- BELFOR Property Restoration (Birmingham, MI)
- … vendor contacts Assist in the process of Filing disability, accident and death claims Term employee benefits , send benefit termination letters, and initiate ... and Paid Time Off. The Leave of Absence & Benefits Specialist is a member of the... changes Prepare and distribute communications to employees regarding benefits and support benefit questions and concerns… more
- CVS Health (Lansing, MI)
- … and customer service representative. Reviews and adjudicates routine Flexible Spending claims in accordance with claim processing guidelines and IRS guidelines. ... members to assist with inquiries. * Process flexible spending claims via electronic image. * Determine if submissions are...offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k)… more
- Sedgwick (Lansing, MI)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Surety Claims Specialist **PRIMARY PURPOSE** **:** To analyze complex or technically ... and gathering information to determine the exposure on the claim ; manages claims through well-developed action plans...for this role is_ **_$110,000- $120,000_** _. A comprehensive benefits package is offered including but not limited to,… more
- Lincoln Financial Group (Lansing, MI)
- …ERISA requirements, statutory guidelines, and case management and appeal procedures to each claim . _Background Details_ As an Appeals Specialist you will be ... Glance** We are excited to bring on an Appeals Specialist to join our Appeal Review Department in a...You will analyze and manage a caseload of appeals claims . You will review, investigate, and make claim… more
- Crawford & Company (Kalamazoo, MI)
- …Content Claims Specialists are consistently (daily/weekly basis) assigned new claim files. + Operating from their home-based offices, edjuster's Content ... detailed work/time logs on a daily basis, for all claims processed. + Maintain claim related notes...Pay and incentive plans that recognize performance excellence + Benefit programs that empower financial, physical, and mental wellness… more
- CVS Health (Lansing, MI)
- …for invoice processing and member accumulators: eligibility, accumulators, invoices, and claims detail. Job Duties 1. New group and renewal group implementations ... communities. The Company offers a full range of medical, dental, and vision benefits . Eligible employees may enroll in the Company's 401(k) retirement savings plan,… more
- Social Security Administration (Detroit, MI)
- …complex, non-routine Title XVI cases and on public fraud issues in specific claims and post-entitlement cases, provides lead role in technical training and mentoring ... most effective use of software/systems to process specific complex claims and post-entitlement actions. Requirements Conditions of Employment Qualifications… more
- Randstad US (Howell, MI)
- …Insurance offers a collaborative environment that fosters development and growth. As an claims resolution specialist , you will play a vital role in Hanover's ... development within the organization. Responsibilities: + Trainee is responsible for performing claim processing and payment functions on non-complex claims for… more
- City of Detroit (Detroit, MI)
- …our employees. Part of the reason for the low turnover rate is the exceptional benefit package listed below. Benefits include, but are not limited to the ... Contract and Procurement Specialist II Print (https://www.governmentjobs.com/careers/detroit/jobs/newprint/4496642) Apply Contract and Procurement Specialist … more
- State of Michigan (Kalamazoo, MI)
- Services Specialist 9-11 - Adult - Kalamazoo Co Print (https://www.governmentjobs.com/careers/michigan/jobs/newprint/4429113) Apply Services Specialist 9-11 - ... Bargaining Unit UNITED AUTO WORKERS (UAW) + Description + Benefits + Questions Job Description The MDHHS mission is...is an 84-year-old woman who lives alone. The client claims a trusted friend started visiting her a month… more
- Henry Ford Health System (West Bloomfield, MI)
- …inpatient** **Eligible for Sign-on bonus of 2,500** The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription ... individuals. Is a subject matter expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE… more
- Henry Ford Health System (Rochester Hills, MI)
- … benefits Shift: Full-Time Day Shift The Pharmacy Benefits Specialist is responsible for handling drug claim adjudication issues, prescription prior ... individuals. Is a subject matter expert in the resolution of pharmacy benefit coverage issues and coordinating prior authorization and exception processes. PRINCIPLE… more
- Trinity Health (Chelsea, 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 ... for and obtains authorization for treatment /procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. At… more
- Trinity Health (Livonia, MI)
- …$17.52-$22 per hour (rate based on experience)** **Position Purpose:** The Authorization Specialist is responsible and accountable for the processing of all THAH ... and revenue cycle team to review and resolve pending claims to ensure timely payment. Duties may be accomplished...the job may change as necessitated by business demands. ** Benefits :** + Day 1 Benefits - Health,… more
- Stryker (Portage, MI)
- …organization by visiting stryker.com Stryker is seeking a **Staff Regulatory Affairs Specialist ** to join our Instruments division located in Portage, MI. This is ... improvement in functions. **What you will do** As the **Staff Regulatory Affairs Specialist ** , you will engage in technical and scientific regulatory activities to… more
- University of Michigan (Ann Arbor, MI)
- …competitive salary with excellent benefits ! **Hourly range for Clinical Nurse Specialist $46.27-$69.89 / hour** The benefit package includes: + Excellent ... CLINICAL NURSE SPECIALIST (CNS)- University Hospital- Medical Short Stay &...and become a victor for the greater good. **What Benefits can you Look Forward to?** Nursing at Michigan… 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 ... for and obtains authorization for treatment /procedures and assignment of benefits required. Provides information to patients concerning regulatory requirements. At… more
- The Diez Group (Dearborn, MI)
- …. Strong math skills . Skilled in creating and maintaining spreadsheets . Experience with claims would be a benefit (Customer claims process) . Software ... Accounting Specialist Dearborn, MI (http://maps.google.com/maps?q=8111+Tireman+Dearborn+MI+48126) * Finance Job Type...o Process PO amendments and update records o Process claims and resolve disputed claims between company… more
- University of Michigan (Ann Arbor, MI)
- Prior Authorization Specialist Apply Now **Summary** Processes referrals and prior authorizations using established insurance company guidelines. Obtains referrals, ... authorizations, pre-certifications, prescriptions for therapies, and benefit verification as required. Efficiently manages referral work queues. Responds to patient… more
- Trinity Health (Ann Arbor, MI)
- …Shift **Description:** **An Opportunity to Join our Remarkable Care** **Patient Access Specialist ** **awaits YOU ** **_St. Joseph Mercy Health System (SJMHS)_** is ... for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and… more
