- CVS Health (Lansing, MI)
- … with either a healthcare company, insurance carrier, third party claims administrator or self-administered corporation. **Preferred Qualifications** . 5+ ... claims with either a healthcare company, insurance carrier, third party claims administrator or self-administered corporation. . Proficient with a claims… more
- Raphael and Associates (Howell, MI)
- …Adjuster (Howell, MI) Company Overview: Raphael & Associates is a third-party claims administrator and independent claims adjusting company internationally ... our services to our client's specific needs. As a claims organization, what we do is complex. Our mission...plus but not mandatory + Experience at a Third-Party Administrator (TPA) company is a plus but not mandatory… more
- Integra Partners (Troy, MI)
- As a Senior Account Manager for Payer Relations, you are a highly motivated individual driven by providing best-in-class client experience for your customers. You ... value working cross-functionally to deliver innovative client-focused solutions. Reporting to the Senior Director of Payer Relations, the Senior Account Manager… more
- University of Michigan (Ann Arbor, MI)
- …Summary** Our Revenue Cycle team is looking for a highly motivated Senior Billing Clerk/Patient Account Representative to join our Medicare Advantage Hospital ... error corrections and insurance collections. + You will initiate and process claims and other forms within prescribed guidelines; screening for accuracy completeness… more
- University of Michigan (Ann Arbor, MI)
- …will be responsible for analyzing and optimizing the professional billing claims process to ensure accuracy, timeliness, and maximum reimbursement. This role ... and opportunities for revenue cycle optimization. + Review professional billing claims for accuracy, completeness, and compliance with payer requirements. +… more
- Public Consulting Group (Lansing, MI)
- …improve business processes, and achieve regulatory compliance. Services: + Third Party Administrator Services + Enhance Health and Public Safety Services + Claims ... development, IT and the organization + Communicates project status updates to senior management and key stakeholders **Required Skills** + Strong verbal and… more
- Evolent (Lansing, MI)
- …appeals and post-determination requests. Coordinators collaborate daily with their peers, senior coordinators and managers, as well as clinicians and other internal ... guidelines. + Conduct research and analysis of case documentation, claims data, and medical records to ensure case files...with a health plan, managed care organization or third-party administrator is required. + 2 years of experience processing… more