- Molina Healthcare (Warren, MI)
- …and timely validation and maintenance of critical provider information on all claims and provider databases. Staff ensure adherence to business and system ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
- Robert Half Accountemps (Marshall, MI)
- Description We are looking for a detail-oriented Accounts Receivable Specialist to join our team on a contract basis in Marshall, Michigan. In this role, you will ... * Support patients by answering questions related to insurance claims and outstanding account balances. * Perform additional tasks...We provide access to top jobs, competitive compensation and benefits , and free online training. Stay on top of… more
- Molina Healthcare (MI)
- …to appeals and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists with interdepartmental issues ... or equivalency **REQUIRED EXPERIENCE:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service experience in a… more
- GAP Solutions Inc (Lansing, MI)
- **Position Objective:** As a Junior Human Resource Specialist , apply HR skills in support of managers, program staff and customers on the full range of HR topics ... including but not limited to staffing, classification, processing, benefits , recruitment, compensation, SES programs, work life programs, policy and employee and… more
- McLaren Health Care (Shelby Township, MI)
- **Position Summary** : The Underpayment Specialist is responsible for performing audits of patient accounts to identify inaccurately under adjudicated accounts by ... reconcile to the appropriate payer contract and corresponding explanation of benefits . Coordinates and reports audit outcomes as directed. Works closely with… more
- Molina Healthcare (MI)
- …credentialing database necessary for processing of recredentialing applications. * Reviews claims payment systems to determine provider status, as necessary. Ongoing ... GED **Required Experience/Knowledge Skills & Abilities:** Certified Provider Credentialing Specialist (CPCS) or participation in a CPCS progression program.… more
- Henry Ford Health System (Troy, MI)
- …of patient financial, insurance and demographic patient information to ensure compliant claims to Third party payers. Resolves problem accounts from payer denials ... and follows up on any claims that require a payer response. Responsible for the...Ford academic healthcare campus. Learn more at henryford.com/careers . Benefits The health and overall well-being of our team… more
- Trinity Health (Chelsea, MI)
- …obtains authorization for treatment / procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. Provides ... for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... for and obtains authorization for treatment /procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. At… more
- Mondelez International (Farmington, MI)
- …(iDoc management, stock reconciliation), interfaces monitoring, track and trace, claims management, invoice management, compliance execution (HSE, quality, risk ... + Analytical thinking + Good knowledge of ERP, preferably SAP R3 ** Benefits :** + Comprehensive healthcare coverage (medical and dental) + Company-paid life insurance… more