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Denials Management Assistant

McLaren Health Care

Michigan, MIFull-timeSeen 1w agoSeen in employer's feed 6 days ago

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At a glance

Compensation
No compensation found
Location
Michigan, MI
Schedule
Full-time
Work Authorization
Not specified

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Job overview

The Denials Management Assistant supports the Denials Team with CMS and third-party payer denials and appeals, along with clerical functions that help the department operate efficiently. The role assists with medical-necessity setting determinations, retrospective billing and denial-management activities, payer-denial feedback, and communication across finance, billing, accounts receivable, and health information management. It also attends meetings and prepares agendas and minutes.

Skills & qualifications

RequiredNice to have

Skills

Medical TerminologyCase ManagementUtilization ReviewBillingCodingThird-Party Payer Certification

Qualifications

High School DiplomaTwo Years Clerical ExperienceOne Year Healthcare ExperienceCollege-Level Medical Terminology CourseAssociate Degree in HealthcareTwo Years Case Management, Utilization Review, Billing, or Coding ExperienceThree Years Recent Third-Party Payer Certification ExperienceBLS Certification

Full job description

Denials Management Assistant

Michigan, Grand Blanc (https://careers.mclaren.org/jobs/39053/other-jobs-matching/location-only)

Administrative/Clerical

McLaren Health Care Corp

26011393 Requisition #

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Position Summary:

Responsible for providing assistance to the Denials Team in the coordination of CMS and Third-party payer denials/appeals, as well as, performing clerical functions to ensure the efficient operation of the department.

Essential Functions and Responsibilities as Assigned:

  • Assists with the team to determine the appropriate hospital setting (inpatient vs. observation) based on medical necessity.

  • Maintains current knowledge of hospital billing processes and participates in the resolution of retrospective billing issues including appeals, PACER authorization, third party payer certification, and denied cases.

  • Assists in performs retrospective denial management-related activities and functions to ensure that appropriate data are tracked, evaluated, and reported.

  • Communicates with A/R, denials, finance/billing, and HIM to render appropriate information needed to appeal/secure reimbursement dollars.

  • Assists with monitoring the effectiveness/outcomes of denial management. Provides prompt feedback regarding payor denials to the team.

  • Attends meetings and prepares agendas and minutes.

Qualifications:

Required

  • High school diploma

  • Two years of clerical experience

  • One-year experience in a heath care environment utilizing medical terminology or have completed a college level course in medical terminology

Preferred:

  • Associate degree in healthcare related field

  • Two years of case management or utilization review, billing, or coding experience

  • Three years of recent experience doing third party payer certification
  • Basic Life Support (BLS) certification as a Healthcare Provider by the American Heart Association, American Red Cross or equivalent through the Military Training network (MTN)

Additional Information

  • Schedule: Full-time

  • Requisition ID: 26011393

  • Daily Work Times: 8am - 4:30pm

  • Hours Per Pay Period: 80

  • On Call: No

  • Weekends: No

How this job compares

Set against the 1,746 open Administrative jobs on Olive Jobs, counted October 28, 2026.

Pay
  • This postingNot listed
  • US median$53–71K/yr156 salary ranges
  • US median$18–23/hr840 hourly ranges
Openings
Olive Jobs lists 64 open Administrative jobs in Michigan and 1,746 across the US. Under 1% of them nationwide are listed as remote or flexible.
Hiring the most in Michigan
Experience
This posting asks for at least 2 years of experience; Administrative postings that state a minimum ask for 2 years at the median (792 postings).
Education
This posting asks for a high school diploma; 1,014 of the 1,746 open Administrative jobs (58%) ask for a high school diploma or higher.

Counted across the open, public US postings on Olive Jobs on October 28, 2026. Pay medians are the middle values of the low ends and of the high ends of postings that list both ends of a range in the same cadence (a yearly salary or an hourly rate); a range's midpoint is halfway between its ends. Pay and experience figures resting on fewer than 20 postings are left out.

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