Clinical Claims Manager

Elevate Claims Solutions is a dynamic organization that prioritizes human experience and claim quality to drive profitable growth and retention for our partners, clients, and team members. Our mission is to provide exceptional service and support to individuals affected by claims, while fostering a culture of continuous improvement.We are seeking an...

Job OverviewLexitas Legal BB is seeking a skilled Claims Specialist to manage PIP/No-Fault claims for their Detroit, Michigan office.This hybrid remote position requires at least 1 year of experience in PIP/No-Fault claims with an insurance carrier.The estimated salary for this role is $65,000 - $80,000 per year, plus benefits.To succeed in this position,...

About the JobCenters for Neurosurgery Spine & Orthopedics is a dynamic and growing organization that requires a skilled Claims Adjudication Expert to join our revenue cycle department. As a key member of our team, you will be responsible for managing medical claims, communicating with insurance carriers, and ensuring timely and accurate processing of...

At Central City Health, we strive to provide exceptional care to our patients and communities. As a Medical Claims Specialist, you will play a vital role in ensuring that our organization receives timely and accurate reimbursements for the services we provide.About the JobThis position is responsible for preparing complex claims for various service lines,...

Job OverviewWe are seeking a seasoned field adjuster to join our team at CCMS & Associates, a leading provider of multi-line claim adjusting and third-party administration services. As an Insurance Claims Adjuster, you will play a crucial role in resolving complex property and liability claims.Salary: $65,000 - $90,000 per year, depending on experience and...

About the JobWe are looking for a highly motivated Insurance Adjuster Associate to join our team in Detroit, Michigan.In this role, you will be responsible for managing PIP/No-Fault claims from start to finish.The ideal candidate will have at least 1 year of experience in PIP/No-Fault claims with an insurance carrier.The estimated annual salary for this...

Michigan Workers' Compensation Claims ExaminerThis role requires a highly specialized individual to handle complex Workers' Compensation Lost Time claims throughout the state of Michigan.Key Responsibilities:Investigate and Evaluate Claims: Determine validity and extent of liability, ensuring compliance with applicable workers' compensation...

Job OverviewWe are seeking a skilled Healthcare Claims Specialist to join our team at W3R Consulting Inc.Job ResponsibilitiesAs a Healthcare Claims Specialist, you will be responsible for processing appeals and grievances, analyzing data, and providing comprehensive responses in accordance with established regulatory guidelines.You will also contact...

Transform the Patient Experience and Financial PerformanceR1 RCM, a global leader in revenue cycle solutions, is seeking a highly skilled Clinical Coding Specialist to join our team. As a key member of our revenue cycle operations team, you will play a critical role in reviewing and interpreting medical records to draft appeals of denied and underpaid...

Job OverviewCenters for Neurosurgery Spine & Orthopedics is a multi-specialty neurosurgery and spine office that provides uncompromising outstanding surgical, pain management, and physical therapy care. We are seeking a skilled Clinical Claims Manager to join our revenue cycle department in Wayne, NJ.The successful candidate will have 3+ years of experience...

Job Title:Clinical Nurse Manager">About the Role:We are seeking an experienced Clinical Nurse Manager to join our team at the Neighborhood Service Organization. As a key member of our healthcare staff, you will be responsible for supervising clinical nurses and ensuring the delivery of high-quality patient care.">Key Responsibilities:Provide leadership and...

Transform Patient Experience and Financial PerformanceAs a Clinical Coding Appeals Nurse, you will be part of a team delivering cutting-edge technology and expertise to hospitals, health systems, and medical groups.We strive to improve patient care and financial outcomes through data-driven insights and innovative solutions.Key ResponsibilitiesReview and...

About the RoleWe are seeking an experienced Clinical Utilization Manager to join our team at the Detroit Medical Center. This is a full-time, day shift position that requires 36 hours of work per week.ResponsibilitiesBalancing clinical and financial requirements and resources in advocating for patient needs with judicious resource managementPromotes prudent...

Job Title: Clinical Case ManagerAbout the Role:This position is responsible for utilizing a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's benefit plan and/or health needs. The ideal candidate will have clinical practice experience, excellent communication skills, and the ability to...

Job OverviewWe are seeking a skilled Collision Shop Manager to lead our Body Repair Facility in delivering exceptional customer service and achieving operational efficiency.The ideal candidate will have experience in a Body Shop or Insurance Claims environment, with a proven track record of managing people and maintaining high-quality standards.

About the Role:Hospitals and healthcare systems seek a dedicated Clinical Case Manager to lead patient-centered care coordination efforts. This professional will work closely with multidisciplinary teams to ensure seamless transitions between care settings, focusing on optimizing patient outcomes and promoting efficient resource utilization.The Clinical Case...

Job OverviewWe are seeking a skilled Inpatient Case Manager to join our team at MedNational. As a key member of our healthcare staff, you will play a vital role in coordinating patient care and ensuring seamless transitions between hospital services.This is a full-time opportunity with a competitive salary range of $51-$53 per hour. The successful candidate...

At Walker HealthForce, we're seeking a skilled Clinical Case Manager RN to join our team in Detroit, MI. This is a 13-week contract position offering 40 hours of work per week with an 8-hour day shift.About the RoleThis role will involve managing cases and working closely with healthcare professionals to ensure optimal patient outcomes. The ideal candidate...

About the Job:We are seeking a skilled Clinical Laboratory Manager to join our team at the Detroit Medical Center. In this role, you will be responsible for managing the day-to-day operations of our clinical laboratory, ensuring that we deliver high-quality patient care and meet the needs of our customers.**Key Responsibilities:*** Manage the laboratory...

A-Line Staffing is seeking a skilled Clinical Case Manager to join our team in Macomb County, Michigan.Salary: $44.14 per hourAbout the RoleWe are looking for a motivated and organized RN with experience in clinical practice and case management to work as a Contractor with potential for permanent hire. As a Clinical Case Manager, you will utilize your skills...