- Morley (Lansing, MI)
- …from beginning to end by researching and assisting customers until case resolution + Offer timely and accurate solutions through inbound and outbound conversations ... Apply?_** Live chat with a Morley Talent Acquisition (TA) Specialist ( careers.morleycompanies.com | chat hours: M-F 8 am...Patient advocacy: Free 24/7 help with benefit questions and claims issues + Family, financial and estate guidance (will)… more
- 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
- Lineage Logistics (Novi, MI)
- …the handling of cargo including documents, images, and verbal communication for use in the resolution of claims . + Investigate product claims made by or on ... **ESSENTIAL DUTIES AND RESPONSIBILITIES** + Capture data related to potential claims of overages, shortages, and damages of customer products and unexpected… more
- University of Michigan (Ann Arbor, MI)
- Civil Rights Investigation Resolution Specialist (Title VI) Apply Now **How to Apply** A cover letter and resume are important submissions for the hiring team to ... Detail** **Job Opening ID** 270111 **Working Title** Civil Rights Investigation Resolution Specialist (Title VI) **Job Title** EEO/Diversity Rep Intermediate… more
- Molina Healthcare (Grand Rapids, MI)
- Molina Healthcare is hiring for an Appeals & Grievance Specialist . This role is 100% remote and will work in the Pacific Time Zone. This role provides support for ... claims activities including reviewing and resolving member and provider...reviewing and resolving member and provider complaints, and communicating resolution to members or authorized representatives in accordance with… more
- Molina Healthcare (Ann Arbor, MI)
- Molina Healthcare is hiring for a Medicare Appeals & Grievances Specialist . This position is remote and will be working Pacific Standard hours. Highly Qualified ... to detail + AOR/IRE understanding highly preferred Provides support for claims activities including reviewing and resolving member and provider complaints, and… more
- Sedgwick (Lansing, MI)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Unemployment Specialist **This position will have a heavy focus on processing unemployment ... clients.** **PRIMARY PURPOSE** **:** To analyze complex or technically difficult unemployment claims to determine benefits due; and to ensure ongoing adjudication of… more
- Molina Healthcare (Grand Rapids, MI)
- JOB DESCRIPTION Provides support for claims activities including reviewing and resolving **Provider No Surprises Act** cases in accordance with the standards and ... (CMS). **Essential Job Duties** * Responsible for the comprehensive research and resolution of **Provider No Surprises Act** cases to ensure that internal and/or… more
- Molina Healthcare (Detroit, 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
- Henry Ford Health System (Troy, MI)
- …completeness of patient financial, insurance and demographic information to ensure compliant claims are sent to payers. The Sr. Specialist works independently ... The CBO Insurance Sr. Specialist is responsible for effectively and efficiently resolving...for his/her functional area, coaching team members on account resolution workflows, and assisting the supervisor with team management.… 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)
- …Fortune Best Workplaces in Financial Services & Insurance Provider Network Specialist **PRIMARY PURPOSE** **:** To ensure clients and Managed Care Organization's ... MCO provider additions and removals, MCO network issues; makes recommendations for resolution . + Contacts providers to verify new workers' compensation patients are… 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
- Cognizant (Lansing, MI)
- **Member Appeals & Grievances Specialist ** (remote) This is a remote position open to any qualified applicant that lives in the United States. **Summary:** We are ... seeking a dedicated Member Appeals & Grievance Specialist with a minimum of 2 years of experience...as they will be responsible for the research and resolution of Medicaid provider appeals that will involve research… more
- Deloitte (Detroit, MI)
- …wants to work in a collaborative environment? As an experienced Epic Hospital Billing Specialist , you will have the ability to share new ideas and collaborate on ... service delivery. Work you'll do/Responsibilities As a Project Delivery Specialist (PDS) at Deloitte, you will work within an...Assign and prioritize work across shores to ensure timely resolution of tickets + Coordinate with the offshore team… more
- Ford Motor Company (Allen Park, MI)
- …maneuvers or during a failed battery state. **3. Quality, Reliability & Problem Resolution :** + Lead the investigation, root cause analysis, and resolution of ... testing), and formal sign-off processes. + **Quality, Reliability & Problem Resolution :** Extensive experience in leading root cause analysis, problem-solving, and … more
- Western Digital (Lansing, MI)
- …**Job Description** **Position Summary** We are looking for a **Retail Compliance Specialist ** to join the Western Digital Fulfillment Operations Team to be ... chargebacks, late deliveries, labeling errors, incorrect shipments. Review and validate claims received from retail partners to determine legitimacy and compliance… more
- Molina Healthcare (Ann Arbor, MI)
- …for reviewing and resolving member & provider complaints and communicating resolution to members (or authorized) representatives in accordance with the standards ... and grievances. + Elevates appropriate appeals to the Appeals Specialist . + Generates and mails denial letters. + Assists...**C** **E:** + 1 year of Molina experience, health claims experience, OR one year of customer service/provider service… more
- Molina Healthcare (Warren, MI)
- …of responsibility (eg, Provider Services/Provider Inquiry Research & Resolution , Provider Contracting/Provider Relationship Management). + Provides timely, accurate ... and FQHC/RHC reports. + Generates other provider-related reports, such as: claims report extractions; regularly scheduled reports related to Network Management (ER,… more
