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 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. #J-18808-Ljbffr
- ...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...SuggestedFull timeWork at officeRemote workShift work
- ...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
$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$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...SuggestedRemote work- ...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...SuggestedShift work
- ...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
- ...Job Description Job Description Records Management Specialist II Employment Type: Full-Time, Mid-Level Department: Office Support CGS is seeking an experienced Records Management Specialist to provide administrative support for a large Federal agency initiative...Full timeWork at officeFlexible hours
- Job Description Medical Laboratory Scientist II - Royal Oak, MI, Monday to Friday, 3:00 PM to 1:30 AM, 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...Full timePart timeWork experience placementWork at officeLocal areaMonday to FridayFlexible hoursShift workWeekend workAfternoon shift
- ...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
$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 package- ...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
- ...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
- ...Claims Follow Up Specialist This position is responsible for the timely follow up of technical or professional medical claims to insurance... ...or insurance company and process request. Research and appeal denied claims. Responsible for rebilling of services provided...Work at office
- ...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
- ...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
- 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
- ...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
$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 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
$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...- ...together.Are you ready for a better career? A better future?Job DescriptionAs a member of the division materials team, the Sr. CBR Specialist will serve as a highly motivated, self‑starting contributor who leads and supports automation initiatives, digitalization efforts...
- ...and South America, our unique combination of creativity and tenacity activates big ideas on a global stage. The Automotive Mechanic II will modify cars and trucks in a prototype environment, performing a wide range of diagnostics, repairs, and maintenance. The...Full timeWork experience placement
- ...Maintenance Technician II (Controls) Kautex is a global company with over 30 plants in 13 countries. As a leading Tier One automotive supplier, we are a pioneer in the design and manufacturing of plastic fuel systems and beyond. From battery enclosures for use in hybrid...Full timeLocal areaShift workWeekend work
- We are recruiting for a Records Management Specialist to support the Information Governance team in a law firm office in Detroit.This role is a strong fit for someone who is highly organized, detail-oriented, service-minded, and comfortable working with both physical records...Work at office
$70k - $140k
DescriptionJob Description:As a Treasury Management Specialist Sr. at Huntington Bank, you’ll play a vital role in fostering client relationships, delivering innovative treasury solutions, and supporting portfolio growth. You’ll provide comprehensive sales support and...Full timeWork at officeRemote workWork from homeFlexible hours- JLL empowers you to shape a brighter way. Our people at JLL are shaping the future of real estate for a better world by combining world class services, advisory and technology for our clients. We are committed to hiring the best, most talented people and empowering them...Full timeFor contractorsWork at officeLocal areaShift work
$94.3k - $141.5k
...customer support, and coordinate installation, maintenance, and optimization activities with various teams.What you’ll bring:As a Sr. Specialist RAN Engineering, you will be responsible for providing expert radio frequency (RF) engineering and Radio Access Network (RAN)...Full timeTemporary workLocal areaRelocation$34 per hour
...HVAC Technician II Wayne State University is searching for an experiencedHVAC Technician IIat its Detroit campus location. Wayne State is a premier, public, urban research university located in the heart of Detroit, Michigan where students from all backgrounds are...Hourly payFull timeApprenticeshipWork experience placementWork at office- ...made to enable individuals with disabilities to perform the essential job functions. Job Summary: The Instrumentation Technician II will install test equipment in development vehicles such as thermocouples, transducers, sensors, fiberoptics, accelerometers, strain...Local area
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