- 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
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist , Professional Liability **PRIMARY PURPOSE** **:** To analyze mid- ... and higher-level medical malpractice claims ; to provide prompt and fair resolution of mid and higher-level complex nature and/or severe injury claims ; to… more
- Sedgwick (Lansing, MI)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Specialist , General Liability (Property) **PRIMARY PURPOSE** : To analyze ... limits. + Manages the litigation process; ensures timely and cost effective claims resolution . + Coordinates vendor referrals for additional investigation and/or… more
- Trinity Health (Ann Arbor, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- Molina Healthcare (Warren, 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
- 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
- Sedgwick (Lansing, MI)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Case Management Specialist This person must live in Ohio in order to be considered. **PRIMARY ... support systems. + Effectively communicates and builds relationships with the claims ' examiner, client, injured worker, attorney and supervisor. + Identifies issues… more
- Molina Healthcare (Sterling Heights, MI)
- …and timely validation and maintenance of critical provider information on all claims and provider databases (using SQL, Excel, and QNXT). Staff ensure adherence ... areas of responsibility (eg, Provider Services/Provider Inquiry Research & Resolution , Provider Contracting/Provider Relationship Management). + Provides timely, accurate… more