- Sedgwick (Grand Rapids, MI)
- …in Financial Services & Insurance Sr. Claims Specialist , Veterinary Claims | Professional Liability | Remote **PRIMARY PURPOSE** **:** To analyze complex ... or technically difficult veterinary claims ; to provide resolution of highly complex nature and/or severe injury claims ; to coordinate case management within… 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)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance ( REMOTE ) Compliance Specialist - Workers Compensation **PRIMARY PURPOSE** : To ... state workers compensation agencies as appropriate. + Provides required reporting on claims , penalty and compliance issues to ensure compliance within the state(s).… more
- Guidehouse (Detroit, MI)
- …payer UB-04 billing and reporting requirements including resolution of CCI, MUE and Medical Necessity edits applied to claims . + Proficiency in determining ... medical billing and auditing experience + Associate's degree\#IndeedSponsored\#LI- Remote #LI-DNI The annual salary range for this position is… more
- Trinity Health (Livonia, MI)
- …& other healthcare professionals to effectively resolve discrepancies. + Ensures medical record documentation is accurate, complete, & compliant, supporting acute or ... chronic conditions & medical necessity. + Applies through understanding of payment structures,...HCC risk adjustment, ensuring compliance with reporting standards for claims submission. + Identifies patterns & trends impacting documentation… 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, preferred.… more
- Henry Ford Health System (Troy, MI)
- …you will be providing exceptional customer service to assist patients with their medical bills via phone. We pride ourselves on one call resolution and provide ... to review bankruptcies, assisting with Coordination of Benefits, third party liability claims , etc. 5. Initiates and resolves account receivable errors with the… more
- 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)
- ** Remote Hours: Monday - Friday, 7:00 AM - 3:30 PM PST (or based on business need)** **_What Accounts Receivable Specialist II contributes to Cardinal Health_** ... II is responsible for verifying patient insurance and benefits, preparing and submitting claims to payers, correcting rejected claims , following up on unpaid and… more
- Trinity Health (Livonia, MI)
- …8:30 am-5pm No Weekends w/Holiday Rotations** **Position Purpose:** The Authorization Specialist is responsible and accountable for the processing of all THAH ... and revenue cycle team to review and resolve pending claims to ensure timely payment. Duties may be accomplished...ensure timely payment. Duties may be accomplished in a remote work environment. **What You Will Do:** + Prepares… more
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