UNKNOWN

FEED

Associates degree in Medical or Dental Billing OR Minimum of two (2) years' required and 3 years' desired experience in Medical/Dental Billing, including: 1) processing and following through on Explanation of Benefits (EOB) and ERA files; 2) experience and understanding of CPT, ICD 10, LCDs, NCDs and modifier use/guidelines; 3) experience working rejected and corrected claims, knowledge of payor guidelines and minimal resubmissions, handling appeals and understanding timely filing limits. Minimum of three (3) years required and 5 years' desired experience in Medical/Dental Billing, including: 1) processing and following through on Explanation of Benefits (EOB) and ERA files; 2) experience and understanding of CPT, ICD 10, LCDs, NCDs and modifier use/guidelines; 3) experience working rejected and corrected claims, knowledge of payor guidelines and minimal resubmissions, handling appeals and understanding timely filing limits.

Health Delivery Inc

Billing Specialist - Dental

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Investigative activities may also involve hiring experts for specialized tasks such as home fire cause and origin analysis, surveillance, vehicle accident reconstruction, forensic accounting, and legal counsel, and managing those vendors through setting clear expectations, monitoring results, and reviewing and paying associated expenses. Maintain a comprehensive understanding of claim fraud, including the fraud scenarios and methods by which insureds, claimants, service providers, and other parties may engage in opportunistic fraud, and also the ways in which businesses, professionals and organized crime groups, such as fraud rings, operate.

AAA Southern New England

Claim Investigator (Non-Injury) - CSIU

Works with Informatics, Network Management, and Medical Economics to create and maintain a system where Network providers are properly assessed regarding cost management and develops a plan and schedule for communication with outliers. The Medical Director works collaboratively with other plan functions that interface with Medical Management such as Health Management, Quality, Network Management, Member Services, benefits & claims management, and Compliance.

YEAR

Martin's Point Health Care LLC

Medical Director - Health Plan

ADAPTED_NOW

Our braggingly happy team members — ranging from bakery managers to order selectors; from IT developers to vice presidents of finance; from HR Business Partners to export specialists — create braggingly happy customers spanning national accounts, independent and chain grocers, e-commerce retailers, U.S. military commissaries and exchanges, and the Company’s own brick-and-mortar grocery stores, pharmacies and fuel centers. Assist with preparing prescribed medication to patients by counting tablets, labeling bottles, stocking products, providing customer service, utilizing the computer systems to maintain patient profiles and insurance claims, and checking out patients that ensures that the shift contributes to the financial interest of the store.

SpartanNash Associates, LLC

Full Time Pharmacy Technician

JobAdX

Company Overview PuroClean, a leader in emergency property restoration services, helps families and businesses overcome the devastating setbacks caused by water, fire, mold, biohazards, and other conditions resulting in property damage. Our Contents Managers take pride in going above and beyond customer expectations in their times of need by providing a world-class level of service, which sets them apart from our competitors in the industry.

HOUR

PuroClean

Contents Manager

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Position Overview As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.

Brighton

Claims Coordinator

As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field personnel to jobs while ensures that the required Cycle Time and insurance Service Level Agreement tasks deadlines are met. Ensure that uploading photos, and other documents are appropriately described, titled and uploaded in real time, as well as follows up to get missing required data from homeowner and insurance/mortgage information not obtained on initial call.

ServiceMaster Restore

Our recently appointed leadership team brings over a century of collective dental expertise and is backed by dynamic investment support to pave the way for groundbreaking changes. Were channeling our resources and energy into revolutionizing our technology platform, expanding service offerings, and creating a personalized patient experience that goes beyond the expected.

Great Expressions Dental Centers Inc

Claims Resolution Representative

If you are someone who thrives on purpose and wants to make a tangible difference in people's lives when it matters most, then join AAA Life who has the unique ability to access tens of millions of existing AAA customers powered by the strength of one of America's most trusted brands. The Director, Claims provides strategic leadership for AAA Life''s Claims organization, overseeing claims operations while driving operational excellence, digital transformation, analytics, automation, and customer experience.

AAA Life Insurance Company

Director, Claims

High school diploma or equivalent; additional education or certifications in medical billing, office administration, or healthcare management is a plus. We are seeking a highly organized and detail-oriented individual to join our healthcare team as a Medical Biller and Office Manager .

Total Extended Care Services

Medical Biller and Medical Office Manager

The Hire Talent

The Finance & Revenue Cycle Manager is responsible for managing Miller Vein’s day-to-day revenue cycle operations, including insurance verification, prior authorizations, medical billing, claims management, payment posting, denial management, accounts receivable, collections, and reimbursement. The Manager identifies opportunities to improve reimbursement, resolve complex billing issues, strengthen workflows, and support accurate and timely financial operations while providing direction to the billing and insurance team.

Miller Vein

Healthcare Revenue Cycle Manager

As a trusted partner to independent agents and policyholders, weve earned a reputation for financial strength, exceptional service, and long-term stability, including an A (Excellent) financial strength rating from A.M. Youll assist with setting up new claims, processing incoming documentation, responding to inquiries from policyholders and agents, and supporting claim professionals with their daily activities.

Hastings Mutual Insurance Company

Claim Technician

Walgreens has approximately 220,000 team members, including nearly 90,000 healthcare service providers, and is committed to being the first choice for pharmacy, retail and health services, building trusted relationships that create healthier futures for customers, patients, team members and communities. Models and shares customer service best practices with all team members to deliver a distinctive and joyful patient experience, including interpersonal habits that show care (e.g., greeting, eye contact, courtesy, etc.) and Walgreens service traits (e.g., demonstrating curiosity to identify needs and proactively helping, servicing until satisfied, championing empathy and inclusivity, etc.).

Founded over a century ago in 1901, we have a rich and colorful history of continuous improvement and innovation at Walgreens. From inventing the world’s first chocolate malted milkshake to the creation of one of the most popular and sophisticated mobile applications in retail shopping today, we have transformed ourselves into a leader within the retail and drug industry.
Walgreens, one of the nation’s largest drugstore chains, is included in the Retail Pharmacy USA Division of Walgreens Boots Alliance, Inc., the first global pharmacy-led, health well being enterprise.
At Walgreens you'll find a team positively energized by the unique talents, ideas, experiences and aspirations of every individual. In other words, you can be your authentic self in our stores, offices and other workplaces, and be comfortable and confident that what matters most here is doing your best to make health and well-being within reach for everyone on a daily basis.
Walgreens has a proud legacy of valuing diversity and fostering inclusion more than 100 years-strong, and we're still living that commitment. We intend to be recognized as a “Next Practices” company for diversity and inclusion – one whose cultures, people, perspectives and workplaces reflect the current and future customers we serve while delivering superior business performance.
Walgreens has over 9,500 stores in all 50 states, the District of Columbia, Puerto Rico, and the U.S. Virgin Islands.

Walgreen Co

Pharmacy Manager

Pharmacy Manager - Sign-On Bonus Available

Series Production Programs: Manage Series Production Phase including claims management, change management & continuous improvement, VA/VE activities, and execution of ongoing price negotiations / adjustments. The position also sets milestones, monitors project execution, resolves program risks, and directs cross-functional teams spanning engineering, manufacturing, commercial, and administrative functions.

Methode Electronics, Inc.

Program Manager

Walgreens

Pharmacy Manager - $75K Sign-On Bonus

Ability to accurately deal with mathematical problems, including, geometry (area and volume) and financial areas (such as accuracy in sums, unit costs, and the capacity to read and develop understanding of personal and business finance documents). This job includes training and development completion of the Company's claims training program for the assigned line of insurance and requires the person to: Investigate, evaluate, and settle entry-level insurance claims.

Auto-Owners Insurance Co

Auto Claims Representative (Northern Michigan)

What you'll do: Proactively manages assigned claims caseload comprised of complex damages that require commensurate knowledge and understanding of claims coverage including potential legal liability. 2 years of relevant property claims adjusting experience of moderate complexity losses that includes writing estimates, involving dwelling and structural damages.

Industry leading service that puts our memberships' needs first. We're dedicated to the financial well-being of members of the military and their families for generations to come. That's why we provide a variety of financial products and best-in-class service to help our members achieve their financial goals and plan for the future. Our history continues to drive our purpose. USAA began in 1922 with 25 Army officers who offered to insure each other's vehicles when no one else would. Today, their tiny organization has grown into a respected institution offering a full range of financial products to millions of members. We believe they'd be pleased to know that USAA remains true to their founding values of service, loyalty, honesty and integrity. In 1922, when 25 Army officers met in San Antonio, Texas, and decided to insure each other's vehicles, they could not have imagined that their tiny organization would one day serve over 8 million members and become one of the only fully integrated financial services companies in America. We believe they would be pleased to know that USAA has remained true to their founding values of service, loyalty, honesty and integrity.

USAA

Property Claims Adjuster Specialist - Field

The complexity of these assignments creates unique insurance and risk management challenges and provides an opportunity to make a meaningful impact by protecting the organization's risk posture, supporting client objectives, and helping navigate insurance and risk-related issues throughout the asset lifecycle. Partner with the organization's insurance brokerage firm to coordinate insurance placement, claims strategy, risk assessments, loss prevention initiatives, market intelligence, and other advisory services that strengthen the organization's overall risk posture.

Friedman Real Estate

Insurance And Risk Manager

FULL_TIME

Responsibilities: Works closely with staff in operations, engineering, human resources, and other functions to provide technical environmental safety and health support and direction to corporate and production personnel. Works closely with staff in operations, engineering, human resources, and other functions to provide technical environmental safety and health support and direction to corporate and production personnel.

Claims Manager Jobs in Michigan

Billing Specialist - Dental Health Delivery Inc

Claim Investigator (Non-Injury) - CSIU AAA Southern New England

Medical Director - Health Plan Martin's Point Health Care LLC

Full Time Pharmacy Technician SpartanNash Associates, LLC

Contents Manager PuroClean

Claims Coordinator Brighton

Claims Coordinator ServiceMaster Restore

Claims Resolution Representative Great Expressions Dental Centers Inc

Director, Claims AAA Life Insurance Company

Medical Biller and Medical Office Manager Total Extended Care Services

Healthcare Revenue Cycle Manager Miller Vein

Claim Technician Hastings Mutual Insurance Company

Pharmacy Manager Walgreen Co

Pharmacy Manager - Sign-On Bonus Available Walgreen Co

Program Manager Methode Electronics, Inc.

Pharmacy Manager - $75K Sign-On Bonus Walgreens

Auto Claims Representative (Northern Michigan) Auto-Owners Insurance Co

Property Claims Adjuster Specialist - Field USAA

Insurance And Risk Manager Friedman Real Estate

Environmental, Health & Safety Manager (EH&S Manager) - Detroit Thermal Systems Piston Automotive

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