- Zurich NA (Lansing, MI)
- Sr Supplier Medical Process Specialist 128416 Zurich North America is seeking am experienced Sr. Supplier Medical Process Specialist to join our team in ... commitment to work/life balance, and outstanding culture. As a Sr. Supplier Medical Process Specialist , you will manage supplier performance and work… more
- Cardinal Health (Lansing, MI)
- …resolution for unpaid and rejected claims + Preparing, reviewing and billing claims via electronic software and paper claim processing + Insurance claims ... right things done. **_Responsibilities_** + Working unpaid or denied claims to ensure timely filing guidelines are meet. +...work experience preferred + 1+ years experience as a Medical Biller or Denials Specialist preferred +… more
- Sedgwick (Lansing, MI)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance PL CLAIM SPECIALIST **PRIMARY PURPOSE** **:** To analyze complex or technically ... difficult medical malpractice claims ; to provide resolution of...and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans… more
- Travelers Insurance Company (Lansing, MI)
- …Provide quality claim handling and superior customer service on assigned claims , while engaging in indemnity & expense management. Promptly manage claims ... management and evaluation of some of the Company's severe and complex liability claims by providing claim handling guidance, recommendations and strategies to… more
- Molina Healthcare (Sterling Heights, MI)
- …JOB DUTIES:** + Facilitates clinical/ medical reviews of retrospective medical claim reviews, medical claims and previously denied cases in which ... JOB DESCRIPTION **Job Summary** Provides support for medical claim and internal appeals review...ensure medical necessity and appropriate/accurate billing and claims processing. + Reevaluates medical claims… more
- Akumin (MI)
- **Compensation:** $20.00 per hour **Location:** Remote The ** Medical Reimbursement Specialist ** is responsible for the timely and accurate posting of EOB and ... other forms received through the lockbox to the Medical Billing system. Completes spreadsheets and balances work on...the web to find out the status of the claim using the aging's, ticklers and touch point reports… more
- Integra Partners (Troy, MI)
- …Claims Resolution Specialist role is responsible for reviewing Durable Medical Equipment (DME) claims for billing accuracy while maintaining appropriate ... and internal Integra policies and procedures, including HIPAA compliance. If you have previous medical billing or claims experience, this role may be of interest… more
- Sedgwick (Lansing, MI)
- …to support the claim request and documents decision rationale. + Completes medical review of all claims by reviewing medical documentation received ... medical management of claims including comprehension of medical terminology and substantiating claim decisions. **ADDITIONAL FUNCTIONS and… more
- Hart Medical Equipment (Grand Blanc, MI)
- …and transmitting claims using billing software, including electronic and paper claim processing. + Following up on unpaid claims within standard billing ... Hart Medical Equipment provides a full range of home...management with rate changes. + Check to see if claims remain unpaid and follow up with patients and… more
- Elevance Health (Dearborn, MI)
- …correct forms are provided to assist members enrolling in Medicare. + Reviews claim history to identify claims requiring reconciliation, whether processed or ... **eCOB Specialist II** **Location** : This role enables associates...on every Coordination of Benefits(COB) function including reconciliation of claim , membership and accounting. **How you will make an… more