $1,781 a week
- Full-time
- RN License
- Computer literacy
- BLS Certification
- Disability insurance
- Health insurance
Director of Spiritual Formation and Outreach
First Presbyterian Church —Marquette, MI
- $30,000 - $35,000 a year
- Part-time
- Background check
- Sales
- Adults
- Health savings account
- Health insurance
Quick Apply
ASC Registered Nurse - OR
Michigan Institute of Urology PC —Utica, MI
- 8 hour shift
- Nursing
- Surgery
- RN License
- Paid holidays
- Health insurance
Quick Apply
Patient Care Technician
Muskegon Surgical Associates/SurgiCenter —Muskegon, MI
- 8 hour shift
- Background check
- Anatomy knowledge
- Surgery
- Disability insurance
- Health insurance
Quick Apply

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Remote Insurance Verification Specialist, Specialty (Michigan)

Walgreens -
Remote

Apply Now

Job Details

Qualifications

Computer operation
Customer communication
Customer satisfaction tracking
Windows
High school diploma or GED
Desktop applications
Productivity software

Full Job Description

Job Summary:

Responsible for verifying patient eligibility, coordinating benefits, running test claims, and determining patient coverage/responsibility for services. Handles inbound and outbound calls with customers, physician offices, patients or third-party providers about the company’s products or services following standard SOPs and procedures, working under direct supervision. Ensures all contacts receive efficient and courteous service.

Job Responsibilities:

Respond to all levels of inbound Pharmacy Benefit Manager (PBM) and major medical insurance related phone calls.
Resolves questions and problems submitted by customers and Pharmacy Benefit Manager (PBM) following established guidelines and standard SOPs and procedures. Utilizes all available information to choose the best solution and resolve customer and PBM concerns.
Requests and loads PBM and/or Major Medical insurance plans.
Processes all non-clinical PBM rejections which may include but not limited to rejections for plan limits, coverage termed or prior authorization.
Assists physicians in the prior authorization process including initiation of prior authorizations.
May be cross-trained and/or work on Major Medical (MM) and Specialized PBM Plans.
Verifies benefits for Major Medical via online resources or over the phone. Confirms network status, reviews FDA guidelines, and prior authorization requirements to ensure payment of claims.
Resolves questions and problems submitted by customers and Major Medical plans following established guidelines and standard SOPs and procedures. Utilizes all available information to choose best solutions and resolves customer and plan covers.
Facilitates the reimbursement windshields for PBM major medical claims.
Identifies and assesses individual customer or patient needs and provide education on or assist with grant applications, complex funding needs, commercial copay assistance enrollment along with appropriate action to satisfy those needs.
Provides primary support and expertise for specialized programs such as the patient assistance program or special handling.
Manages Pharma requirements including but not limited to warm transfers, bridge/quick start, enhanced prior authorization and appeal support.
May administer order queue such as Submission Problems or Waiting for Payment.
Documents contact interactions, records details, complaints, comments, and actions taken.

About Walgreens

Founded in 1901, Walgreens (www.walgreens.com) proudly serves nearly 9 million customers and patients each day across its approximately 8,500 stores throughout the U.S. and Puerto Rico. Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities.

Basic Qualifications

High school diploma/GED
Experience providing customer service to internal and external customers, including meeting quality standards for services, and evaluation of customer satisfaction in healthcare, specialty pharmacy, PBM, call center setting or other related industry
Ability to communicate clearly and effectively (written and verbal). Good interpersonal skills with the ability to communicate in a diplomatic and confidential manner
Basic level PC skills, MS Windows, MS Office Suite and/or other similar operating/software programs (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents and/or access information on-line).

Preferred Qualifications

Experience with providing customer service related to adherence, complex disease states quality, After Call Work (ACW), etc.
Experience in identifying operational issues and recommending and implementing strategies to resolve problems.
Intermediate level PC skills, MS Windows, MS Office Suite and/or other similar operating/software programs (for example: start up and shut down computer, use mouse to point and click, start and close programs, switch between programs, save files, print documents and/or access information on-line).

We will consider employment of qualified applicants with arrest and conviction records.

The Salary below is being provided to promote pay transparency and equal employment opportunities at Walgreens. The actual hourly salary within this range that you will be offered will depend on a variety of factors including geography, skills and abilities, education, experience and other relevant factors. This role will remain open until filled. To review benefits, please click here jobs.walgreens.com/benefits. If you are applying on a job board or unable to click on the link, please copy and paste this URL into your browser jobs.walgreens.com/benefits

Apply Now

Refine Your Search

Michigan Medical PC jobs

Remote Insurance Verification Specialist, Specialty (Michigan)

Clinical Counselor

Physical Therapist Assistant

Physical Therapist - Mid-Michigan areas of Jonesville, Napoleon, Leslie, and Jackson

Coordinate Measuring Machine Programmer

Pediatric Dayshift and Nightshift Private Duty RN/LPN- Stanwood

Medical Billing and Authorization Specialist

Clinical Counselor

Registered Dental Hygienist

Primary Care Physician in Stevensville, MI

Assistant Home Supervisor

Diesel Mechanic Technician

Field Service Technician

Assistant Home Supervisor

Dental Hygienist

Dental Hygienist

Travel Hospice RN

Director of Spiritual Formation and Outreach

ASC Registered Nurse - OR

Patient Care Technician

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