Branch Review Specialist jobs in Lansing, MI

Branch Review Specialist conducts branch internal audits to determine whether business controls are sufficient and effectively executed in accordance with bank policies and procedures. Tests established procedures to ensure operational efficiency within branch offices. Being a Branch Review Specialist determines whether branches are performing their planning, accounting, custodial, or business control activities in compliance with management instructions, policies, and procedures. Evaluates functions and activities in assigned areas to determine the nature of operations and the adequacy of systems to achieve established objectives. Additionally, Branch Review Specialist recommends corrective actions and improvements. Requires a bachelor's degree. Typically reports to a supervisor or manager. The Branch Review Specialist occasionally directed in several aspects of the work. Gaining exposure to some of the complex tasks within the job function. To be a Branch Review Specialist typically requires 2 -4 years of related experience. (Copyright 2024 Salary.com)

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Focused Review Research Specialist
  • Delta Dental of Michigan
  • Okemos, MI FULL_TIME
  • This is a remote position.

    Delta Dental of Michigan, Ohio, and Indiana is a leader in dental benefits, plus so much more.

    We improve oral health through benefit plans, advocacy and community support, and our corporate giving builds healthy, smart, vibrant communities for all. We devote our time, talents and financial resources to improve oral and overall health, and we invest in initiatives that support youth, education, workforce and economic development.

    We are a force for good-part of the reason why employees find working at Delta Dental fulfilling. Delta Dental companies nationwide comprise the Delta Dental Plans Association, which provides coverage to more than 83 million Americans and operates two of the nation's largest networks of participating dentists. For more, visitwww.deltadentalmi.comandwww.vibrantcommunities.com, and apply online atwww.deltadentalmi.com/careers.

    Job Summary:

    To direct and assist in the resolution of dental benefit determinations and analysis of provider and subscriber referrals, provider billing and treatment records analysis, and to support the fraud & abuse program.

    Primary Job Responsibilities:

    • Researches, analyzes, and resolves cases involving compliance issues including but are not limited to balance billing, non-delivery of care, quality of care, anti-fraud hotline, internal referrals, and appeals. Case research may include but is not limited to, contract review and analysis, data analysis, records audit, and interviews with external customers.
    • Communicates to internal and external customers to ensure understanding of the corporation's programs and procedures and in resolving claims processing problems.
    • Participates in an anti-fraud team responsible for identifying, preventing, and reporting fraud.
    • Prepares Focused Review dental claims so appropriate determinations can be finalized with correct procedure policies and bypasses in place, adjudicates claims, analyzes documents, and maintains claims records, as well as coordinates adjustments on difficult claims and inquiries.
    • Analyzes data and maintains information in a database for investigation, fraud, and/or legal cases and coordinates data to be used by internal or external legal counsel when necessary.

    Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

    #LI-Remote

    Requirements:

    Requirements:

    Position requires an associate's degree in accounting, business administration, criminal justice, dental assisting or hygiene, or a related field and four years of experience in a position requiring knowledge of dental terminology, dental procedure codes, or dental office billing and record keeping practices within a provider office, administering dental benefit contracts within the insurance industry, or identifying, analyzing, and resolving compliance issues based on policies and procedures outside of the insurance industry. Previous experience supporting an anti-fraud/abuse program preferred. Will accept any suitable combination of education, training, or experience.

    Position also requires knowledge of word processing, spreadsheet, and database applications; strong verbal and written communication skills; strong analytical skills; the ability to work independently and as part of a team; the ability to manage multiple assignments with competing deadlines; and the ability to identify and resolve problems using independent judgment.

  • 1 Month Ago

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Transportation Engineer Lic. Spl. 13 (Final Project Coordination Plan Review Specialist - Road)
  • State of Michigan
  • Lansing, MI FULL_TIME
  • Key to the success of the department’s business practices is the effective delivery of transportation programs and projects. The Final Project Coordination (FPC) review is the last milestone review of...
  • 11 Days Ago

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Medical Review Nurse
  • Vital Signs
  • Lansing, MI FULL_TIME
  • 100% Remote, Work-From-Home position anywhere in the US. (Any state RN license is accepted). As an RN, you will provide direction, guidance, and support to our physician Medical Claims Reviewers as we...
  • 17 Days Ago

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Branch Manager
  • The Shyft Group USA, Inc
  • Charlotte, MI FULL_TIME
  • Branch Manager | Royal Truck Body | Charlotte, MI (SV) Regular Employee | Salary Exempt Who we are At The Shyft Group we are driven to deliver, and as the North American leader in specialty vehicles, ...
  • 10 Days Ago

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Branch Manager
  • Hertz Local Edition
  • Lansing, MI FULL_TIME
  • The Branch Manager II represents all Hertz Global brands to our customers, community leaders, business partners, vendors and government entities. This position is primarily responsible for the success...
  • 12 Days Ago

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Branch Chaplain
  • HarmonyCares
  • Okemos, MI FULL_TIME
  • Overview HarmonyCares is one of the nation’s largest home-based primary care practices. HarmonyCares is a family of companies all dedicated to providing high-quality, coordinated health care in the ho...
  • 13 Days Ago

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0 Branch Review Specialist jobs found in Lansing, MI area

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Lansing, MI - IT - DTMB - Agency Services - DHHS - Software Test Analyst 4 - Quality Analyst
  • Calsoft Labs
  • Lansing, MI
  • Please ensure you attach the Cover Sheet (attached), valid Right to Represent with hybrid work schedule acknowledged and...
  • 3/19/2024 12:00:00 AM

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Team Leader I - SvcOpsConCtr
  • Blue Cross Blue Shield of Michigan
  • Lansing, MI
  • Job Description The Service Operations Team Leader I will be responsible for the supervision of team members in the Cont...
  • 3/19/2024 12:00:00 AM

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Wastewater Maintenance Worker 400
  • City of Lansing, MI
  • Lansing, MI
  • Salary : $45,644.00 - $55,209.38 Annually Location : Lansing, MI Job Type: Full-Time Job Number: 00274 Department: PUBLI...
  • 3/19/2024 12:00:00 AM

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Outpatient Registered Nurse - RN
  • Fresenius Medical Care
  • Lansing, MI
  • About this role: As a Dialysis Clinic Registered Nurse (RN) with Fresenius Medical Care, you will be part of a close-kni...
  • 3/19/2024 12:00:00 AM

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Registered Nurse (RN)
  • Fresenius Medical Care
  • Lansing, MI
  • PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical...
  • 3/19/2024 12:00:00 AM

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Registered Nurse
  • Fresenius Medical Care
  • Lansing, MI
  • PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical...
  • 3/19/2024 12:00:00 AM

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Outpatient Registered Nurse
  • Fresenius Medical Care
  • Lansing, MI
  • PURPOSE AND SCOPE: The professional registered nurse Outpatient RN CAP 1 is an entry level designation into the Clinical...
  • 3/19/2024 12:00:00 AM

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Franchise Owner - Automotive Tools Sales
  • Mac Tools
  • Patterson, PA
  • Build a Great Career and a Quality Life with Mac Tools. Investing in your own business is a big decision, but Mac Tools ...
  • 3/17/2024 12:00:00 AM

Lansing /ˈlænsɪŋ/ is the capital of the U.S. state of Michigan. It is mostly in Ingham County, although portions of the city extend west into Eaton County and north into Clinton County. The 2010 Census placed the city's population at 114,297, making it the fifth largest city in Michigan. The population of its Metropolitan Statistical Area (MSA) was 464,036, while the even larger Combined Statistical Area (CSA) population, which includes Shiawassee County, was 534,684. It was named the new state capital of Michigan in 1847, ten years after Michigan became a state. The Lansing metropolitan area,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Branch Review Specialist jobs
$48,357 to $62,880
Lansing, Michigan area prices
were up 1.3% from a year ago

Branch Review Specialist in Columbus, MS
The branch review specialist job description covers overall performance of a branch.
December 15, 2019
Branch Review Specialist in Muskegon, MI
When a branch is not working at its best, a review specialist comes in.
January 05, 2020
Branch Review Specialist in New Brunswick, NJ
A branch review specialist has a specific set of duties outside of management and basic customer service within a bank branch.
January 16, 2020