Lansing, MI · On-site +1
$20.35 - $28.81/hr
The Medical Benefit Reviewer is responsible for reviewing and resolving system edits on pended Medicaid Claims billed on the UB04 Claim Form, and submitted electronically through CHAMPS (Community ...
New
Lansing, MI · On-site +1
$20.35 - $28.81/hr
The Medical Benefit Reviewer is responsible for reviewing and resolving system edits on pended Medicaid Claims billed on the UB04 Claim Form, and submitted electronically through CHAMPS (Community ...
New
$42.29 - $52.86/hr
Functions as lead Medical Reviewer and sign-off for all promotional materials. * Leads and contributes to medical promotional review * Provides proactive guidance as needed for brand concepts and ...
Quick apply
$42.29 - $52.86/hr
Functions as lead Medical Reviewer and sign-off for all promotional materials. * Leads and contributes to medical promotional review * Provides proactive guidance as needed for brand concepts and ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
Selected candidates will be reviewing medical records to determine medical necessity, eligibility under Medicare guidelines and identify fraud and abuse of the Medicare system. This role will need ...
$11.78 - $19.84
14% of jobs
$24.28 is the 25th percentile. Wages below this are outliers.
$19.84 - $27.91
21% of jobs
The median wage is $32.08 / hr.
$27.91 - $35.97
30% of jobs
$35.97 - $44.03
9% of jobs
$46.72 is the 75th percentile. Wages above this are outliers.
$44.03 - $52.10
3% of jobs
$52.10 - $60.16
13% of jobs
$60.16 - $68.23
1% of jobs
$68.23 - $76.29
4% of jobs
$76.29 - $84.35
0% of jobs
$84.35 - $92.42
0% of jobs
$92.42 - $100.48
5% of jobs
$11
$42
$100
As a medical reviewer, your primary responsibilities are to review medical records to ensure accuracy. You address any issues or errors that you find with your supervisor’s assistance and contact medical providers to update information about patients. You may also audit medical files to determine whether the medical provider’s documentation complies with all federal and state regulations that affect accreditation, or if the facility qualifies for specific federal funding or participation in programs like Medicare. Medical reviewers most commonly work for an internal department at a hospital, medical care facility, or an outside organization, such as an insurance company or government agency.
| Aspect | Medical Reviewer | Medical Writer |
|---|---|---|
| Required Credentials | Medical degree (MD, DO, PharmD), licensure often preferred | Background in life sciences, writing skills, often with a degree in related fields |
| Work Environment | Pharmaceutical companies, CROs, regulatory agencies, hospitals | Pharmaceutical companies, marketing agencies, publishing firms |
| Employer & Industry Usage | Review clinical data, regulatory documents, ensuring accuracy | Create scientific content, clinical study reports, marketing materials |
Medical Reviewers primarily verify the accuracy and compliance of clinical and regulatory documents, requiring medical credentials. Medical Writers focus on creating clear, accurate scientific content, often with a background in life sciences. Both roles are essential in the healthcare and pharmaceutical industries but serve different functions in the documentation process.
$20.35 - $28.81/hr
Other
Posted 2 days ago
7.9
Based on 181 frontline employees who took The Breakroom Quiz
12th of 50 rated states
Job Description The MDHHS mission is to provide opportunities, services, and programs that promote a healthy, safe, and stable environment for residents to be self-sufficient. We are committed to ensuring a diverse workforce and a work environment whereby all employees are treated with dignity, respect and fairness. For more information, please visit our MDHHS Diversity, Equity, and Inclusion Plan.
The Medical Benefit Reviewer is responsible for reviewing and resolving system edits on pended Medicaid Claims billed on the UB04 Claim Form, and submitted electronically through CHAMPS (Community Health Automated Medicaid Payments System). Position Description Job Specification To be considered for this position you must: apply for this position online via NEOGOV; click on "Apply" in the job posting for instructions on submitting your electronic application. Hard copy applications are not accepted.
relevant experience and/or education referred to in supplemental questions must be documented in resume, transcript and/or application to allow for accurate screening. attach a resume identifying specific experience and dates of employment. Dates of employment should include month and year and hours per week.
attach a cover letter. if applicable, attach a copy of an official transcript(s). We accept scanned copies of official transcripts.
We do not accept web-based, internet, or copies of unofficial transcripts. Official transcripts provide the name of the institution, confirmation that a degree was awarded and on what date, and the registrar's signature. Failure to complete any of the above items may result in your application not being considered.
See instructions for attaching files here: Instructions Required Education and Experience Education Educational level typically acquired through completion of high school. Experience Medical Benefits Reviewer 5 - No specific type or amount is required. Medical Benefits Reviewer 6 - One year of administrative support experience.
Medical Benefits Reviewer E7 - Two years of administrative support experience, including one year equivalent to a Medical Benefits Reviewer 6, involving the processing of medical benefits claims. Alternate Education and Experience Possession of a certificate from a Medical Assistant program may be substituted for one year of experience processing medical claims. Additional Requirements and Information This position is being reposted.
If you applied previously there is no need to apply again. The physical location of this position is 400 S. Pine St.
Lansing, MI 48933. Based on operational needs and within established limits, remote work and alternate or hybrid work schedule requests for this position may be considered. Employees will be provided computers to perform state work.
Phones may also be provided for necessary communications. If working remotely, employees will be responsible for providing other components of a remote office at their own expense, including: A secure work location that allows privacy and prevents distractions. A high-speed internet connection of at least 25 Mbps download and 5 Mbps upload.
Suitable lighting, furniture, and utilities As a Condition of Employment: this position requires successful completion of a background investigation and a criminal records check. Your application for any position does not guarantee you will be contacted by the Department/Agency for further consideration. Only those applicants interviewed will be notified of the results.
The use of artificial intelligence (AI) software of any kind is prohibited in all areas of the selection process; including, but not limited to, responses to application questions, and responses to interview questions or exercises. The Department of Health & Human Services reserves the right to close this posting prior to its original end date once a sufficient number of applications have been received. If you previously held status in this classification and departed within the last three (3) years, please contact Human Resources regarding your interest in a potential reinstatement.
Reinstatement is not guaranteed or required. For information about this specific position, please email MDHHSVacancies@michigan.gov. Please reference the job posting number in subject line
Follow us on LinkedIn for more job opportunities. MDHHSJobs #MDHHSJobs #Veteranfriendly #CareersWithPurpose #CommunityHeroes MDHHS is proud to be a Michigan Veteran's Affairs Agency (MVAA) Gold Level Veteran-Friendly Employer Accommodations If you require a reasonable accommodation to participate in the application or selection processes, please contact the ADA coordinator for the agency that posted this position vacancy.
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Public administration
10,000+ Employees
Imlay City, MI, US
1837
