Top 549 Authorization representative Jobs in Michigan

Support Specialist- Utilization Review (Non-Nursing)/Full Time/Remote
Henry Ford Health —Troy, MI
- Full-time
- Remote
- High school diploma or GED
- Continuous improvement
- Home Health
- Health insurance
- Dental insurance
2d
Pharmacy Care Representative - Work From Home Michigan
CVS Health —Michigan
- $17.00 - $28.46 an hour
- Overtime
- Remote
- Microsoft Excel
- Microsoft Outlook
- Windows
- Paid holidays
- Health insurance
Regional Revenue Manager
Lodgco Hospitality —Grand Rapids, MI
- Full-time
- Clean driving record
- Sales
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
7d
Global Sales Representative
Sungwoo Hitech America Corp —Troy, MI
- Full-time
- English
- Analysis skills
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
Medical Receptionist
Trestlewood Pediatrics —Portage, MI
- $16 - $17 an hour
- Full-time
- Customer service
- Administrative experience
- High school diploma or GED
- Health savings account
- Disability insurance
Quick Apply
9d
Field Service Technician/Electrical - Detroit, MI
Vertiv —Detroit, MI
- Weekends as needed
- Background check
- Military
- Pass drug screening
- Profit sharing
- Health insurance
Mortgage Loan Officer
New American Funding —Novi, MI
- $75,000 - $300,000 a year
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Health savings account
- Paid holidays
Quick Apply
Release of Information Specialist/Medical Records
Midwest Medical Records Assoc., Inc. —Petoskey, MI
- $16 - $17 an hour
- Full-time
- Hospital
- HIPAA
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
Housekeeping
Courtyard Traverse City —Traverse City, MI
- $17.25 an hour
- Part-time
- Hotel
- Ability to lift 50 pounds
- Criminal background check
- Travel reimbursement
- Paid training
Quick Apply
Program Coordinator
Central State Community Services, Inc. —Genesee County, MI
- Full-time
- Background check
- Mid-level
- Administrative experience
- Health insurance
- Dental insurance
Quick Apply
Customer Fulfillment Representative
Roger Zatkoff Company —Warren, MI
- 8 hour shift
- Clean driving record
- Forklift
- High school diploma or GED
- Profit sharing
- AD&D insurance
Quick Apply
7d
Supplier Quality Engineer
YAPP USA AUTOMOTIVE SYSTEMS INC —Romulus, MI
- $60,000 - $80,000 a year
- Overtime
- Microsoft Excel
- Engineering
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
7d
Process Engineer
YAPP USA AUTOMOTIVE SYSTEMS INC —Romulus, MI
- $65,000 - $75,000 a year
- Full-time
- Engineering
- Mid-level
- Travel
- Health insurance
- Dental insurance
Quick Apply
7d
Landscape Sales & Client Care Representative
Drost —Petoskey, MI
- Weekends as needed
- Microsoft Word
- Microsoft Outlook
- Mid-level
- Health savings account
- Disability insurance
Quick Apply
Patient Service Representative I
Solaris Health Holdings LLC —Grand Rapids, MI
- Part-time
- OSHA
- HIPAA
- High school diploma or GED
- Health savings account
- Paid holidays
Quick Apply
Process Engineer
Roger Zatkoff Company —Warren, MI
- Full-time
- Research
- Mid-level
- Analysis skills
- AD&D insurance
- Paid holidays
Quick Apply
6d
Drop Bury Administrator / Field Operations Coordinator
Next Solutions —Flint, MI
- From $18 an hour
- Full-time
- Mid-level
- Office
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
Fuel System Valve Technical Expert
YAPP USA Automotive Systems, Inc. —Romulus, MI
- $100,000 - $130,000 a year
- Overtime
- 6 years
- Office
- Master's degree
- Health insurance
- Dental insurance
Quick Apply
MIG and TIG Welder - Night Shift
AIT —Chesterfield, MI
- Overtime
- Schematics
- Computer literacy
- Mid-level
- Health insurance
Quick Apply
Experienced Condominium & HOA Portfolio Property Manager
Rochester Property Management Group —Rochester, MI
- $55,000 - $80,000 a year
- Full-time
- Microsoft Word
- Background check
- Customer service
- Profit sharing
- Paid holidays
Quick Apply

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authorization representative jobs near michigan

Support Specialist- Utilization Review (Non-Nursing)/Full Time/Remote

Henry Ford Health -
Troy, MI

Apply Now

Job Details

Full-time
2 days ago

Benefits

Health insurance
Dental insurance
Tuition reimbursement

Qualifications

Computer operation
High school diploma or GED
Computer skills

Full Job Description

GENERAL SUMMARY:

The support specialist is a support role crucial to the centralized Utilization Review team for time sensitive authorization tracking and resolution process. Responsible for obtaining and tracking approvals, denials, and additional information requests received from third party payers within the EMR.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

Acts as a subject matter expert in insurance authorization requirements, timeframes, and various revenue cycle related requirements.
Submits all clinical information required by payers.
Responds to payer requests, inquiries, and/or escalates issues to leadership.
Processes, familiarizes, and completes communication forms required by payers.
Works directly with coordinators regarding clinical issues for resolution.
Processes all incoming communication from payers via fax, voicemail, email and mail, appropriately routes information to assigned team members.
Update and load case information to payers as needed.
Maintain a current knowledge of Utilization Management through interaction with staff and payor portal representatives.
Identify process improvement strategies.
Promotes individual professional growth and development by meeting requirements for mandatory continuing education and supports department goals which contribute to success of the organization.
Perform other duties as requested.

EDUCATION/EXPERIENCE REQUIRED:

High School Diploma/G.E.D.
Working knowledge of computers and software systems
Communication skills, verbal and written, and interpersonal skills necessary to effectively achieve department outcomes.
Minimum one (1) year of experience in healthcare
Experience working in Epic preferred

Additional Information

Organization: Corporate Services
Department: Central Utilization Mgt
Shift: Day Job
Union Code: Not Applicable

Additional Details

This posting represents the major duties, responsibilities, and authorities of this job, and is not intended to be a complete list of all tasks and functions. It should be understood, therefore, that incumbents may be asked to perform job-related duties beyond those explicitly described above.

Overview

Henry Ford Health partners with millions of people on their health journey, across Michigan and around the world. We offer a full continuum of services – from primary and preventative care to complex and specialty care, health insurance, a full suite of home health offerings, virtual care, pharmacy, eye care and other health care retail. With former Ascension southeast Michigan and Flint region locations now part of our team, Henry Ford’s care is available in 13 hospitals and hundreds of ambulatory care locations. Based in Detroit, Henry Ford is one of the nation’s most respected academic medical centers and is leading the Future of Health: Detroit, a $3 billion investment anchored by a reimagined Henry Ford academic healthcare campus. Learn more at henryford.com/careers.

Benefits

The health and overall well-being of our team members is our priority. That’s why we offer support in the various components of our team’s well-being: physical, emotional, social, financial and spiritual. Our Total Rewards program includes competitive health plan options, with three consumer-driven health plans (CDHPs), a PPO plan and an HMO plan. Our team members enjoy a number of additional benefits, ranging from dental and eye care coverage to tuition assistance, family forming benefits, discounts to dozens of businesses and more. Employees classified as contingent status are not eligible for benefits.

Equal Employment Opportunity/Affirmative Action Employer

Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health is

committed to the hiring, advancement and fair treatment of all individuals without regard to

race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

weight, marital status, family status, gender identity, sexual orientation, and genetic information,

or any other protected status in accordance with applicable federal and state laws.

Apply Now

Refine Your Search

authorization representative jobs in michigan

Support Specialist- Utilization Review (Non-Nursing)/Full Time/Remote

Pharmacy Care Representative - Work From Home Michigan

Regional Revenue Manager

Global Sales Representative

Medical Receptionist

Field Service Technician/Electrical - Detroit, MI

Mortgage Loan Officer

Release of Information Specialist/Medical Records

Housekeeping

Program Coordinator

Customer Fulfillment Representative

Supplier Quality Engineer

Process Engineer

Landscape Sales & Client Care Representative

Patient Service Representative I

Process Engineer

Drop Bury Administrator / Field Operations Coordinator

Fuel System Valve Technical Expert

MIG and TIG Welder - Night Shift

Experienced Condominium & HOA Portfolio Property Manager

I want to receive the latest job alert for authorization representative in michigan

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