- Corewell Health (Kentwood, MI)
- …concerning benefit clarification, eligibility requirements, verification, authorization, billing and claim status. + Promptly identifies and resolves or escalates ... relaying certain member information to other departments as needed. + Facilitates claims resolution through follow-up on member calls and correspondence received to… more
- Humana (Lansing, MI)
- …a part of our caring community and help us put health first** The Bilingual Claims Research & Resolution Representative 2 manages claims operations that ... / provider** **associates researching the resolution to a pending call.** The Claims Research & Resolution Representative 2 works with insurance companies,… more
- Trinity Health (Farmington Hills, MI)
- …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 ... objective of maximizing reimbursement for services rendered and ensuring claims are paid or settled in a timely and...or settled in a timely and accurate manner. Researches claim rejections, make corrections, take corrective actions, and/or refer… more
- McLaren Health Care (Shelby Township, MI)
- …and human resources. **BILLING:** Responsible for billing hospital and physician claims , for inpatients and outpatients treated in the hospital and clinic, ... Performsnecessary maintenance to patient accounts in the billing and claims editing systems. + Responds timely to all patient...Works with other departments and insurance companies to resolve bill/ claim edits. + Notify Analyst of edits that needs… more
- Humana (Lansing, MI)
- …caring community and help us put health first** The Grievances & Appeals Representative 3 manages client denials and concerns by conducting a comprehensive analytic ... clinical and other Humana parties. The Grievances & Appeals Representative 3 performs advanced administrative/operational/customer support duties that require… more
- McLaren Health Care (Flint, MI)
- We are looking for a Provider Relations Representative I, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned ... PCP's, Specialists, and Ancillary providers in their defined servicing area. Responsible for claims research and resolution. All duties are to be carried out in… more
- McLaren Health Care (Flint, MI)
- We are looking for a Provider Relations Representative II, to join us in leading our organization forward. McLaren Integrated HMO Group (MIG) is a fully owned ... and onsite with assigned providers/events as needed.** #LI-AK1 **Qualifications:** _Required:_ + Associate Degree in business, health care or related field. + Three… 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 ... video (https://mrly.info/h4b) to get a glimpse of a remote associate 's typical day and how their home office setup...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
- US Physical Therapy (Big Rapids, MI)
- …Therapy has an immediate opportunity for a positive and enthusiastic **Patient Account Representative ** in our Big Rapids Central Billing Office. + Work closely with ... to obtain prior authorizations and verify coverage + Follow up on unpaid claims and denials + Maintain accurate and up-to-date patient account information + Provide… more
- Molina Healthcare (Sterling Heights, MI)
- …member eligibility and covered benefits, Provider Portal, and status of submitted claims . * Ability to effectively communicate in a professionally setting. **Job ... in a fast paced, high volume environment **PREFERRED EDUCATION** : Associate 's Degree or equivalent combination of education and experience **PREFERRED EXPERIENCE**… more