- KMG Prestige (Detroit, MI)
- We are seeking a Site Compliance Specialist who is detail oriented, enjoys new challenges, and thrives within a deadline driven schedule. The Site Compliance ... Specialist based in Detroit, MI is responsible for supporting...support, EIV oversight, MOR pre- inspections and prep, Special claims processing, internal file and compliance auditing, onsite compliance… more
- Western Digital (Lansing, MI)
- …**Job Description** **Position Summary** We are looking for a **Retail Compliance Specialist ** to join the Western Digital Fulfillment Operations Team to be ... chargebacks, late deliveries, labeling errors, incorrect shipments. Review and validate claims received from retail partners to determine legitimacy and compliance… more
- Henry Ford Health System (Detroit, MI)
- …in Detroit, MI. GENERAL SUMMARY: Under minimal direction, the Quality/Risk Specialist (QRS) II supports the effective surveillance, analysis, and prevention of ... events which may injure patients, lead to malpractice claims , and cause loss to the health care system....multidisciplinary health care teams to reduce and prevent adverse medical outcomes, minimize the risk of injury to patients,… more
- Molina Healthcare (Ann Arbor, MI)
- JOB DESCRIPTION Job Summary Provides entry level support for claims activities including reviewing and resolving member and provider complaints, and communicating ... information system and prepares documentation for further review. * Researches claims issues utilizing systems and other available resources. * Assures timeliness… more
- Parker Hannifin Corporation (Kalamazoo, MI)
- Purchasing Specialist Location : KALAMAZOO, MI, United States Job Family : Procurement Job Type : Regular Posted : Oct 29, 2025 Job ID : 59745 Back to Search Results ... suppliers and company personnel. * Negotiates and settles damage claims , rejections, losses, return of materials, over-shipments, cancellations and engineering… more
- KMG Prestige (Ann Arbor, MI)
- …challenges, and thrives within a deadline driven schedule. The Area Certification Specialist is responsible for supporting Section 8 and Tax Credit communities in ... response support, EIV oversight, MOR pre- inspections and prep, Special claims processing, internal file and compliance auditing, onsite compliance training and… 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...a healthcare revenue cycle position, preferred. + Knowledge of Medical terminology, preferred. + Knowledge of CPT/HCPCS revenue codes,… more
- Molina Healthcare (Detroit, MI)
- …and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER, ... Experience** + 3-5 years managed care experience, including 2+ years in Provider Claims and/or Provider Network Administration. + 3+ years' experience in Medical … more
- Trinity Health (Livonia, MI)
- …support coverage of other departmental functions. Collaborates with Physicians, Medical Records / Health Information Management, Ancillary, Nursing, Patient Business ... Master (CDM) & other necessary billing data are placed on the claim appropriately including ancillary or clinical systems related to revenue cycle, charge… more
- Trinity Health (Ann Arbor, MI)
- …courses preferred. + Experience: 3-5 years of experience in a medical or physician office or comparable healthcare environment required. **ESSENTIAL FUNCTIONS ... scheduled services to facilitate accurate assignment of financial responsibility and claims submission. + Responds to problems and questions from Clinical… more