- 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
- Sedgwick (Grand Rapids, MI)
- …Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Sr. Claims Specialist , Veterinary Claims | Professional Liability | Remote ... PURPOSE** **:** To analyze complex or technically difficult veterinary claims ; to provide resolution of highly complex nature and/or severe injury claims… more
- Travelers Insurance Company (Lansing, MI)
- …of claim and litigation strategy. + Recognize and implement alternate means of resolution . + Manages litigated claims . Develop litigation plan with staff or ... reserve, negotiate and resolve the company's most severe and/or complex claims , in multiple jurisdictions, in accordance with Best Practices. Provide quality… 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 THAH Collection analysts in the tracking of authorizations and resolution of problematic billing issues. Monitors pending authorizations report and collaborates… more
- Molina Healthcare (MI)
- JOB DESCRIPTION Job Summary Provides support for claims activities including reviewing and resolving member and provider complaints, and communicating resolution ... Services (CMS). **Essential Job Duties** * Facilitates comprehensive research and resolution of appeals, disputes, grievances, and/or complaints from Molina members,… more
- Guidehouse (Detroit, MI)
- …remote** .Daily duties for this position include: + Responsible for the daily resolution of assigned claims with applicable Revenue Integrity pre-bill edits ... codes and associated coding modifiers. + Responsible for daily resolution of assigned claims with Revenue Integrity specific denials in the Guidehouse METRIX℠… more
- Henry Ford Health System (Detroit, MI)
- …patient access hub workflows related to medication access, prior authorizations, and claims resolution . Collaborate with pharmacists and care teams to implement ... patients' medication access by managing infusion and injection benefit claims , ensuring financial viability, and addressing affordability concerns throughout the… more
- Sedgwick (Lansing, MI)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance Clinical Behavioral Health Specialist **The ideal candidate would be able to work these hours: 11AM ... issues within a claim and be actively engaged in resolution ; to work in conjunction with and provide recommendations...conjunction with and provide recommendations and education to the claims examiner, claimant, and clinical team; to work with… more
- Sedgwick (Lansing, MI)
- …Work(R) Fortune Best Workplaces in Financial Services & Insurance ADA Accommodation Specialist **PRIMARY PURPOSE** : To enhance the ADA process for claimants ... key stakeholders regarding progress and status of accommodations; assists in the resolution of any challenges related to the accommodations. + Conducts interactive… more
- Whirlpool Corporation (Benton Harbor, MI)
- …found at WhirlpoolCorp.com . **This role in summary** Accounts Receivable Specialist will foster relationships with trade customers supporting Whirlpool's vision to ... and customer relations for a portfolio of accounts. Accounts Receivable Specialist will collect trade customer accounts receivable payments and take action… more