Medical Claims Specialist

3 weeks ago


Detroit, Michigan, United States Acadia Healthcare Full time
Job Summary

Acadia Healthcare is seeking a skilled Medical Claims Specialist to join our team. As a Medical Claims Specialist, you will be responsible for ensuring timely and accurate billing of patient claims. This role requires strong analytical and problem-solving skills, as well as excellent communication and organizational abilities.

Key Responsibilities

• Responsible for billing all patient claims in a timely and accurate manner

• Perform financial assessments of patients and calculate charges and billing

• Assist in batching of deposits and complete adjustments from TDFPS

• Process daily day-ends for the hospital and assist in the close of the month

• Collaborate with the CFO to calculate deposits for the hospital

• Perform log requirements for Medicaid patients and assist in documentation of correspondence

• Conduct business auditing of charts to ensure proper billing and documentation

• Review claims issues, make corrections as needed, and rebill

Requirements

• High school diploma or GED

• Minimum 5 years of job-related experience, with emphasis on admissions and/or collections experience in a hospital setting

• Strong written and verbal skills, with ability to deal effectively with all levels of hospital management and the public

• Advanced computer skills, including Microsoft Office

• Ability to work professionally with sensitive data and maintain confidentiality

Preferred Qualifications

• Financial awareness and problem-solving skills

• Ability to work in a fast-paced environment and adapt to frequent priority changes

• Strong organizational skills and attention to detail

Equal Opportunity Employer

Acadia Healthcare is an equal opportunity employer and welcomes applications from diverse candidates. We are committed to creating an inclusive work environment that values diversity, equity, and inclusion.

  • Detroit, Michigan, United States OpTech Full time

    We are seeking a skilled Claims Analyst for our Healthcare domain client.This is a 1-year contract role.Location - Detroit, MI (Hybrid).Pay rate - $45/hour on W2.Job Description:Medical BillingMedical codingKnowledgeable of procedure & diagnostic codesExperience with basic testingKnows how to build a claimsAt OpTech, we value diversity and inclusion. We are...


  • Detroit, Michigan, United States destinationone Consulting Full time

    Medical Billing Specialist Job DescriptionDestinationone Consulting is seeking a highly skilled Medical Billing Specialist to join our team. As a Medical Billing Specialist, you will play a critical role in ensuring the accurate and timely submission of claims and payments for our healthcare clients.Key Responsibilities:Prepare and submit accurate claims to...


  • Detroit, Michigan, United States Strategic Staffing Solutions Full time

    Job Opportunity at Strategic Staffing SolutionsThis role at Strategic Staffing Solutions will be responsible for implementing benefit changes for multiple customers, working in the claims benefits system to identify and document requirements for system changes, claims testing and validation of system enhancements, and implementation of changes. Key...


  • Detroit, Michigan, United States Lexitas Legal BB Full time

    Job OverviewLexitas Legal BB is seeking a skilled Claims Associate to focus on PIP/No-Fault claims in their Detroit office.This hybrid remote position requires 1+ year of experience in PIP/No-Fault claims with an insurance carrier.Competitive base salary and benefits are offered.Candidates should have a strong understanding of insurance claims processes and...


  • Detroit, Michigan, United States NJ CURE Full time

    Bodily Injury Claims Adjuster - Non-Litigation SpecialistThis role involves handling non-litigation bodily injury auto claims, including uninsured and underinsured motorist claims. The ideal candidate will have 2-4 years of experience in auto insurance claims handling.Key Responsibilities:Investigate claim validity, evaluate policy coverages, and determine...


  • Detroit, Michigan, United States Adecco USA Full time

    Adecco USA is assisting a client in their search for a skilled Medical Billing Specialist to work on a fully temporary onsite basis in Wayne, NJ. This role offers weekly pay starting at $28 an hour and requires a working knowledge of medical billing and claims processes.Key Responsibilities:Organize payments, handle denied claims, and follow-ups with...

  • Claims Adjudicator

    4 weeks ago


    Detroit, Michigan, United States Detroit Wayne Integrated Health Network Full time

    Job Summary:The Claims Adjudicator is responsible for reviewing and processing claims submitted to DWIHN. This role requires strong analytical and problem-solving skills, as well as excellent communication and customer service skills.Key Responsibilities:Review and process claims submitted to DWIHNDetermine whether claims should be paid or deniedVerify...


  • Detroit, Michigan, United States KYYBA Full time

    Job Title: Medical Coding SpecialistWe are seeking a highly skilled Medical Coding Specialist to join our team at Kyyba. As a Medical Coding Specialist, you will be responsible for reviewing and researching new code changes released by the Coding Authorities (AMA, CMS) for system implementation in PPO and HMO Commercial Business.Key Responsibilities:Analyze...


  • Detroit, Michigan, United States Destinationone Consulting Full time

    At Destinationone Consulting, we are seeking a skilled Medical Billing Specialist to join our team. This role is critical in maintaining the financial health of our healthcare clients and ensuring compliance with insurance regulations.Key Responsibilities:Prepare and submit accurate claims to insurance companies and government programs.Verify patient...


  • Detroit, Michigan, United States destinationone Consulting Full time

    destinationone Consulting specializes in recruitment across diverse sectors including Healthcare, Health Tech, Government, Municipalities, NonProfits, Legal, and Public Accounting. We are proactively building a data bank for opportunities in these fields. By applying, you ensure our recruiters can quickly match you with suitable roles when they...


  • Detroit, Michigan, United States Strategic Staffing Solutions Full time

    Strategic Staffing Solutions is seeking a skilled Claims Benefits Analyst to join their team. The ideal candidate will have a strong background in medical and facility claims, with a deep understanding of the billing process, ICD codes, procedure codes, and diagnosis codes. Key responsibilities will include implementing benefit changes for multiple...

  • Field Claims Adjuster

    4 weeks ago


    Detroit, Michigan, United States American Family Insurance Full time

    Job SummaryWe are seeking a skilled Field Property Claims Adjuster to join our team at American Family Insurance. As a Field Property Claims Adjuster, you will be responsible for investigating and maintaining property claims, determining liability, securing information, reviewing coverages, arranging appraisals, and settling claims.Key...


  • Detroit, Michigan, United States KYYBA Full time

    Job DescriptionWe are seeking a skilled Medical Coding Specialist to join our team at Kyyba. The ideal candidate will have a strong background in medical coding and a passion for staying up-to-date with the latest industry developments.Key Responsibilities:Review and research new code changes released by the Coding Authorities (AMA, CMS) for system...


  • Detroit, Michigan, United States Farmers Insurance Full time

    Job SummaryWe are seeking a highly skilled and experienced Claims Adjuster II or III to join our team at Farmers Insurance. As a Claims Adjuster, you will be responsible for inspecting and appraising damaged property and vehicles, determining claims-related damage, and negotiating settlements with customers and repair facilities.Key Responsibilities:Inspect...


  • Detroit, Michigan, United States NJ CURE Full time

    Job Title: PIP Litigation SpecialistWe are seeking a highly skilled PIP Litigation Specialist to join our team at NJ CURE.Job SummaryThe ideal candidate will be responsible for referring new suits to counsel, adjusting litigation pending, and negotiating settlements. This role requires a strong understanding of PIP regulations, excellent negotiation skills,...


  • Detroit, Michigan, United States OneStaff Medical Full time

    Medical Laboratory Specialist OpportunityWe are seeking a highly skilled Medical Laboratory Specialist to perform laboratory tests in toxicology, chemistry, hematology, immunology, and microbiology laboratories. As a Medical Laboratory Specialist, you will be responsible for managing blood bank inventories and working in various locations across the...


  • Detroit, Michigan, United States Advantis Medical, Inc. Full time

    Advantis Medical, Inc. is seeking a skilled Medical Laboratory Specialist to join their team in a travel position in Detroit, MI. Job DetailsSpecialty: Medical Laboratory Specialist Duration: 13 weeks 40 hours per week Shift: 8 hours, days Employment Type: Travel As a Medical Laboratory Specialist, you will be responsible for providing high-quality care to...


  • Detroit, Michigan, United States Detroit Medical Center Full time

    Job Title: Medical Laboratory SpecialistAt the Detroit Medical Center, we are seeking a highly skilled Medical Laboratory Specialist to join our team. As a Medical Laboratory Specialist, you will be responsible for processing and testing specimens, reviewing and reporting lab results, and performing operational duties, maintenance, and advanced...


  • Detroit, Michigan, United States The Hanover Insurance Group Full time

    Job Title: Outside Property AdjusterAt The Hanover Insurance Group, we are seeking a highly skilled and experienced Outside Property Adjuster to join our team. As a key member of our Property Claims department, you will be responsible for handling property claims requiring field investigations and/or inspections.Key Responsibilities:Conduct thorough...


  • Detroit, Michigan, United States Strategic Staffing Solutions Full time

    Pharmacy Technician SpecialistThis role is ideal for a highly skilled Pharmacy Technician looking to take their career to the next level. As a Pharmacy Technician Specialist with Strategic Staffing Solutions, you will be responsible for providing exceptional support to our clinical team in the adjudication of pharmacy claims. Your expertise in pharmacy...