- Integra Partners (Troy, MI)
- …focus on metrics. Salary: $65,000.00/annual JOB QUALIFICATIONS: KNOWLEDGE/SKILLS/ABILITIES The Claims Supervisor 's responsibilities include but are not limited ... Integra is seeking a results-oriented, dynamic, proven Claims professional, capable of managing a leading team...to: * Leading a team consisting of 15+ claims representatives * Responsible for real time management of… more
- Sedgwick (Troy, MI)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Claims Examiner - Liability - Troy, MI - Hybrid Are you looking for an ... : To analyze complex or technically difficult general liability claims to determine benefits due; to work with high...coding is correct. + Refers cases as appropriate to supervisor and management. + Performs other duties as assigned.… more
- McLaren Health Care (Shelby Township, MI)
- …insurance data is entered utilizing the conventions required to produce correct claims and HIPAA compliant transactions, and that services are financially screened. ... 2. Coordinates review of emergent inpatient admissions, ensuring that precertification and concurrent review requirements set forth by third party payers are met in a manner to prevent denials and avoid the need for appeal. Coordinates financial counseling… more
- Molina Healthcare (Sterling Heights, MI)
- …member inquiries, questions and concerns in all areas including enrollment, claims , benefit interpretation, and referrals/authorizations for medical care. + Provides ... exemplary customer service to customers including members, co-workers, vendors, providers, government agencies, business partners, and general public. + Achieves individual performance goals as it relates to call center objectives. + Demonstrates personal… more
- Walgreens (Sterling Heights, MI)
- …the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and ... Maintains knowledge of Company asset protection techniques, and files claims for warehouse overages (merchandise received, but not billed), shortages… 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...Administration, preferred. + Ability to communicate effectively with colleagues, supervisor , and manager. + Ability to work independently. +… more
- Walgreens (Lapeer, MI)
- …the unique communities we serve as requested by Store Manager, Healthcare Supervisor , or District Manager. Operations + Counsels patients and answers questions ... technology. Finds opportunities to improve productivity + Ensures insurance claims are processed accurately to prevent payment rejections. Resolves patient… more
- BorgWarner Inc. (Auburn Hills, MI)
- …Customer Focus: o Monitor and track customer complaints and warranty claims to identify recurring issues.o Support root cause analysis using structured ... possible dangerous situations, incidents, or occurrences to the immediate supervisor .Equal Employment OpportunityBorgWarner is an equal employment opportunity employer… more
- Adecco US, Inc. (Pontiac, MI)
- …+ Dispatch orders and provide tags for customer part selection. + Process claims for misdirected parts and update claim information in the system. **Quality & ... forms or software. + Communicate findings and trends to the quality control supervisor or logistics team. **General Duties** + Assist with inventory counts and… more
- Henry Ford Health System (Troy, MI)
- …area, coaching team members on account resolution workflows, and assisting the supervisor with team management. The Sr. Specialist confirms the accuracy and ... completeness of patient financial, insurance and demographic information to ensure compliant claims are sent to payers. The Sr. Specialist works independently to… more