Healthcare Claims Processing Specialist
1 week ago
Career Opportunity:
Remote Position Available After Initial Training Period
Job Title: Case Review / Benefits Specialist
Industry: Medical/Insurance/Benefits
Working Hours: 830AM – 5PM M-F
Compensation: Competitive Pay Rate
Job Overview:
The Case Review Specialist plays a vital role in managing all aspects of in-house communication with patients/clients, referral sources, and ensuring the verification of eligibility, co-payments, and coordination of setup with company providers. This position is integral to the investigative team that addresses product and member-specific needs.
Key Responsibilities:
- Handle incoming calls and document customer requests for medical equipment in accordance with health plan criteria and diagnoses.
- Maintain effective communication with patients/clients and referral sources.
- Address inquiries and resolve issues presented by patients/clients.
- Set up new patient/client files online, confirming eligibility details and co-payments.
- Verify involvement of primary care physicians in the equipment ordering process.
- Review member contact information for delivery accuracy.
- Ensure completeness and accuracy of online orders before forwarding to providers for setup.
Experience Level:
Entry Level
About TEKsystems:
TEKsystems is a leader in technology services and talent solutions, partnering with clients to unlock new opportunities. With a workforce of 80,000 professionals, we collaborate with over 6,000 clients, including a significant portion of the Fortune 500, across North America, Europe, and Asia. Our commitment to innovation and partnership drives transformative change in the industry. TEKsystems is proud to be an equal opportunity employer, considering all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information, or any characteristic protected by law.
-
Healthcare Claims Processing Specialist
1 week ago
Southfield, Michigan, United States TEKsystems Full timeCareer Opportunity: Remote after 3 weeks of Training ONSITE Job Title: Case Review / Benefits Specialist Industry: Medical/Insurance/Benefits Hours: 830AM – 5PM M-F Pay Rate: $ Training Location: Madison Heights, MI Job Overview: The Case Review Specialist plays a crucial role in managing communications with patients, referral sources,...
-
Healthcare Claims Processing Specialist
2 weeks ago
Southfield, Michigan, United States TEKsystems Full timeCareer Opportunity: Remote after initial training period Job Title: Case Review / Benefits Specialist Industry: Medical/Insurance/Benefits Hours: 830AM – 5PM M-F Pay Rate: $ Job Overview: The Case Review Specialist plays a crucial role in managing communications with patients and clients, ensuring accurate verification of eligibility,...
-
Claims Processing Specialist
1 week ago
Southfield, Michigan, United States Great Expressions Dental Centers Full timeJob Summary:This position will be responsible for handling the day-to-day functions related to the successful processing of dental insurance claims for Great Expressions Dental Centers.The role will be responsible for processing payments to accounts according to company policies and procedures.Key Responsibilities:Post fundamental payer payments as...
-
Healthcare Billing Specialist
2 weeks ago
Southfield, Michigan, United States Glazer Spine Center Full timeJob OverviewWe are a multidisciplinary healthcare facility providing a range of services, including Physical Therapy, Chiropractic, PM&R, and Orthopedic outpatient and rehabilitative care. We are currently looking for a dedicated Healthcare Billing Specialist to join our in-house billing and intake team.Key Responsibilities:Manage billing processes for...
-
Administrative Support Specialist
2 weeks ago
Southfield, Michigan, United States Michigan Diagnostic Center Full timeJob OverviewThe Michigan Diagnostic Center is seeking an Administrative Support Specialist with a background in the healthcare sector. This role is essential for managing billing processes and requires familiarity with health insurance billing, No-Fault follow-ups, and various billing methodologies.Starting compensation is $17/hour, with medical, dental, and...
-
Business Support Specialist
6 days ago
Southfield, Michigan, United States American Dental Partners Full timeAbout the RoleWe are seeking a highly organized and detail-oriented Business Support Specialist to join our team at American Dental Partners. As a Business Support Specialist, you will play a critical role in ensuring the smooth operation of our dental office.Key ResponsibilitiesFront Office Operations: Manage front office duties, including answering calls,...
-
Healthcare Reception Specialist
2 weeks ago
Southfield, Michigan, United States Integrated Visiting Physician Solutions Full timeJob OverviewSalary: $13.00 to $15.00COMPANY BACKGROUNDIntegrated Visiting Physician Solutions PC (IVPS) is dedicated to delivering healthcare services directly to seniors and elderly individuals in their residences. Our mission is to ensure that those who face transportation challenges can still access their primary care physicians. We also extend our...
-
Medication Management Specialist
2 weeks ago
Southfield, Michigan, United States ChenMed Full timeJoin Our Transformative Team!At ChenMed, we believe in the power of innovation and compassion. We are dedicated to enhancing the lives of our patients and team members alike. Are you a proactive and driven individual with a passion for healthcare? Do you thrive in a collaborative environment and inspire those around you with your positivity? If so, we invite...
-
Phlebotomy Specialist
3 days ago
Southfield, Michigan, United States PRIDE Healthcare Full timeJob OpportunityPride Healthcare is seeking a skilled Phlebotomy Specialist to join our team in a contract role with high potential for conversion to full-time employment.Job Summary:Collect blood samples from patients of all age groups using venipuncture and capillary techniques.Process and analyze specimens in a safe, accurate, and professional manner.Enter...
-
Accounts Payable Specialist
1 month ago
Southfield, Michigan, United States Roth Staffing Companies Full timeOur Client in the Metro Detroit area is seeking an Accounts Payable Specialist to join their growing Team.ResponsibilitiesCharge expenses to accounts and cost centers and control petty cash spendingVerify vendor accounts, pay vendors and resolve purchase order, invoice or payment discrepanciesIssue purchase order amendments and stop paymentsMonitor payroll...
-
Patient Account Support Specialist
2 weeks ago
Southfield, Michigan, United States Great Expressions Dental Centers Full timeLocation Support RepresentativePosition Overview:This role is primarily focused on assisting dental practices with inquiries related to patient account balances and offering insights into their collection statuses. The location support function also entails reviewing, validating, and posting adjustments related to production.Key Responsibilities:Training...
-
Patient Account Support Specialist
2 weeks ago
Southfield, Michigan, United States Great Expressions Dental Centers Full timeLocation Support RepresentativeJob Overview:This role is primarily focused on assisting dental practices with inquiries related to patient account balances and offering insights into collection statuses. The position also entails reviewing, verifying, and posting adjustments related to production.Key Responsibilities:Training Operations Staff: Familiarizing...
-
Financial Operations Specialist
2 weeks ago
Southfield, Michigan, United States TekWissen LLC Full timeJob OverviewCompany: TekWissen LLCPosition: Financial Operations SpecialistWork Type: HybridDepartment: SHS Financial OperationRole SummaryThis role entails the oversight, evaluation, and presentation of financial data encompassing income, expenditures, trends, and/or program profitability across various divisions, clientele, or product categories.Key...
-
Healthcare Support Specialist
2 weeks ago
Southfield, Michigan, United States Ascension Full timePosition OverviewThe Patient Care Technician plays a vital role in delivering quality healthcare services. This position is essential in assisting with both clinical and non-clinical tasks under the guidance of healthcare professionals.Key ResponsibilitiesPatient Assistance: Support patients with mobility and personal care needs.Daily Living Activities: Aid...
-
Client Data Processing Specialist
4 days ago
Southfield, Michigan, United States Staffing Solutions Enterprises Full timeJob SummaryWe are seeking a highly detail-oriented and organized Client Data Processing Associate to join our team at Staffing Solutions Enterprises. As a Client Data Processing Associate, you will be responsible for the accurate and efficient processing of client information, including data entry, document review, and mail processing.Key...
-
Mortgage Loan Processing Specialist
4 days ago
Southfield, Michigan, United States Dynagen Lending LLC Full timeAbout the RoleWe are seeking a highly skilled Mortgage Loan Processor to join our team at Dynagen Lending LLC. As a key member of our loan operations team, you will be responsible for reviewing, verifying, and processing mortgage loan applications with precision and accuracy.Key ResponsibilitiesDocument Review and Processing: Ensure all loan documents are...
-
Southfield, Michigan, United States CNS Healthcare Full timeJob Overview Position Summary Ideal Candidate: At CNS Healthcare, a Certified Community Behavioral Health Clinic, our commitment is to uplift the communities we serve. The Customer Care Team is pivotal in this mission, acting as the primary point of contact for our clients. We seek an individual who is dedicated to assisting colleagues, clients,...
-
Traveling Respiratory Care Specialist
2 weeks ago
Southfield, Michigan, United States Host Healthcare Full timeHost Healthcare is in search of a skilled Respiratory Care Specialist for a rewarding Travel Allied position.Position Overview:We are committed to enhancing your professional journey in healthcare. You will be paired with a dedicated recruiter who will guide you every step of the way. Enjoy exclusive access to a wide range of opportunities across the nation....
-
Southfield, Michigan, United States CNS Healthcare Full timePosition Overview: CNS Healthcare, a Certified Community Behavioral Health Clinic, is dedicated to enhancing the well-being of our community members. The Scheduling Representative plays a vital role within our Customer Care Team, acting as the primary point of contact for individuals seeking our services. This position is essential in ensuring that clients...
-
Mobile Respiratory Care Specialist
2 weeks ago
Southfield, Michigan, United States Host Healthcare Full timeHost Healthcare is looking for a skilled Respiratory Care Specialist for a rewarding Travel Allied position.Position Overview:We are committed to enhancing your professional journey in healthcare. You will be paired with a dedicated recruiter who will assist you throughout your experience. Enjoy exclusive access to a wide range of opportunities across the...