- 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
- 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
- Otsuka America Pharmaceutical Inc. (Troy, MI)
- …care. The "ecosystem approach" creates a unified focus among account management, medical , patient access and market access to engage local healthcare systems and ... to the respective Ecosystem Lead, coordinating with cross-functional colleagues in Medical (CSSs), Market Access (HSAMs), and Patient Support (PELs) under… 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
- 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
- Molina Healthcare (Warren, 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
- Kemper (Detroit, 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
- 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
- Rexel USA (Rochester Hills, MI)
- …orders stocked on shelves orderly and in designated area and reports freight damage claims + Prepares branch orders from the warehouse and ensures that the correct ... Motor Vehicle Record + Must obtain verification of non-expired medical certificate as required by law within 60 days...and Physical Demands The physical demands described here are representative of those that must be met by an… more
- CDM Smith (Warren, 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