Claims Processing Director jobs in Michigan

Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Claims Processing Representative
  • Great Expressions Dental Centers
  • Southfield, MI FULL_TIME
  • What you’ll do… This position will be responsible for handling the day to day functions related to the successful processing of dental insurance claims. This position is responsible for processing payments to accounts according to company policies. The role will complete all phases of Claims Processing training and will be required to meet set deadlines and departmental standards of accuracy.   What you’ll bring to the team… Must possess high degree of professionalism and adaptability 10-Key & Alpha Numeric Data Entry with speed and accuracy                Effective verbal and written communications, including active listening skills and skill in presenting findings and recommendations Proficient in the use of end-user computer applications regarding productivity (MS Word, Excel, Outlook), Windows file management, database, electronic health/medical records and patient billing and other medical information systems Team Player High level of detail orientation and organizational skills Basic math and analytical abilities Ability to work independently and professionally in a high volume environment Ability to maintain confidentiality Must have predictable and consistent attendance   What we require you have… Post fundamental payer payments as assigned Follow denial protocols and procedures to correct or adjust claims Communicate clearly and concisely via telephone or email Assist with departmental admin duties Post patient payments to accounts Other tasks as requested by direct Manager High school diploma or GED Experience in medical billing systems a plus Understanding of Medicare / Medicaid laws, managed care, and commercial health insurance a plus   About GEDC… Since 1982, Great Expressions has been at the forefront of dental innovation, setting the standard for exceptional care and unforgettable patient experiences. Now, we're entering a new era of transformation, and we want you to be a part of it. Our recently appointed leadership team brings over a century of collective dental expertise and is backed by dynamic investment support to pave the way for groundbreaking changes. We're channeling our resources and energy into revolutionizing our technology platform, expanding service offerings, and creating a personalized patient experience that goes beyond the expected. At Great Expressions, we're not just transforming dentistry; we're investing in the growth and development of our team. Join us and be a part of a career that blends innovation and professionalism, where your contribution shapes the future of dental excellence.
  • 2 Months Ago

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Director, Reprocessing Services - Central Sterile Processing - Full Time - Days
  • Central Sterile Processing - Full Time - Days - Henry Ford Health - Careers Careers
  • Jackson, MI FULL_TIME
  • Administrative accountability for leading, managing, supervising and evaluating all aspects of administrative and operational services within Sterile Reprocessing. Assures professional, clinical, and ...
  • 1 Month Ago

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MI - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Balitmore, MI FULL_TIME
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 25 Days Ago

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Cannabis Processing Tech / Material Prep (2nd Shift, full-time)
  • Machine Grow and Processing
  • Ionia, MI FULL_TIME
  • About Us:Machine Grow and Processing (MGP) is a leading player in the cannabis industry, dedicated to producing high-quality extracts and products. Our team developed the TrapHouse Company and 3Lefts ...
  • 1 Month Ago

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Mortgage Processor
  • Respect Processing
  • Sterling, MI FULL_TIME
  • Job OverviewWe are seeking a detail-oriented and organized Mortgage Processor to join our team. As a Mortgage Processor, you will play a crucial role in ensuring the smooth and efficient processing of...
  • 25 Days Ago

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Medical Biller
  • Provider Claims Mgmt.
  • Ortonville, MI PART_TIME,FULL_TIME
  • Company Overview: PCM is a leading fast-paced medical billing service committed to delivering high-quality care to our clients. We prioritize excellence in patient services and seek individuals who ar...
  • 6 Days Ago

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Director of Claims Quality
  • Tandym Group
  • Jersey City, NJ
  • A health services organization in New York City is currently seeking an experienced professional to join their staff as ...
  • 4/19/2024 12:00:00 AM

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Director of Claims Management
  • MoveUp Consulting
  • Wooster, OH
  • Job Description Job Description Job Title: Director of Claims Management Location: REMOTE - Wooster, OH Company: MoveUp ...
  • 4/18/2024 12:00:00 AM

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Managing Director - Construction Claims
  • LVI Associates
  • As the Managing Director of Construction Disputes / Claims, you will play a pivotal role in spearheading our clients eff...
  • 4/18/2024 12:00:00 AM

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Director of Claims
  • Masis Professional Group
  • Charlotte, NC
  • SUMMARY: Assists with the management of the claims department. Manages complex claim files and manages personnel in the ...
  • 4/17/2024 12:00:00 AM

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Director of Claims
  • Masis Professional Group
  • Charlotte, NC
  • SUMMARY: Assists with the management of the claims department. Manages complex claim files and manages personnel in the ...
  • 4/16/2024 12:00:00 AM

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Casualty Claims Director
  • Plymouth Rock Assurance
  • Boston, MA
  • Reporting directly to the Vice President of Claims of the Independent Agent Channel, the Director will oversee our MA an...
  • 4/16/2024 12:00:00 AM

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Director of Claims Quality
  • AppleOne Employment Services
  • New York, NY
  • Our client is a large health plan located in NYC. The client is looking to hire a Director of Claims Quality. This perso...
  • 4/16/2024 12:00:00 AM

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Casualty Claims Director
  • Plymouth Rock Assurance
  • Boston, MA
  • Reporting directly to the Vice President of Claims of the Independent Agent Channel, the Director will oversee our MA an...
  • 4/15/2024 12:00:00 AM

Michigan consists of two peninsulas that lie between 82°30' to about 90°30' west longitude, and are separated by the Straits of Mackinac. The 45th parallel north runs through the state—marked by highway signs and the Polar-Equator Trail—along a line including Mission Point Light near Traverse City, the towns of Gaylord and Alpena in the Lower Peninsula and Menominee in the Upper Peninsula. With the exception of two small areas that are drained by the Mississippi River by way of the Wisconsin River in the Upper Peninsula and by way of the Kankakee-Illinois River in the Lower Peninsula, Michigan...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$156,549 to $210,371

Claims Processing Director in Cedar Rapids, IA
The Manager-Claims Process evaluates existing business processes, procedures, and results to identify variance, recommend best practices that ensure high quality/low cost outcomes, and gain alignment across the business.
January 22, 2020
Getting a clear picture of your claims processes is key to containing future costs.
December 23, 2019
Claims Processing Director in Salem, OR
To file a claim, you would need to call the claims department or stop by your local agent’s office.  Some insurance companies also accept claims filed over the Internet.  Regardless of how you submit the claim, the information required will be similar.
February 17, 2020
Claims Processing Director in Baltimore, MD
Officials said the advance work will allow the files to be assigned immediately to claims processors for a decision within 30 days.
February 21, 2020