- 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 (Ann Arbor, 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
- Molina Healthcare (Ann Arbor, 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 (Ann Arbor, 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 (Ann Arbor, 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
- 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
- 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
- Sedgwick (Detroit, 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
- 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
- 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 (Ann Arbor, 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
- Molina Healthcare (Ann Arbor, MI)
- …and executing operational initiatives tied to Payment Integrity (PI) and provider claims accuracy. The individual will be relied upon to make independent, informed ... and finance partners to proactively identify issues and implement resolution strategies. + Serves as a thought partner to...a business lens to ensure accurate interpretation of provider claims trends, payment integrity issues, and process gaps. +… more
- ASM Global (Detroit, MI)
- …heads to forecast staffing needs and draft job postings. + Partner with HR Specialist to expand Day 1 - Orientation into a 90 day-onboarding program. Compliance, ... for audits and compliance documentation. Worker's Compensation: + Coordinate claims with carriers, ensure timely reporting, and manage return-to-work programs.… more
- Trinity Health (Livonia, MI)
- …Patient Business Services (PBS) teams, when needed, to help resolve billing, claims , denials and appeals issues affecting reimbursement. Exhibits awareness of health ... or other coding ethics concerns. Notifies appropriate leadership for assistance, resolution when appropriate. Utilizes EMR communication tools to track missing… more
- Exotic Automation & Supply (New Hudson, MI)
- …maintain customer contract pricing and pricing matrices. + Coordination with Pricing Specialist on maintenance of item cost and customer price records. + Responsible ... + Maintenance and submission of customer rebates and subsidy claims to Suppliers. + Input/Upload of Supplier Price Updates...Pricing and Sales Management on root cause analysis and resolution + Maintenance of Product Line/Product Codes in system… more
- Trinity Health (Ann Arbor, MI)
- …analyzes information. Identifies opportunities, develops solutions, & leads through resolution . Collaborates on performance improvement activities as indicated by ... coding required. Ability to explain insurance benefits. Patient Access Account Specialist Additional minimum qualification of two plus (2+) years hospital… more