- 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
- Sedgwick (Lansing, MI)
- …work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Liability Claims Representative | Remote Are you looking for an opportunity to ... Apply your knowledge and experience to adjudicate complex customer claims in the context of an energetic culture. +...opportunities. + A diverse and comprehensive benefits offering including medical , dental vision, 401K on day one. _As required… more
- Sedgwick (Lansing, MI)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative , Auto **PRIMARY PURPOSE** **:** To analyze mid- and ... higher-level general auto claims to determine scope of damages; to ensure ongoing...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Sedgwick (Lansing, MI)
- …to work. Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Claims Representative - Auto **PRIMARY PURPOSE** : To analyze and process ... low to mid-level auto and transportation claims . **ESSENTIAL FUNCTIONS and RESPONSIBILITIES** + Processes auto property...benefits package is offered including but not limited to, medical , dental, vision, 401k and matching, PTO, disability and… more
- Ryder System (Lansing, MI)
- …small to medium 3rd party property damage and cargo claims under Ryder's self-insured, self-administered liability program. **ESSENTIAL FUNCTIONS** Investigates, ... and resolves low to medium exposure 3rd party property damage and cargo claims pursued against Ryder Ensures the most appropriate and cost effective resolution of… 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
- CRC Insurance Services, Inc. (MI)
- …(United States of America) **Please review the following job description:** Process claims , which includes evaluating policy for coverage; working with the insured, ... adjusters, agents and attorneys on the claim and coordinating the payment of claims . In addition, prepare reports such as loss runs and monthly bordereau.… 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
- Surgery Care Affiliates (Clinton Township, MI)
- …and resolves all rejections in electronic claim clearinghouse, prepares and mails UB claims , and gathers appropriate medical records to send with claims ... who has a positive and cooperative work ethic Possess basic knowledge of medical terminology and health insurance billing. + Possess knowledge of typing, word… more
- Graybar (Lansing, MI)
- Are you ready? As an Outside Sales Representative , you will develop new prospects and maintain contacts with established customers for the purpose of selling Company ... policies + Handle customer complaints promptly and effectively, and report potential claims . + Keep management informed of local competition and market conditions +… 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
- Morley (Lansing, MI)
- …**_Location: Remote_** **_-_** **_Michigan residents_** In this remote Customer Service Representative position at Morley, you'll be trained as an important liaison ... provides - your total compensation package. **_Health & Wellness Benefits_** + Medical and prescription coverage, including free annual physicals + Dental and vision… 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
- Mass Markets (Bay City, MI)
- …sometimes even cars! + Health Benefits: Full-time employees are eligible for comprehensive medical , dental, and vision coverage after 90 days of employment, and all ... employees have access to MEC medical plans after just 30 days. Benefit options vary by location. + Retirement Savings: Secure your future with retirement savings… more
- Evolent (Lansing, MI)
- …+ Answer and manage inbound inquiries regarding health plan benefits and claims , eligibility, medical and other healthcare procedures, billing and payments ... managed care, Commercial, Marketplace, Medicaid and/or Medicare programs; knowledge of medical policy benefits and exclusions is a plus. **Technical Requirements:**… more
- Molina Healthcare (Ann Arbor, 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