Average salary: $73,171 /yearly
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- ...guidelines, and Centers for Medicare and Medicaid Services (CMS) standards. Provides coordination and processing of pharmacy prior authorization requests and/or appeals. Explains point-of-sale claims adjudication, state, NCQA and CMS policies/guidelines, and any...SuggestedWork at office
Molina Healthcare
Sterling Heights, MI13 hours ago - ...Pharmacist Advisor Location: Fully remote Duration: 06+ months contract Note: Ideal candidates must have experience of Prior Authorization, Medicare Part D and Pharmacy Benefit Management experience. Shift Timing: Business Hours are 7am - 8pm EST Monday - Friday and...SuggestedContract workRemote workMonday to FridayShift work
US Tech Solutions
Grand Rapids, MI4 days ago - ...Responsibilities Include: Obtaining patient history Room patients Maintain clinic area, clean and stock exam rooms Obtains prior authorizations and lab audits Benefits ~ Medical, Dental and Vision ~ Life Insurance ~ Flex Spending Account ~ Short- and...SuggestedTemporary workWork at office
Huron Gastro
Whitmore Lake, MI3 days ago $27.73 - $61.79 per hour
...benefits, eligibility and expected length of stay for requested treatments and/or procedures. Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. Processes requests within required timelines. Refers appropriate...SuggestedHourly payWork experience placementWork at officeDetroit Staffing
Detroit, MI2 days ago- ...Position Summary Daily clinical Nurse Clinician I duties will include, but are not limited to, RN triage, medication refills, prior authorizations, referrals, buckets (labs, orders etc,) administering medications as well as pre and post operative care of patients and...SuggestedTemporary work
Michigan State University
East Lansing, MI4 days ago - ...Confirms documentation, reports and files are complete and accurate. Certifies that all lending conditions have been satisfactorily met prior to closing. Keeps management informed of area activities of any significant problems and provides suggestions for improvements in...SuggestedRemote jobTemporary workApprenticeshipWork at office
Member First Mortgage LLC
Grand Rapids, MI25 days ago - ...specialty services Act as a liaison between patients, families, providers and external care teams Assist with medication prior authorizations and patient assistance applications Help the practice meet quality improvement and value-based care goals...SuggestedFull timeTemporary workPrivate practiceDay shiftAfternoon shift
Grand Valley Medical Specialists, PLC
Grand Rapids, MI8 days ago - ...support our pharmacy team in delivering high-quality care. You'll gain hands-on experience in medication therapy management, prior authorization processes, patient communication, and more. This position is an excellent opportunity to apply classroom knowledge in a professional...SuggestedInternship
DirectRx
Troy, MI15 days ago - Job Description Job Description The POWER of a CAREER! At Northpointe Bank, we believe your career should empower you — to grow, contribute, and find purpose. We’re hiring a Senior Underwriter to underwrite a full range of mortgage loans, including government, ...SuggestedWork at office
Northpointe Bank
Grand Rapids, MI15 days ago - ...operatory and storage room. Informs the individual in charge of ordering of any supplies needed. # Completes and submits Medicaid prior authorizations. Maintains detailed spreadsheets logging and tracking prior authorizations and referrals. Note: This job description is...SuggestedFull timeApprenticeshipInternshipWork at officeLocal areaRemote workRelocation packageFlexible hours
Great Lakes Bay
Bridgeport, MI1 day ago - ...underwriting process. Assists customers, producers, and internal associates with complex underwriting service issues. Has approval authority for $250,000 Standard through $2.5 million all rates. Participates in review of contestable claims to identify underwriting...SuggestedFull timeWork at office
Jackson
Lansing, MI2 days ago - ...· Administer allergy shots, spirometry testing, skin tests · Authorize drug refills and communicate prescription information to pharmacies... ...with various administrative and clinical tasks such as prior authorizations, scribing, and patient scheduling What You...Suggested
Clarkston Medical Group
Clarkston, MI1 day ago - ...procedures and testing (loop implants, stress testing, nuclear testing, EKGs, etc) Make phone calls, start encounters, enter labs, prior authorizations, etc. Provide consistent exceptional patient care Qualifications Experience working in a medical field is...SuggestedFull timeMonday to FridayWeekend work
West Michigan Cardiology
Grand Rapids, MI3 days ago - ...patient Reports all test results to the patient as directed by the physician Additional duties as assigned Complete prior authorizations for medications and coordinate medication refills Qualifications Graduate from an accredited school of nursing...SuggestedFull timeTemporary workWork experience placementPrivate practiceWork at office
Together Women's Health, LLC
Troy, MI13 hours ago $17.74 - $31.63 per hour
...improving prescription capture, providing follow-up counseling, and ensuring smooth communication. Key duties include processing prior authorizations, assisting with financial aid, updating clinical data, and supporting administrative tasks. The liaison collaborates closely...SuggestedHourly payMinimum wageFull timeWork experience placementWork at officeLocal areaUnitedHealth Group
Owosso, MI13 hours ago- ...Assistant · At least 3 years medical office experience · Triage phone calls, process medication requests and prior authorizations · Rooming patients of all ages, from newborns to geriatrics · Taking accurate vital signs ·...Work at office
Care Free Medical
Lansing, MI17 days ago - Job Description Job Description If you are looking to start your career as an insurance and financial services professional, one way to increase your chances of success is by learning from those who came before you. Join New York Life Insurance Company, a reputable...Local areaImmediate startWork from homeFlexible hours
New York Life Insurance Company
Grand Rapids, MI8 days ago $86.25k
Job Description Dealer Commercial Services Senior Underwriter Country: United States of America It Starts Here: Santander is a global leader and innovator in the financial services industry and is evolving from a high-impact brand into a technology-driven...Hourly payContract workWork experience placementShift workSantander Holdings USA Inc
Lansing, MI2 days ago- ...Underwriter’s book of business, support renewal and new business development, and have the opportunity to achieve full underwriting authority. Responsibilities Service a book of business under the direct supervision of an underwriter Evaluate, classify, and...WorldwideFlexible hours
Burns & Wilcox
Farmington Hills, MI19 days ago - ..., such as referrals to specialists and/or primary care, Electronic Medical Record (EMR) tasks, patient result notification, prior authorizations and communication to companies and/or workers compensation as appropriate. Complies with company protocols, organizational...Work at officeLocal areaRelocation package
MyMichigan Health
Alma, MI13 hours ago - ...Administrative duties include answering telephones, scheduling appointments, accurate patient registration, processing referrals and prior authorizations. Maintain focus on patient centered care and customer service. Essential Functions: Consistently use an...Work at office
Oaklawn Hospital
Marshall, MI2 days ago - ...join our dedicated team at our Clarkston office. If you have prior medical office experience and enjoy providing compassionate, efficient... ...the patient portal, maintaining strong communication. Authorize drug refills and provide updated prescription information to...Work at office
Clarkston Medical Group
Clarkston, MI8 days ago $43.26k - $62.8k
...limited to rooming patients, vitals, obtaining records, insurance authorization, laboratory and medical management monitoring, order entry,... ...with all team members of the area assigned. Assist with prior authorizations. Schedule and coordinate diagnostic and lab...Full timeTemporary workPart timeWork at officeRemote workUniversity of Michigan
Ann Arbor, MI4 days ago- Job Description Job Description Location: Ann Arbor, MI Job Type: 1099 Independent Contractor | Unlimited Income Potential Why Farm Bureau Michigan? (This Is What Makes Us Different) Farm Bureau is one of the top multiline insurance companies in Michigan...For contractorsWork at officeLocal areaImmediate startFlexible hours
Farm Bureau Insurance
Dexter, Washtenaw County, MI6 days ago - Job Description Job Description Join Al Bourdeau Insurance Agency, a reputable insurance agency with a rich history, seeking a talented Personal Lines Producer to join our dedicated team. At Al Bourdeau Insurance Agency, we take pride in our personalized service and...Work at office
Al Bourdeau Insurance Agency
Michigan13 days ago - ...needed. Takes patient vitals as part of their outpatient office visit or admission for inpatient treatment. Maintains the prior authorization process for medication administration (initiates, follows up, renews, etc.) Checks voicemail and returns phone calls on a...Work at office
Sanford Careers
Marne, MI13 days ago - ...may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work supporting a provider inbox.) # Responsible for efficiently triaging patient needs via telephone and during...Work at officeLocal area
Trinity Health
Ann Arbor, MI13 hours ago $20 - $23.21 per hour
...and sample medication log, if applicable. Assures confidential questionnaires are completed and all necessary. Obtains prior authorizations as required. Manages overdues, recalls and actions within the EMR. Files or scans records in an accessible,...Work at officeFlexible hoursHolland Hospital
Holland, MI1 day ago$19.01 per hour
...and pharmacy network provider inquiries concerning oral, injectable and infusion medication requests, and drug claim edits/prior authorizations. By reviewing member claims history, clearly defines the medical necessity of non-formulary and prior authorization medication...For contractorsLocal areaHighmark Health
Lansing, MI1 day ago- ...immunization/medication administration, EKGs, bench testing and procedures as necessary Assist with obtaining medication prior authorizations Required Qualifications* Graduation from an accredited Medical Assistant program OR an equivalent combination of education...Full timeTemporary workPart timeRemote workFlexible hoursShift workAfternoon shift
University of Michigan
Ann Arbor, MI7 hours agonew
