Top 250 Authorization representative Jobs in Southfield, Mi

Insurance Specialist (HHC) - 40 hours/Week - Days
Henry Ford Health —Detroit, MI
- Full-time
- Medical office experience
- Mid-level
- High school diploma or GED
- Health insurance
- Dental insurance
9d
Medical Insurance Verification
Specialists in Rehabilitation Medicine P.C. —Bloomfield Township, MI
- $18 - $25 an hour
- Full-time
- Google Workspace
- HIPAA
- Organizational skills
- Health savings account
- Disability insurance
Quick Apply
3d
Financial Clearance Representative
McLaren Health Care —Shelby Charter Township, MI
- Full-time
- Microsoft Outlook
- Surgery
- Hospital
Patient Access Rep II - Healthclub Admin Novi, MI
DMC Rehabilitation Institute of Michigan —Detroit, MI
- Full-time
- Hospital
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- 3 years
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Financial Clearance Representative - PART TIME
McLaren Health Care —Shelby Charter Township, MI
- Part-time
- Microsoft Outlook
- Surgery
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Authorizations Specialist
Radx —Warren, MI
- Full-time
- Bilingual
- Medical office experience
- High school diploma or GED
- Health insurance
- Dental insurance
Quick Apply
Patient Access Scheduling Representative
McLaren Health Care —Shelby Charter Township, MI
- Full-time
- Surgery
- Mid-level
- High school diploma or GED
13d
Patient Access Representative / Oxford Imaging / Full Time / Days
Henry Ford Health —Rochester, MI
- Full-time
- Hospital
- High school diploma or GED
- Home Health
- Health insurance
- Dental insurance
2d
Medical Call Center Representative - Full-time
Eastlake Cardiovascular PC —Rochester Hills, MI
- 8 hour shift
- HIPAA
- Mid-level
- Organizational skills
- Paid holidays
- Disability insurance
Quick Apply
Senior Quality Assurance Specialist
Pfizer —Rochester, MI
- $82,700 - $137,900 a year
- Weekends as needed
- Microsoft Word
- Mid-level
- Master's degree
- Paid holidays
- Relocation assistance
3d
Patient Service Representative
Wayne Health —Dearborn, MI
- Full-time
- Microsoft Word
- High school diploma or GED
- Clinic
Clinical Specialist, Deep Brain Stimulation (DBS) - Detroit Metro, MI
Medtronic —Detroit, MI
- $76,000 - $114,000 a year
- Weekends as needed
- Nursing
- RN License
- Master's degree
- Health savings account
- Employee stock purchase plan
Intake Representative
KabaFusion —Novi, MI
- Full-time
- Mid-level
- High school diploma or GED
- Commercial
- Paid holidays
- Disability insurance
Quick Apply
Medical Call Center Representative
Eastlake Cardiovascular PC —Saint Clair Shores, MI
- 8 hour shift
- HIPAA
- Organizational skills
- Communication skills
- Paid holidays
- Disability insurance
Quick Apply
HR Representative
Lippert —Sterling Heights, MI
- Full-time
- Public speaking
- High school diploma or GED
- Ability to lift 50 pounds
- Health insurance
- Dental insurance
6d
Patient Access Scheduling Representative Senior
McLaren Health Care —Shelby Charter Township, MI
- Full-time
- Surgery
- Mid-level
- High school diploma or GED
Pharmaceutical Sales Representative - Waterford, MI
GlaxoSmithKline —Waterford, MI
- Full-time
- Remote
- Bilingual
- Bachelor of Science
- Mid-level
PSR
Wayne Health —Detroit, MI
- Full-time
- Microsoft Word
- High school diploma or GED
- Clinic
Global Sales Representative
Sungwoo Hitech America Corp —Troy, MI
- Full-time
- English
- Analysis skills
- Driver's License
- Health insurance
- Dental insurance
Quick Apply
Field Service Technician/Electrical - Detroit, MI
Vertiv —Detroit, MI
- Weekends as needed
- Background check
- Military
- Pass drug screening
- Profit sharing
- Health insurance

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Insurance Specialist (HHC) - 40 hours/Week - Days

Henry Ford Health -
Detroit, MI

Apply Now

Job Details

Full-time
9 days ago

Benefits

Health insurance
Dental insurance
Tuition reimbursement

Qualifications

High school diploma or GED

Full Job Description

GENERAL SUMMARY:

Under general supervision, identifies and determines in accordance with established policies and procedures the accuracy and completeness of financial, insurance and/or demographic information for patients receiving care HFHS. Accountable and responsible for all pre-admissions, admissions, and specified scheduled outpatient services rendered at HFHS. Investigates and reviews the accuracy and completeness of insurance information upon pre-admission and/or admission to ensure account is secure prior to discharge. Obtains benefit, co-pay, deductible, and co-insurance information. Verifies insurance eligibility and benefit information and confirms that all insurance requirements are met, including but not limited to referrals and authorizations. Resolves problem accounts to determine primary insurance and/or COB information.

PRINCIPLE DUTIES AND RESPONSIBILITIES:

A variety of functions and responsibilities related to insurance verification and identifying authorization requirements prior to and/or after discharge of patient, which includes:

1. Research and review all insurance plans and confirm patient benefit eligibility, including patient liabilities, clauses, riders, and secondary payor information (coordination of benefits) via internal and external resources including contacting payor representatives as needed.

2. Reviews and interprets insurance group pre-certification requirements. Ensure proper pre-authorizations have been obtained. Execute on-line operations for specific payors to complete the pre-certification process. Communicate data to HFHS Utilization Management Department for further medical review.

3. Resolves discrepancies with the patient and/or family members, employers and insurance companies to assist in obtaining insurance information. Interviews patients and/or family members; advises patient with regards to next steps or processes for securing financial coverage. Reviews and analyzes third party COB screen prior to billing to prevent claims rejection. Works with patients or family member regarding outstanding COB issues.

4. Reviews, analyzes and corrects COB discrepancies and other related issues to ensure the integrity of the insurance information is accurate prior to discharge.

5. Handles insurance questions and/or obtains information from various HFHS areas including but not limited to clinics, physicians, patients, attorneys, employers and outside agencies via telephone or mail.

EDUCATION/EXPERIENCE REQUIRED:

High school diploma or GED equivalent is required.
Two (2) years of experience related to healthcare insurance eligibility, insurance verification or insurance billing in a hospital/medical office setting.
Knowledge of various insurance coverage, COB rules of priority and processing procedures.
Insurance payor systems experience required.
EPIC training/experience preferred.
ICD-10 medical terminology experience preferred.

Additional Information

Organization: Community Care Services
Department: HHC Intake
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 southfield, mi

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