26 Claims Processing job listings in the Detroit, Michigan area

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Job listings, help wanted ads and employment postings (last updated on Wednesday, September 17)

Medical Information Specialist


MI-Lathrup Village, A-Line Staffing is currently recruiting for a Medical Information Specialist in Southfield, MI. Shift Hours: Monday-Friday 8: 30am-5pm Job Description: — Assess and investigate all requests for medical, surgical and outpatient procedures. — Authorize select procedures that do not require clinical review — Collected and recorded medical data in order to issue authorizations and routed select cases t … MORE INFO

Shown below: Detroit claims processing area jobs provided by Indeed job search

Incentives Claims Processor

Technology Resource Group – Auburn Hills, MI – Indeed.com

Role: The Incentives Claims Processor is a resource. . . claim forms. Under the leadership of the Service Desk and Support Team Lead, this resource reviews claim. . . … MORE INFO

Provider Inquiry R & R Representative I

Molina Healthcare – Troy, MI – Indeed.com

to claims payment and requests for claim adjustments. Researches claims processing guidelines, provider. . . terminology, CMS claims coding guidelines, and. . . … MORE INFO

Customer Service Representative NEW

Aditya Birla Minacs – Farmington Hills, MI – Indeed.com

and other external contacts regarding claims review and processing. Working with the Sr. Customer Service. . . up on existing claims and closes claims. • Able to. . . … MORE INFO

Benefits Analyst

AlixPartners – Detroit, MI – Indeed.com

to employee questions, handling claims issues, processing billing and assisting with administrative tasks. . . with monthly billing processing for multiple carriers. . . … MORE INFO

Analyst-Pharmacy Services Medicare Part D

BCBSM – Detroit, MI – Indeed.com

DEPARTMENTAL SUMMARY Responsible for reviewing claims data, analyzing information and evaluate if an. . . c laims or inquiry processing experience preferred. . . … MORE INFO

Customer Service Rep, Sr

Amerisure Companies – Farmington Hills, MI – Indeed.com

a wide range of sources to gather facts for claim processing and settlement. Works independently to verify. . . 2 — 4 years of claim processing experience highly. . . … MORE INFO

MI DUALS Mgr, Grievance & Appe

Aetna – Detroit, MI – Indeed.com

supervisory experience. -Experience in research and analysis of claim processing a plus. EDUCATION The highest level of education desired for candidates in. . . … MORE INFO

Patient Services Rep

McKesson – Charter Township of Clinton, MI – Indeed.com

for clients. Reviews claims to make sure that payer. . . experience; Healthcare and/or Insurance billing or processing and customer service preferred; 7,000 alpha. . . … MORE INFO

System Analyst

Collabera – Detroit, MI – Indeed.com

eligibility and claims testing in the model office test environment of NASCO Processing System (NPS. . . with claims processing on NASCO processing system. . . … MORE INFO

Billing Specialist I - PFS Job

Henry Ford Health System – Troy, MI – Indeed.com

NR and registration/ verification modules, Claims Processing system, Web based provider systems, Careplus. . . verification modules, Claims processing system, Web. . . … MORE INFO

Claims Examiner - Workers Compensation

Sedgwick Claims Management Services – Southfield, MI – Indeed.com

Compensation Claims Examiner CLAIM YOUR FUTURE AS A. . . claims by investigating and gathering information to determine the exposure on the claim; manages claims. . . … MORE INFO

MI DUALS Prior Authorization R

Aetna – Detroit, MI – Indeed.com

management services (e. g. , claim administrators, Plan. . . with Aetna Nurses and Medical Directors, when processing transactions for members active in this Program. . . … MORE INFO

Call Center Representative, Pharmacy

EHIM – Southfield, MI – Indeed.com

related to pharmacy provider support, client and member prescription claim processing services. Functions as a primary resource in providing customer telephone. . . … MORE INFO

Senior Grievance Analyst - Detroit Job

Henry Ford Health System – Detroit, MI – Indeed.com

processing, assignment and final case disposition closure of all member, provider and pharmacy appeals from various channels to ensure case processing and. . . … MORE INFO

Customer Service Representative

Aditya Birla Minacs – Farmington Hills, MI – Indeed.com

and other external contacts regarding claims review and processing. Working with the Sr. Customer Service. . . up on existing claims and closes claims. • Able to. . . … MORE INFO

Director, Complex Casualty Claims

York Risk Services Group Inc. – Southfield, MI – Indeed.com

large loss claim listings and narratives for Board meetings. Present large loss claims to Board of. . . update field office Claims Processing Instructions. . . … MORE INFO

Patient Service Rep

Saint Joseph Mercy Health System – Canton, MI – Indeed.com

the patient and service specific record for claims processing and maintenance of an accurate electronic. . . insurance and claims processing issues. 4. . . … MORE INFO

Collection Analyst

Trinity Home Health Services – Livonia, MI – Indeed.com

About the Position Responsible for the processing of claims and collection of homecare receivables. . . the status of billed claims and outstanding accounts. . . … MORE INFO

Customer Representative - Parts Order Administration

MTU America Inc. – Brownstown, MI – Indeed.com

them of claim investigation results and any planned adjustments. 3. Continuous customer satisfaction improvement for parts ordering and return processing 4. . . … MORE INFO

Clinical Supervisor

Metro Home Care – Farmington Hills, MI – Indeed.com

and referral sources. Timely submissions of Final Claims within 14 calendar days. Maintains open lines of. . . e-mail, clinical, word processing and spreadsheet. . . … MORE INFO

Lead - Benefits Configuration Analyst - Southfield Job

Henry Ford Health System – Southfield, MI – Indeed.com

business and/or claims processing system configuration Experience Required:
· Three (3) years of claims. . . of Packaged Claims Processing Applications.
· A high. . . … MORE INFO

Healthcare Benefit/Contract Administrator

VisionIT – Detroit, MI – Indeed.com

a financial and member impact perspective5. Familiarity with Claims and Eligibility processing and systems6. Awareness of Medicaid, Pensions, and the Patient. . . … MORE INFO

Service Specialist

Belcan TechServices – Plymouth, MI – Indeed.com

Client . •Processes warranty claims. Monitors and follows up on warranty claims that require additional. . . in the processing of warranty claims by instruction. . . … MORE INFO

Insurance Verifier

Walgreens – Canton, MI – Indeed.com

benefits, run test claims and determine patient. . . to process the script or to notify of delay in processing script. Manages inbound calls on the Insurance. . . … MORE INFO

Accounts Receivable Manager - Blue Care Network - Southfield

Finance – Southfield, MI – Indeed.com

and reporting on collection of current Michigan claims tax and new National Health Care Reform (NHCR. . . manual transaction processing as well as improving. . . … MORE INFO

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Detroit, MI (includes Detroit, Warren, and Livonia metro areas) - continue for more info


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