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    3 results for Claims Processor Administrative And Customer Support in Detroit Mi

    Medical Claims Representative We are in search of a Medical Claims Representative to join our team in NOVI, Michigan. This role is pivotal in the healthcare industry, providing a crucial bridge between patients, healthcare providers and insurance companies. You will have the chance to work in a dynamic environment and contribute to ensuring a smooth and efficient process for medical claims.<br><br>Responsibilities:<br><br>• Initiate and manage claims from clients, ensuring all necessary documentation is received and properly processed.<br>• Assign electronic disability claim notifications to the appropriate supervisors or DNCMs following client-specific protocols.<br>• Conduct member outreach regarding the disability claim review process in line with approved scripts.<br>• Keep track of incoming claim documents to ensure timely receipt and processing.<br>• Prepare and dispatch claim correspondence documents to members within established timeframes.<br>• Utilize various software (Microsoft Office, Excel, Microsoft CRM, Oracle, etc.) to create or modify documents such as reports, memos, and letters.<br>• Answer incoming telephone calls regarding claims and forward to the appropriate staff member when needed.<br>• Compile and verify all claim documents to create Recommendation Summaries to be sent to the client upon completion of the disability claim review process.<br>• Sort and distribute incoming correspondence including mail, faxes, email and/or UPS/FedEx.<br>• Assist in tracking and trending department turnaround times for reporting purposes.<br>• Maintain strict confidentiality regarding client, staff, and organizational information.<br>• Perform general clerical duties including copying, scanning, faxing, mailing, and filing as necessary.<br>• Upload documents into Spring CM and SharePoint as applicable.<br><br>Skills:<br><br>• Proficiency in Allscripts, Cerner Technologies, EHR SYSTEM, Epic Clinical, Epic Software.<br>• Experience in Appeals, Benefit Functions, Billing Functions, Claim Administration, Collection Processes. Probation Officer We are in the market for a dedicated Probation Officer to join our team in Detroit, Michigan. In this role, you will be expected to evaluate the needs of youth and their families by conducting comprehensive case management assessments and formulating service plans. You will be working closely with the court system, ensuring that all relevant data is meticulously documented and that services are delivered flexibly both in office and in the field. This role offers a long term contract employment opportunity.<br><br>Responsibilities<br>• Conduct comprehensive case management assessments for youth and their families<br>• Develop service plans with measurable objectives in collaboration with the concerned individuals<br>• Keep track of all consumer contacts through detailed written reports<br>• Assist the court by providing written reports, recommendations, and oral testimony<br>• Participate actively in staff trainings, team meetings, and conferences for personal development and service improvement<br>• Maintain a flexible work schedule to ensure the delivery of services to clients both in the office and the field<br>• Comply with all relevant standards set by the Court, Clinic, CMH, Medicaid, and CARF<br>• Prepare statistical reports to assist management in tracking work volume and workload equity<br>• Review submitted paperwork for sufficiency and check databases for information regarding court filings<br>• Ensure timely processing of cases and keep management informed of any issues or problems<br>• Perform other assigned duties as necessary. Billing Clerk We are offering a permanent employment opportunity for a Billing Clerk in DETROIT, Michigan. As a Billing Clerk, you'll be a critical part of our team, handling a variety of administrative tasks and financial duties that contribute to the overall efficient operation of our office.<br><br>Responsibilities<br>• Handle the company’s accounts payable functions, including processing invoices and preparing checks for signature<br>• Serve as the first point of contact for visitors, answering phone calls, responding to emails, and providing information about our products or services<br>• Manage office administrative tasks such as photocopying, filing, mail distribution, and other clerical duties<br>• Keep the front reception area tidy and well-organized to maintain a positive and detail oriented image<br>• Record all transactions and compile these data to prepare regular reports<br>• Coordinate with vendors and contractors, resolving any discrepancies related to invoices and payments<br>• Support the finance team by tracking expenses and preparing monthly budget reports<br>• Collaborate with the accountant to execute the financial auditing process in a timely and efficient manner<br>• Assist with the coordination of meetings and company events as needed