- Trinity Health (Farmington Hills, MI)
- …care organization or other health care financial service setting, performing medical claims processing, financial counseling, financial clearance, accounting, or ... customer service activities or an equivalent combination of education and experience. Some knowledge of health insurance and governmental programs, regulations, and billing processes, eg, Medicare, Medicaid, Social Security Disability, Champus, Supplemental… more
- Integra Partners (Troy, MI)
- …Integra Partners from our provider/plan partners. Responsible for the review of DME claims for billing accuracy. Responsible for the investigation of root cause and ... as assigned. EDUCATION: High school diploma required EXPERIENCE: + Former medical billing experience required. + Strong computer/keyboarding skills - including all… more
- Kelly Services (Dearborn, MI)
- …always easy. That's where Kelly(R) comes in. We're seeking a **Workers Compensation Claims Assistant III** to work at a premier client in **Dearborn, MI.** Sound ... **Why you should apply to be a Workers Compensation Claims Assistant III:** - Join a dynamic team dedicated... Assistant III? You'll be:** - Responsible for entering medical and miscellaneous invoices into the Medical … more
- Aston Carter (Dearborn, MI)
- …Workers Compensation Claims Assistant III Job Description Responsible for entering medical and miscellaneous invoices into the MBP ( Medical Bill Payment) ... will have 2-3 years of data entry experience in the Workers' Compensation or medical field. Responsibilities + Enter data of medical and miscellaneous invoices… 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)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Disability Representative Sr. **Our teams connect! We collaborate onsite and have a ... disability case management and complex claim determinations based on medical documentation and the applicable disability plan interpretation including determining… 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 ... of the revenue cycle process for an assigned PBS location. Documents claims billed, paid, settled, and follow-up in appropriate system(s). Identifies and escalates… 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
- Henry Ford Health System (Southfield, MI)
- …in the patient account record of all billing activities. Maintains documentation of claims processed as part of the daily claims reconciliation process. + ... account record of all billing activities. Maintains documentation of claims processed as part of the daily claims...if applicable Additional Information + Organization: Henry Ford Ascension Medical Group MI + Department: FM Deighton + Shift:… 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 ... customer service activities or an equivalent combination of education and experience. Experience in a complex, multi-site environment preferred. Previous service/call center experience with the ability to respond to customer inquiries and expectations in a… more
- TEKsystems (Troy, MI)
- …each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations ... promises and expedites as required. 6. Assists in processing claims for poor quality material. Evaluates situations, and if...for this temporary role may include the following: * Medical , dental & vision* Critical Illness, Accident, and Hospital*… 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
- Kemper (Southfield, 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 (Sterling Heights, 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 (Ypsilanti, MI)
- …time **Shift:** **Description:** POSITION DESCRIPTION Job Title: Patient Access Representative Il Revision Date: 08/15/2023 Job Code: R01995 Certification/License ... to assure accurate and timely scheduling, registration, insurance verification and claims submission. 3. Interprets information collected to determine and create… more
- Gilead Sciences, Inc. (Detroit, MI)
- …events, and other miscellaneous external expenditures. + Partner with Medical Scientists, National Account Managers, Therapeutic Center Specialists, Marketing, and ... and Drug Administration's implementing regulations, the Federal Anti-Kickback Statute, the False Claims Act, PhRMA, Corporate Code of Business Conduct and the Office… more
- Prysmian Group (Southfield, MI)
- …provides front line support to the organization during investigation of customer claims . This requires familiarity with the related trades, tools and proper worksite ... product failure. In most instances the FSE will be the company's only technical representative on-site for an investigation. The FSE also evaluates new products as a… more
- CDM Smith (Sterling Heights, 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