- Robert Half Accountemps (Novi, MI)
- Description We are in search of a Medical Claims Representative to join our team in NOVI, Michigan. This role is pivotal in the healthcare industry, ... environment and contribute to ensuring a smooth and efficient process for medical claims . Responsibilities: * Initiate and manage claims from clients,… more
- TEKsystems (Troy, MI)
- Job Description As a Loss Drafts Associate, you will assist customers with claims on their homeowner's insurance. You will manage the loss claim from reporting ... the benefits available for this temporary role may include the following: * Medical , dental & vision * Critical Illness, Accident, and Hospital * 401(k) Retirement… more
- Trinity Health (Farmington Hills, MI)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s)....in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing, and as… more
- Sedgwick (Southfield, MI)
- …to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Disability Representative **Disability Representative ** **Our teams connect! We collaborate ... your 2+ years' experience in a office setting or medical experience and grow with us! + A stable...professional needs. **PRIMARY PURPOSE OF THE ROLE:** To process claims and determine benefits due pursuant to a disability… more
- Sedgwick (Southfield, MI)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Sr. Disability Representative **Our teams connect! We collaborate onsite and have a hybrid ... disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining… more
- Sedgwick (Southfield, MI)
- …Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Care Team Representative **Entry-level, Care Team Representative ** Are you looking for an ... a day in the life of a Care Team Representative is like: SED23026 - Mariah_01-09-24 (vidyard.com) (https://share.vidyard.com/watch/h1fLK1Cn1wdDjUxsnnUBjw?) &… more
- Trinity Health (Ann Arbor, MI)
- …insurance, or managed care industries is highly preferred. Experience performing medical claims processing, financial counseling and clearance, or accounting ... for claims processing and maintenance of an accurate electronic medical record. Registers and checks-in patients and determines preliminary patient and insurance… more
- Graybar (Belleville, MI)
- Make a difference. As a Customer Service Representative , you will serve as a key contact and liaison for customers to ensure their total satisfaction. You will ... requests including order entry, pricing, expediting, billing, order maintenance, credit and claims **What you bring to the table:** + Strong communication skills +… more
- R1 RCM (Detroit, MI)
- …Job Summary: * The Account Resolution Specialist is engaged in the tracking of claims through the billing process, to identify problem areas, and to determine a ... course of action to resolve aging claims . Follows all policies and procedures as outlined by...of insurance carrier payment policies, practices, and amounts. * Medical Billing, Insurance Billing, AR experience preferred. * Logical… more
- Kemper (Livonia, MI)
- …**Benefits:** Kemper offers competitive benefits, including Group Life Insurance, Major Medical & Dental, Short-term & Long-term disability, 401(k) with company ... Responding promptly to policyholder service requests such as beneficiary changes, claims , loans, etc. + Appropriately keeping records, accounting for money… more
- Molina Healthcare (Detroit, MI)
- …therapeutic drug monitoring, drug regimen review, patient education, and medical staff interaction), and oversight (establishing and measuring performance metrics ... pharmacy prior authorization requests and/or appeals. + Explains Point of Sale claims adjudication, state, NCQA, and CMS policy/guidelines, and any other necessary… more
- Trinity Health (Farmington Hills, MI)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting or ... revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s)....in the training and education of Billing and Follow-up Representative I colleagues upon hire and ongoing, and as… more
- Fresenius Medical Center (Ann Arbor, MI)
- …or other situations change. + Completes and follows up with paperwork when claims are disputed for non-payment. + Collects necessary documents to completed initial ... The physical demands and work environment characteristics described here are representative of those an employee encounters while performing the essential functions… more
- University of Michigan (Ann Arbor, MI)
- …**Job Summary** Utilize the EPIC Release Module to locate, analyze, and produce medical records required to substantiate Hospital and Professional Billing claims ... in response to payer, auditor, and government agency requests. Process medical record requests for on-site regulatory audit requests for CMS (Centers for… more
- General Motors (Warren, MI)
- …of Goodwill Tools. + Manage and support GM Legal activities - Small claims /GM PMK depositions/MSC's, ADR assessments and arbitrations as well as mandated vehicle ... in accordance with applicable state laws. The compensation may not be representative for positions located outside of New York, Colorado, California, or Washington.… more
- CDM Smith (Detroit, MI)
- …specialists when appropriate throughout the process. * Obtains the applicant representative 's agreement that all disaster-related damage was described and quantified ... projects and meets regularly on the status. * Evaluates applicant-provided cost claims for reasonableness to report to FEMA regarding claim eligibility. Participates… more