- TEKsystems (Troy, MI)
- Description: Will be assisting customers with claims on their homeowner's insurance. The specialist manages the loss claim from the point of reporting through ... as needed. Processing must meet all compliance requirements. The specialist must demonstrate the ability to make decisions, problem...the client's needs are met on a timely basis. Claims can be very dramatic like a fire or… more
- Trinity Health (Farmington Hills, MI)
- …data, draws conclusions, and reviews findings with all level of Payment Resolution Specialist for further review. Takes initiative to continuously learn ... and CPT-4 procedural codes for CMS-1500 outpatient or inpatient claims , or other coding reasons and processing charge corrections...all aspects of Payment Resolution Specialist role to support progressive responsibility.… more
- Trinity Health (Livonia, MI)
- **Employment Type:** Full time **Shift:** **Description:** Hospital Billing Claims Certified Application Coordinator or Professional Billing Claims Certified ... experience. Must have progressively responsible experience serving as a subject matter expert, specialist or a consultant. Three (3) to five (5) years knowledge and… more
- Arab Community Center for Economic and Social Serv (Dearborn, MI)
- …Center** Job Summary: Under close supervision, the Medical Billing and Coding Specialist is responsible for processing health insurance claims for services ... Medical Billing and Coding Specialist Department: Community Health & Research Center Location:...provided at all clinics. Employee is responsible for submitting claims for reimbursement and coach healthcare providers to achieve… more
- Trinity Health (Brighton, MI)
- …Helps to identify problems, offer solutions, and participate in their resolution . Maintains the confidentiality of information acquired pertaining to patient, ... **ESSENTIAL FUNCTIONS AND RESPONSIBILITIES** In addition to the Pharmacy Technician Specialist responsibilities, the Home Infusion Pharmacy Technician Specialist … more
- Sevita (Detroit, MI)
- …the people we serve and for our employees. **Accounts Receivable Collections Specialist ** Do you have experience in Accounts Receivable/Collections and a desire to ... impacts the lives of others? In the AR Collections Specialist role, you will contribute to the company's commitment...to the company's commitment to serve others by sending claims to the payer in a timely and accurate… more
- Elevance Health (Dearborn, MI)
- **Pharmacy Quality Assurance Specialist ** **Location:** The employee must live within 50 miles of an open access Elevance Health PulsePoint (within 50 miles of the ... office 1-2 days per week. The **Pharmacy Quality Assurance Specialist ** will be responsible for evaluating the quality of...Included are processes related to enrollment and billing and claims processing, as well as customer service written and… more
- McLaren Health Care (Detroit, MI)
- **Job Summary:** Processes non-industry sponsored claims and all professional fees associated with clinical trial patients, in a timely and accurate basis. Ensures ... compliance of claims processing in accordance with insurance guidelines. Responsible for...insurance guidelines. Responsible for the day-to-day activities related to resolution of patient accounts up to and including: adding… more
- Sedgwick (Detroit, MI)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer ADA Accommodation Specialist **PRIMARY PURPOSE OF THE ROLE:** To enhance the ADA process for ... key stakeholders regarding progress and status of accommodations; assists in the resolution of any challenges related to the accommodations. + Conducts interactive… more
- Trinity Health (Livonia, MI)
- …thorough understanding of the Medicare Physician Fee Schedule, Medicare Claims Processing Manual, National Correct Coding Initiatives, current procedural ... credentialed subject matter expertise in field of professional coding, documentation, claims submission and reimbursement policies as required by state and federal… more
- McLaren Health Care (Shelby Township, MI)
- …and human resources. **BILLING:** Responsible for billing hospital and physician claims , for inpatients and outpatients treated in the hospital and clinic, ... requirements. + Performsnecessary maintenance to patient accounts in the billing and claims editing systems. + Responds timely to all patient and commercial… more
- Trinity Health (Livonia, MI)
- …Ambulatory and/or Healthy Planet Epic certifications. It will focus on Payer Claims Inbound to Epic using DINE, Roster Management Engine (RME), configuring new ... payer data sources, and working and managing claims data quality errors besides HP support._** **_* Certification...progressively responsible experience serving as a subject matter expert, specialist or a consultant. Must be able to learn… more
- Trinity Health (Livonia, MI)
- …Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denial and appeals issues affecting reimbursement. Maintains CEUs as appropriate ... or other coding ethics concerns. Notifies appropriate leadership for assistance, resolution when appropriate. Performs other duties as assigned by Leadership.… more