- Integra Partners (Troy, MI)
- JOB OVERVIEW Our Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while ... documentation and account records, as well as timely issue resolution . In this role, you will ensure work is...HIPAA compliance. If you have previous medical billing or claims experience, this role may be of interest as… more
- Lineage Logistics (Novi, MI)
- …the handling of cargo including documents, images, and verbal communication for use in the resolution of claims . + Investigate product claims made by or on ... **ESSENTIAL DUTIES AND RESPONSIBILITIES** + Capture data related to potential claims of overages, shortages, and damages of customer products and unexpected… more
- Molina Healthcare (Detroit, MI)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution ... Services (CMS). **Essential Job Duties** * Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members,… more
- Sedgwick (Detroit, MI)
- …Best Workplaces in Financial Services & Insurance Operations Support Services Specialist **PRIMARY PURPOSE** : To support Operations Support Services leadership ... and create escalation procedures; track and monitor issues ensuring a timely resolution ; and to perform monthly quality and technical audits. **ESSENTIAL FUNCTIONS… more
- Sedgwick (Lansing, MI)
- …Best Workplaces in Financial Services & Insurance DRP Service Center Specialist **PRIMARY PURPOSE** : To assist customer service representatives in expediting ... the application by providing claims general information; to track trends; to investigate client...a customer liaison by assisting the customer with problem resolution related to the application process and service; maintains… more
- Molina Healthcare (Warren, MI)
- …Summary** Responsible for reviewing and resolving Medicare member appeals and Medicare claims in communicating resolution to members and provider (or authorized ... and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals from Molina members, providers and related… more
- Molina Healthcare (Detroit, MI)
- …for reviewing and resolving member and provider complaints and communicating resolution to members and provider (or authorized representatives) in accordance with ... Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution of the appeals, dispute, grievances, and/or complaints from… more
- Molina Healthcare (Sterling Heights, MI)
- …clear and concise to ensure accuracy in auditing of critical information on claims ensuring adherence to business and system requirements of customers as it pertains ... audits and communicates with Core Operations Functional Business Partners to ensure resolution within 30 days of error issuance. * Evaluates the adjudication of… more
- Henry Ford Health System (Troy, MI)
- …completeness of patient financial, insurance and demographic information to ensure compliant claims are sent to payers. The Sr. Specialist works independently ... The CBO Insurance Sr. Specialist is responsible for effectively and efficiently resolving...for his/her functional area, coaching team members on account resolution workflows, and assisting the supervisor with team management.… more
- Wacker Chemical (Ann Arbor, MI)
- Customs Compliance Specialist II Job Location (Short): Ann Arbor, MI, USA, 48108 | Charleston, TN, USA, 37310 Posting Start Date: 9/17/25 Do you want to take ... Arbor, we are looking for you as a(n)Customs Compliance Specialist II. This role will provide direction and support...This role will support auditing and investigations regarding customs claims and inquiries. Candidates should have a high degree… more
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