Average salary: $73,171 /yearly
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- ...for biologics medications. Navigates the complexities with the insurance companies and the pharmacies in order to obtain prior authorizations quickly. Is also able to appeal decisions as needed. Keeps up with manufacturer recommendations, formulary changes, claim...SuggestedWork at office
West Michigan Dermatology
Grandville, MI3 days ago - ...Pharmacy Help Desk Specialist Work on the pharmacy help desk handling prior authorization requests from doctors offices. Requests are received via fax, mail, email, phone and electronic PA system. Receive and respond to member questions about their pharmacy benefit....SuggestedWork from home
LanceSoft
Detroit, MI1 day ago $21 per hour
...support highvolume inbound calls for a leading organization in the pharmacy benefits industry. You'll answer questions about prior authorizations, benefits, prescription coverage, and other confidential healthcare inquiries. This position offers *industryleading...SuggestedPermanent employmentFull timeContract workTemporary workFor contractorsMonday to FridayShift workTEKsystems
Plymouth, MI2 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 Long-Term Disability Paid...SuggestedFull timeTemporary workWork at office
Huron Gastro
Ypsilanti, MI12 hours ago $21 per hour
...support a high‑volume call center environment. In this role, you will handle inbound calls and follow‑up outreach related to prior authorizations, general inquiries, and confidential information. Success in this position requires strong customer service skills, accuracy...SuggestedContract workTemporary workTEKsystems
Plymouth, MI19 hours 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, MI3 days ago - ...: Coordinate patient scheduling and manage appointments Process medication refill requests and route to the provider Handle prior authorizations with insurance companies Monitor and route patient portal messages Answer phone calls related to medications, scheduling, and...SuggestedWork at office
Martino Health & Wellness
Grand Rapids, MI1 day ago - ...patients, and unit staff. The Intake RN works with the Business Office regarding patient financial data and verification and prior authorization of insurance benefits as needed, as well as with the UR Department for the certification of patients admitted. Hours and Location...SuggestedFull timeWork at officeLocal areaRelocation packageShift workNight shift
Universal Health Services
Byron Center, MI11 hours 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 officeRemote workFlexible hours
Great Lakes Bay
Saginaw, MI1 day ago - ...vitals and completion of necessary screenings as applicable, answering clinic phones, addressing in-basket messages, obtaining prior authorizations, communicating with providers regarding patient needs, and provide other clinical support as needed. While we are a...SuggestedFull timeApprenticeshipRelocation packageMonday to FridayShift workWeekend work
Corewell Health
Grand Rapids, MI3 days ago - ...for the systems ambulatory clinics. The tasks for this position will include, but are not limited to, completing pre and/or prior authorizations, assisting with patient assistance programs, scheduling patients from provider referrals or other registries, working with insurance...SuggestedPart timeRemote workMonday to FridayShift work
Corewell Health
Grand Rapids, MI23 hours ago $25 - $32 per hour
...rooming patients Administer IV medications and assist providers during visits Triage patient phone calls and support prior authorizations Schedule appointments and manage follow-up reminders Update patient medical records in Epic EMR Support smooth...SuggestedHourly payTemporary workLocal areaMonday to FridayFlexible hoursAdecco Colombia S.A.
Grand Rapids, MI3 days ago- ...Include: Patient triaging, medication management, injections, patient education, CGM (continuous Glucose Monitors), Medication prior authorization, diagnostic procedures, etc. Candidate Preferences: Minimum of 2 years ambulatory or inpatient RN experience. Experience...SuggestedFull timeWork at officeMonday to FridayShift work
Henry Ford Health System
Southfield, MI1 day ago $76k - $85k
...for future health care costs associated with birth-related neurological injuries. Duties and Responsibilities Performs prior authorization, concurrent and retrospective reviews Use clinical documentation and clinical review criteria to make determinations regarding...SuggestedFor contractorsH1bWork at officeLocal areaRemote workPublic Consulting Group
Lansing, MI5 days ago- ...documenting the phone encounter in the EHR. E-scribing medication refills in accordance with provider protocols. Working on prior authorizations with insurance companies as needed. Assisting with suture removals and post op appointments as needed. Other duties as...SuggestedFull timeWork at office
$20 - $24 per hour
...and regulations. We are looking for a Medical Assistant with prior administrative experience, strong initiative, and the ability... .... Assist Patient Services team as needed to obtain prior authorizations for prescribed treatments and documents. Triage patient phone...Full timeTemporary workMonday to Friday- ...specialty policies and appropriate approvals will be required to authorize time away. This should be performed with an annual perspective... ...information to complete registration pre-checks and request prior authorizations. Prepares a variety of access reports for use...Work at officeRemote workMonday to Friday1 day per week
Henry Ford Health System
Detroit, MI2 days ago $21 per hour
...calls from members, pharmacies, providers, and other partners, actively addressing questions related to prescription benefits, prior authorizations, eligibility, and general plan information. * Conduct follow-up outbound calls as needed to provide updates, clarify...Contract workTemporary workRemote workTEKsystems
Plymouth, MI4 hours ago$21 per hour
...ll Do * Handle inbound and occasional follow-up calls in a fast-paced call center environment. * Answer questions about prior authorizations, general inquiries, and confidential information. * Accurately enter and update customer information across multiple systems...Contract workTemporary workFlexible hoursShift workTEKsystems
Ann Arbor, MI3 days ago$17 per hour
...closely with patients, doctor's offices, and insurance companies to facilitate the setup of new accounts, resolve issues, obtain prior authorizations, manage prescription refills, and ensure the timely delivery of essential medical supplies to patients in need. If you are...Full timeJ & B Medical
Wixom, MI5 days ago$8 per hour
...and emotional well-being of the patient. Delegates patient care activities to appropriately qualified staff. Performs prior authorizations on tests, procedures, medications, etc. that are required by the patient's insurance. Performs other job duties as assigned...Full timeTemporary workPart timeReliefRelocation packageDay shiftLifePoint Health
Hancock, MI2 days ago- ...informed Administer allergy shots, spirometry testing, skin tests Authorize drug refills and communicate prescription information to... ...assisting with various administrative and clinical tasks such as prior authorizations, scribing, and patient scheduling Required: High...Full timeWork at officeWeekend work
IntelyCare
Clarkston, MI12 hours ago $20.86 - $32.42 per hour
...understanding of the information pertaining to the patient. Completes steps to fill prescriptions per protocol and completes prior authorization forms to ensure proper billing and fill of the prescription for the patient. Regular attendance is required in order to carry...Full timeShift workSanford Health
Iron Mountain, MI3 days ago- ...from the PCP or the cardiologist. The job includes scheduling surgeries, verifying insurance coverage prior to procedure planned date, and obtaining prior authorization for surgeries and diagnostic imaging, sending prescriptions and pre-op instructions, follow up with...Full timePrivate practiceWork at officeMonday to Friday
Surgical Specialists Group of Michigan
Saint Clair Shores, MI15 days ago $18 - $22 per hour
...· Respects patient confidentiality always and treats patients with courtesy and respect · Front desk fill in, handling prior authorizations, patient check in and out · Performs all other related duties as assigned Qualifications of the Medical Assistant: ·...Hourly payWeekly payContract workTemporary workPart timeWork at officeLocal areaMonday to FridayShift workAdecco US, Inc.
Lake Orion, MI17 days ago- ...judgment to risk assessment while staying within your level of authority. Communicate regularly with agents and internal stakeholders... ...or related field preferred, or equivalent work experience. Prior commercial underwriting experience at a P&C insurance carrier required...Full timeWork experience placementWork at officeRemote workMonday to Friday
- ...This position is cross-trained in all clinical administrative processes, therefore the MA will also answer phones, obtain prior insurance authorizations, perform patient reminder calls, and enter information into the EMR. The MA is required to maintain patient and...Full timeTemporary work
INSIGHT HEALTH SYSTEMS, INC.
Dearborn, MI4 days ago - ...with verifying benefits and coverage for office visits and surgical procedures. Duties will include obtaining referrals and authorizations prior to the service, verifying insurances at least 1-2 weeks in advance prior to service and ensuring any last-minute services have...Full timePart timeWork at officeRemote workRelocation
- ...vitals and completion of necessary screenings as applicable, answering clinic phones, addressing in-basket messages, obtaining prior authorizations, communicating with providers regarding patient needs, and provide other clinical support as needed. While we are a...ApprenticeshipRelocation package
- Job Title Assess and calculate the financial responsible and marketable premium rates for current and prospective group accounts. Understand and work towards departmental objectives. Coordinate the proposal process for self-funded and insured requests. Assure that fully...Full timeMonday to FridayShift workWeekend work
