Claims Professional I Jobs in Michigan

Description Department: Benefits FLSA Status: Exempt Job Status: Full Time Reports To: Dawn Mazzola, Vice President Amount of Travel Required: As needed POSITION SUMMARY To assist the Client Executive and account ..

Description The Actuary, Analytics/Forecasting analyzes and forecasts financial, economic, and other data to provide accurate and timely information for strategic and operational decisions. Establishes metrics, provides data analyses, and works directly ..

Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..

Aon is looking for an Account Executive IIAs part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective solutions as part of our ..

Description The Pharmacy Claims Professional 2 monitors and ensures appropriate ... ensures appropriate adjudication of pharmacy claims. The Pharmacy Claims Professional 2 work assignments are varied ... of action. Responsibilities..

Description The Pharmacy Claims Lead operationalizes and monitors Coordination of Benefits (COB) and subrogation claim processing logic and processes. Exercises independent judgment and decision making on managing staff, complex issues regarding ..

Description The Medical Coding Coordinator 2 will process and apply the appropriate Code Edit claim payment reductions and denials based on software recommendation. The Medical Coding Coordinator 2 reviews submitted medical ..

Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..

Description The Senior Pharmacy Claims Professional oversees processes and ensures accuracy ... coordination of benefits (COB) adjudicated claims. The Senior Pharmacy Claims Professional work assignments involve moderately complex ... factors...

Description The Health Information Management Professional ensures data integrity for claims errors. The Health Information Management ... errors. The Health Information Management Professional work assignments are varied and ... Responsibilities..

Description The Claims Review Representative 3 makes appropriate ... based on strong knowledge of claims procedures, contract provisions, and state ... state and federal legislation. The Claims Review Representative 3..

Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..

Job Information Humana Claims Review Representative 2 in Kalamazoo ... in Kalamazoo Michigan Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..

Job Information Humana Claims Review Representative 2 in Dearborn ... in Dearborn Michigan Description The Claims Review Representative 2 , will ... based on strong knowledge of claims procedures, contract..

Description The Senior Health Information Management Professional ensures data integrity for claims errors. The Senior Health Information Management Professional work assignments involve moderately complex to complex issues where the analysis of ..

... Information Humana Pharmacy Desktop Auditor (Claims Professional 2) in Troy Michigan Description ... pharmacy claim review. The Pharmacy Claims Professional 2 work assignments are varied ... education and experience..

Personal Lines Account Manager Responsibilities: * Review daily reports, change requests, claim notices, auto ID Cards, order MVRs and issue certificates * Review policies for accuracy. Prepare for producer delivery or ..

Description The Pharmacy Claims Professional 2 is responsible for the ... maintaining guidelines. Responsibilities The Pharmacy Claims Professional 2 analyzes and answers inquiries ... and answers inquiries regarding pharmacy claims..

Aon is looking for an Account Executive IIIAs part of an industry-leading team, you will help empower results for our clients by delivering innovative and effective solutions supportingRisk in the Grand ..

Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..

Description The Medical Coding Coordinator 2 extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. The Medical ..

Description This Actuarial Analyst 2 role on the Specialty Benefits team will take ownership of our Dental and Vision commercial group (100 lives) renewal reporting and the dental trend analysis. This ..

Description The Senior Health Information Management Professional work assignments involve moderately complex to complex issues to work with various teams to develop business requirements, track and monitor the success of the ..