Adjudicator jobs in Michigan (MI) State

The ideal technician candidate will have a strong knowledge of retail or long-term care pharmacy, as well as be highly proficient in prescription processing and insurance adjudication. Additionally ...

Works pre-bill edits and post adjudication denials to secure claim resolution. Essential Functions * Responsible for working pre-bill edits including but not limited to CCI edits and claim scrubber ...

Conduct preliminary hearings, adjudication hearings, disposition hearings and disposition review hearings involving allegations of child abuse and neglect. * Conduct emancipation hearings and ...

The primary role of the Care Management Organization (CMO) Juvenile Probation Case Manager position is to monitor, coordinate and support treatment services for adjudicated youth assigned for ...

Conduct preliminary hearings, adjudication hearings, disposition hearings and disposition review hearings involving allegations of child abuse and neglect. * Conduct emancipation hearings and ...

Coordinator will advocate and divert from formal adjudication and into appropriate intervention, whenever possible This position acts as a consultant to the community partners and the youth/families ...

Be a consumer's navigator through the CMH system when requested by the consumer and may assist consumers as an advocate in adjudication processes; * Facilitate support groups, and develop and ...

Youth housed at JDF are awaiting adjudication, sentencing or placement. Educational services are provided through an on-site charter school. Additionally, on-site medical services, dental services ...

Insurance verification, prior authorizations, and/or claim adjudication, physician's office or clinics. * Medicare and commercial insurance coverage experience. * Deliver and document benefit ...

The population served are adjudicated youth and at times, their parent/guardian. Duties and Responsibilities: * Follow assigned route for pick up and drop off of clients/assigned passengers * Ensure ...

Accurate and timely claim adjudication. * Maintaining affiliate provider relations and credentialing * Processing medical records requests in a timely manner. * Generating monthly and quarterly ...

Draft inventories, accounts, and petitions for those trusts requiring adjudication * Draft pleadings registering or terminating trusts and appointing or substituting trustees Guardianship ...

Prior experience in adjudication is a plus. * Must have strong written, verbal and interpersonal skills, including training and presentation skills. * Must have the ability to train, coach, and ...