Appeals Specialist II
A-Line Staffing Solutions
Job Title: Appeals Specialist II - J00909 Address: Detroit, MI Job Description Manage appeals cases, review supporting documentation, and communicate resolutions effectively. Coordinate with relevant departments to ensure compliance with policies and procedures. Analyze case details to identify trends and recommend process improvements. Document all actions taken and maintain comprehensive case records. Ensure timely resolution of appeals in accordance with regulatory standards. Critical Information Remote work environment Shift/hours: Standard business hours Compliance/submission notes: Ensure adherence to regulatory and internal standards Environment: Office-based at 1 Campus Martius Ste 700, Detroit, MI 48226 Education/Licenses Needed Verify with a Recruiter or Staffing Manager! Benefits Benefits are available to full-time employees after 90 days of employment. A 401(k) with company match is available after 1 year of service. This is an AI-formatted job description; recruiter confirmation required.
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Appeals Specialist II in Detroit, MI vacancy
- ...Appeals, Disputes, and Reconsiderations Support Support the team to ensure appeals, disputes and reconsiderations are reviewed and processed timely. Education/Experience: Requires a High School diploma or GED. Requires 1 – 2 years of related experience Knowledge of...Suggested
Randstad
Detroit, MI4 days ago $22.99 per hour
Support the team to ensure appeals, disputes and reconsiderations are reviewed and processed timely. Education/Experience: Requires a High School diploma or GED. Requires 1 – 2 years of related experience Knowledge of appeals, disputes and reconsiderations process preferred...SuggestedHourly payPermanent employmentTemporary workWork experience placementShift work- Quest Diagnostics Incorporated in Royal Oak, MI is seeking a Medical Laboratory Scientist II to support high-complexity testing on a Monday to Friday schedule, 6:30 AM to 3:00 PM with rotational weekends. You will perform test procedures with independence, applying judgment...SuggestedMonday to FridayWeekend work
- Job Description Under minimal direction, the Quality/Risk Specialist (QRS) II supports the effective surveillance, 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...Suggested
$18.17 - $27.31 per hour
...for help. That's the kind of impact you have on our roadside service team. We're looking for a detail-oriented Roadside Event Specialist II to join our team at Cox Automotive Fleet. In this position, you will play a crucial role in helping us provide best-in-class service...SuggestedHourly payWork at officeFlexible hours- A healthcare service company is seeking a G&A Coordinator in Detroit, MI. This role involves processing appeals, grievances, and inquiries from members, requiring strong analytical and communication skills. The ideal candidate will have a bachelor's degree and experience...
$80k
...Pharmaceuticals is recruiting for two Access Specialist's to join our growing Metabolic team... ...step of the way. As an Access Specialist II, you’ll be at the forefront of delivering... ...obtain prior authorizations and support appeals processes. As part of your role, you’ll...Remote workCycle Pharmaceuticals
Detroit, MI2 days ago- ...Records Management Specialist IIEmployment Type: Full-Time, Mid-LevelDepartment: Office SupportCGS is seeking an experienced Records Management Specialist to provide administrative support for a large Federal agency initiative. CGS brings motivated, highly skilled, and...Full timeWork at officeFlexible hours
Contact Government Services LLC
Detroit, MI5 days ago - Republic Services is seeking a TSDF Maintenance Tech to perform repairs, maintenance and installations on facilities, treatment plants and equipment under supervision. You will inspect, diagnose and plan repairs while coordinating with contractors on on-site projects. The...For contractors
- ...insurance • Health insurance • Paid time off • Vision insurance Position Summary: The Ambulatory Care Associate II ("ACA II"), is a member of the patient care team and, as designated per established policies and procedures, performs technical, multi...Shift work
McLaren USA
Dearborn, MI2 days ago - ...Medical Laboratory Scientist II- Blood Bank Quest Diagnostics Incorporated • Royal Oak, MI, United States Perform test procedures of moderate/high complexity requiring the exercise of independent judgement and responsibility in those specialties in which they are qualified...Full timePart timeWork experience placementWork at officeLocal areaFlexible hoursShift workAfternoon shift
Quest Diagnostics Incorporated
Royal Oak, MI4 days ago - ...Oncology Care Associate II The Oncology Care Associate II is a member of the patient care delivery team with primary responsibilities for technical, multi-skilled direct and indirect patient care activities. The Oncology Care Associate II work under the supervision...
- Strategic Staffing Solutions is currently looking for a Grievance & Appeals Coordinator, a W2 contract engagement with one of our largest clients in Detroit, MI! REMOTE!! Title: Grievance & Appeals Coordinator Location : Detroit, MI (Fully Remote) Duration: 12+ Months Education...Contract workRemote work
- ...analysis.Creates and formulates business documentation and reports to support the regulatory (i.e. rate case or other) filings and appeals.Works closely with senior management and other areas of the Company to interpret, prepare, and coordinate regulatory filings and testimony...Remote workShift work
DTE Energy
Detroit, MI2 days ago - ...Job Title Job Description Process appeals and grievances, analyze, research, and provide comprehensive responses in accordance with established regulatory and accreditation guidelines. Contact customers to gather information and communicate disposition of case...Contract workApprenticeshipLocal areaRemote work
$107.6k - $156.7k
Job DescriptionThe RoleThe Senior Performance Accountability Specialist is a senior individual contributor who leads the most complex, sensitive... ...works councils, notice requirements, documentation standards, appeal processes, and exit-related considerations.Lead complex manager...Full timeContract workLocal areaRemote workWork from homeRelocationRelocation packageGeneral Motors
Warren, MI1 day ago- A national medical laboratory in Royal Oak, MI, is seeking a Medical Laboratory Scientist II. The role requires proficiency in testing, with responsibilities including troubleshooting, quality control, and compliance with laboratory standards. Preferred candidates will...Hourly pay
- ...Business Systems Analyst II A Few Words About Us Integrated Resources, Inc is a premier staffing firm recognized as one of the tri-states most well-respected professional specialty firms. IRI has built its reputation on excellent service and integrity since its inception...Flexible hours
Integrated Resources
Southfield, MI1 day ago - Job Description Specimen Technician II - Royal Oak, MI, Monday to Friday, 10:00 PM to 6:30 AM, with rotational weekend This positionin Specimen Processing is responsible for knowingall ofthe functions of the SPT I, plus additional functions. This individual will...Full timePart timeWork experience placementLocal areaMonday to FridayFlexible hoursShift workWeekend workAfternoon shift
Quest Diagnostics Incorporated
Royal Oak, MI1 day ago - ...Job Description: At Main Event, our Technicians are responsible for maintaining the FUN! As a Technician, Tech II specifically, you are knowledgeable about the mechanics and operations of our games and entertainment optionsand ensure they are performing properly and safely...Night shiftWeekend work
Dave & Buster
Taylor, MI2 days ago - Henry Ford Health in Detroit, MI, is seeking an Infection Prevention Specialist II for Ambulatory Nursing. The role is day shift, full-time, and focuses on advanced infection prevention, education, and surveillance within ambulatory settings. The IPS II leads or co-leads...Full timeDay shift
- ...RCM Specialist- Vision Ophthalmology As a member of the Revenue Cycle Management Team, the RCM Vision Specialist is a subject matter... ...responsibility to forward to the collection team Ability to research and appeal denied claims Answering all patient or insurance telephone...Work at officeRemote workHome officeFlexible hoursAfternoon shiftEarly shift
Walker Surgical Center
Wyandotte, MI1 day ago - ...distribution and queue management. Support onboarding and training of new staff. Conduct quality reviews of account documentation, appeals, and follow-up activities. Identify workflow inefficiencies and recommend operational improvements. Assist management with implementation...Work at office
North West Labs
Southfield, MI5 days ago - ...Job Description Lab Assistant II - Royal Oak, MI, Monday to Friday, 2:30 PM to 11:00 PM, with rotational weekends employee may be eligible to receive shift differential of 10% for some or all hours worked on second shift and 15% for some or all hours worked on...Full timePart timeWork experience placementWork at officeMonday to FridayFlexible hoursShift workWeekend workAfternoon shift
Quest Diagnostics
Royal Oak, MI4 days ago - ...academic and referral center with Level I adult trauma and Level II pediatric trauma designations. Corewell Health William Beaumont... ...,400 Beaumont doctors on faculty. Scope of Work The Child Life Specialist is responsible for providing therapeutic play opportunities and...Full timeInternshipMonday to FridayShift workWeekend work
- ...IIYour positive, friendly disposition and eagerness to get things done make you the right person for our Customer Service Associate II position. Join our team today and let's create an inviting shopping experience for our customers.Your Role:As a Customer Service Associate...Contract workPart timeLocal area
Dollar Tree
Detroit, MI5 days ago $19 - $21 per hour
...McKinley is looking for an experienced Maintenance Technician II to join our team at one of our communities located in Taylor, MI! Compensation: $19-$21 hour + on call bonuses Position Information: As the Maintenance and Grounds expert of your community...McKinley, Inc.
Taylor, MI5 days ago- Job Description Electroencephalogram (EEG) Technician II Mid Night shift position We are seeking a skilled EEG Technician II to perform high-quality electroencephalogram studies and provide essential neurological monitoring support. This role requires strong technical...Night shift
$5,000 per month
...Customer Service Representative IIUnder general supervision, the Customer Service Representative II ensures customer expectations are accurately determined and are fully met. The Customer Service Representative II may provide guidance to less experienced Customer Service...Contract workGenuine Parts Company
Taylor, MI4 days ago- ...Customer Service Associate II Your positive, friendly disposition and eagerness to get things done make you the right person for our Customer Service Associate II position. Join our team today and let's create an inviting shopping experience for our customers. Your...Contract workPart timeLocal area
Dollar Tree
Detroit, MI3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Appeals Specialist II. Be the first to apply!
Related searches
- mathematics specialist Detroit, MI
- configuration specialist Detroit, MI
- optimization specialist Detroit, MI
- specialist Detroit, MI
- generation specialist Detroit, MI
- leave specialist Detroit, MI
- patient safety specialist Detroit, MI
- coding specialist Detroit, MI
- policy specialist Detroit, MI
- computer specialist Detroit, MI