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Work under normal supervision with an intermediate level approval authority to handle moderately complex claims within Claim Handling Standards in the field or inside units. Resolve coverage questions, take statements and establish clear evaluation and resolution plans for claims. W ill earn a competitive salary of $56,014 $62,000 annually with annual bonus potential base
Posted 27 days ago
The Auto Club Group
- Detroit, MI / Livonia, MI / Flint, MI / 8 more...
Why Choose a Career with the AAA The Auto Club Group (ACG) Established brand that has been around for over 100 years. Our members know and trust us! Branch offices present a unique dynamic for selling Walk in traffic also provides the chance for selling opportunities daily Field Agents receive 100% backing from one of America's most trusted brands to include paid training
Posted 1 month ago
The Auto Club Group
- Detroit, MI / Livonia, MI / Canton, MI / 7 more...
Why Choose a Career with the AAA The Auto Club Group (ACG) Established brand that has been around for over 100 years. Our members know and trust us! Branch offices present a unique dynamic for selling LEADS, LEADS, LEADS company provided leads as well as the opportunity to sell to the existing membership base In branch referral base from P&C Agents and Member Representati
Posted 1 month ago
Safely operate a motor vehicle in order to attend meetings off site Travel outside of assigned territory which may involve overnight stay Relocate, work evenings or weekends #LI AM1 Who We Are Become a part of something bigger. The Auto Club Group (ACG) provides membership, travel, insurance, and financial service offerings to approximately 14+ million members and custome
Posted 1 month ago
The Financial Counselor is responsible for verifying benefits and eligibility for potential and actual patient admissions, for completing the actual admission/registration process required for the patient's admission to the hospital and for assisting in the preparation of the financial folder. The position is also responsible for providing patient financial counseling and
Posted 12 days ago
The Henry Ford Health System Fund Accounting department is currently seeking a Senior Financial Analyst to join our team. This position is responsible for the post award administration of sponsored research projects, including government grants and contracts, private agency grants, gifts and internally funded projects. This includes all accounting functions to ensure proj
Posted 5 days ago
TPR Division Advisor Work with divisonal management and their organizations on Third Party risks, remediation, and strategies to ensure robust operational capability and effective implementation of outsourcing arrangements. Assess new or changing industry conditions, technology, and laws/regulations to advise leaders on adjustments required as well as how TPR program is e
Posted 11 days ago
Line of Business Knowledge Advisor Knowledge Extensive knowledge of or ability to learn and understand end to end processes to be able to serve as a subject matter expert for operational performance issues that arise. Responsible for more complex business areas. Trend Knowledge Collaborate on business and industry trends that present opportunities and advise the Line of B
Posted 20 days ago
The Emergency Shelter Program (ESP) Finance Coordinator works directly with ESP Regional Managers to assess billings submitted on behalf of subcontractors for accuracy and completeness. The ESP Finance Coordinator reviews subcontractors for financial suitability based on the monitoring of accounting methods and procedures. The ESP Finance Coordinator works closely with th
Posted 15 days ago
This Employee will work with both outpatient pharmacy and inpatient Eligible for Sign on bonus of 2,500 The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other internal and external individuals. Is a subject matter
Posted 12 days ago
Fraud Detection Analyze fraud events for suspicious activity. Execute fraud prevention measures to reduce loss exposure. Track actions and financial transactions in case management system. Administrative Responsibilities Assign and track daily work events to the team. Complete weekly/monthly recurring reports. Complete additional assignments as requested. Act as a back up
Posted 1 month ago
Eligible for a $2,500 Sign on Bonus Eligible for Full Time Benefits Shift Full Time The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other internal and external individuals. Is a subject matter expert in the resolu
Posted 25 days ago
Are you ready to lead the charge in revolutionizing reimbursement practices for one of the nation's top tier academic and integrated health systems? Henry Ford Health is on the lookout for an exceptional Director of Reimbursement to drive strategic direction in governmental and third party payer reimbursement programs. Reporting to the System Vice President of Contracting
Posted 1 month ago
Eligible for a $2,500 sign on bonus Eligible for Full Time benefits Shift Full Time Day Shift The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior authorization, and pharmacy benefit inquiries from members/patients, physicians, pharmacies, and other internal and external individuals. Is a subject matter expert in
Posted 1 month ago
Account Executive, Entry Southfield or Grand Rapids Are you looking to be a member of an industry leading team? Do you want to deliver innovative and effective solutions to clients? If you said yes, then apply to join our Account Executive team in Southfield or Grand Rapids! Aon is in the business of better decisions At Aon, we shape decisions for the better to protect an
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