Showing 1-9 of 9
Showing 1-9 of 9
Utilization Appeals Coordinator jobs near Royal Oak, MI

Administration Building West - Royal Oak, MI

Utilization Appeals Coordinator. Coordinates certification, recertification and appeals process. Follows payer-specific appeals processes for all WBH, RO...

Henry Ford Health System - Southfield, MI

Assist in reviewing appeals and inpatient claims for problem resolution as necessary. Responsible for performing utilization management activities to support...

Main Hospital - Beaumont Hospitals, Troy - Troy, MI

Utilization Management Coordinator. Appeals Management - Troy (4283). Previous experience in Care Management or Appeals Management....

Blue Cross Blue Shield of Michigan - Southfield, MI

Timeliness of decision, appeal turnaround, etc.). Knowledge of accreditation process, such as National Committee for Quality Assurance (NCQA), Utilization...

Trinity Health - Pontiac, MI

Certified Professional in Utilization Review/Management preferred. Knowledge of regulations relative to utilization review....

EHIM - Southfield, MI

Pharmacy Clinical Coordinator. Maintain Document Tracking system of Clinical Interventions including Prior Authorizations, Appeals and Step Therapy claims....

Meridian Health Plan - Detroit, MI

Provide support for processing denial and appeal letters as needed. This position works collaboratively with other members of the Utilization Management-...

Oakwood Hospital Dearborn - Dearborn, MI

Understands denial of service process, and works with the Appeals Staff to actively appeal cases concurrently and retrospectively....

Meridian Health Plan - Detroit, MI

Respond to provider inquiries regarding utilization management decisions, complaints and appeals....


Your Recent Searches