Top 745 Medical claims Jobs in Michigan

Homecare Operations Manager – Michigan Medicaid (Troy, MI)
Alpenglow Homecare LLC —Troy, MI
- $70,000 - $75,000 a year
- Full-time
- Background check
- Customer service
- HIPAA
- Mileage reimbursement
- Health insurance
Quick Apply
Medical Biller
Michigan Head & Spine Institute —Novi, MI
- Full-time
- Mid-level
- High school diploma or GED
- In-person
- Paid holidays
- Disability insurance
Quick Apply
Medical Billing and Authorization Specialist
Muskegon Surgical Associates, PC —Muskegon, MI
- Full-time
- Background check
- Surgery
- Medical office experience
Quick Apply
Prior Authorization Specialist
Cascade Hemophilia Consortium —Ann Arbor, MI
- $41,600 - $70,000 a year
- Full-time
- Background check
- Computer literacy
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
Patient Account Specialist- Rochester Hills, MI
HealthQuest Physical Therapy —Rochester Hills, MI
- $18 - $21 an hour
- Full-time
- Customer service
- High school diploma or GED
- Organizational skills
- Health savings account
- Health insurance
Medical Claim Analyst
CVS Health —Michigan
- $18.50 - $38.82 an hour
- Full-time
- Remote
- Customer service
- Research
- Mid-level
- Health insurance
- Dental insurance
5d
Ambulatory Clinical Documentation Integrity Specialist (Remote)
Trinity Health —Livonia, MI
- $75,592.71 - $113,389.06 a year
- Full-time
- Remote
- Nursing
- Mid-level
- Analysis skills
Medical Billing Specialist
Applied Innovative Billing LLC —Michigan
- From $18 an hour
- Part-time
- Remote
- HIPAA
- Research
- Mid-level
- Flexible schedule
Quick Apply
1d
Medical Biller: Workers’ Compensation Accounts Receivable (AR) Specialist
Synergy Health Partners MSO, LLC —Troy, MI
- $20 - $26 an hour
- 8 hour shift
- Hybrid work
- Background check
- Microsoft Outlook
- Customer service
- Health insurance
- Dental insurance
Quick Apply
RCM Specialist-Medical Biller
TruVista Surgery Center - ASC (TVSC) —Troy, MI
- Full-time
- HIPAA
- English
- Mid-level
- Health savings account
- AD&D insurance
Compliance Liaison
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Bachelor's degree
- Dental insurance
- Opportunities for advancement
Medical Billing and Coding Specialist
MBMS - Medical Billing and Management Services —Grand Rapids, MI
- $20.19 - $31.89 an hour
- Full-time
- Remote
- Office
- US work authorization
- Medical terminology
- Health insurance
- Dental insurance
Quick Apply
1d
CBO Insurance Sr. Specialist - Full Time Days - Remote (Michigan Residents)
Henry Ford Health —Troy, MI
- Full-time
- Remote
- 5 years
- High school diploma or GED
- Team management
- Health insurance
- Dental insurance
6d
Authorization and Denials Coordinator
CompuGroup Medical —Bloomfield Hills, MI
- Full-time
- Hybrid work
- Mid-level
- 3 years
- Continuous improvement
- Health insurance
- Dental insurance
9d
Case Manager, Registered Nurse
CVS Health —Michigan
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- Addiction Medicine
- Health insurance
- Dental insurance
Insurance Accounts Receivable Specialist
Healing Haven —Madison Heights, MI
- From $55,000 a year
- Full-time
- Hybrid work
- Computer literacy
- Research
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
6d
Healthcare Encounter Senior Analyst
CVS Health —Michigan
- $46,988 - $122,400 a year
- Full-time
- Remote
- Research
- Mid-level
- Office
- Health insurance
- Dental insurance
14d
Case Manager, Registered Nurse (Oncology experience required)
CVS Health —Michigan
- $54,095 - $155,538 a year
- Full-time
- Remote
- Spanish
- Nursing
- RN License
- Health insurance
- Dental insurance
Medical Biller Medical supply
Oakwayne Medical center —Westland, MI
- $20 - $40 an hour
- Part-time
- Organizational skills
- Entry level
- Paid time off
- Opportunities for advancement
Quick Apply
Inpatient Coder - Fully Remote
Hurley Medical Center —Flint, MI
- Full-time
- Remote
- Anatomy knowledge
- Mid-level
- Associate's degree

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medical claims jobs near michigan

Homecare Operations Manager – Michigan Medicaid (Troy, MI)

Alpenglow Homecare LLC
Troy, MI

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Job Details

Full-time
$70,000 - $75,000 a year

Benefits

Mileage reimbursement
Health insurance
401(k)
Paid time off
401(k) matching
Professional development assistance
Referral program

Qualifications

Professional networking
Home care experience
Customer service
HIPAA
Medicaid health insurance
Home care
Healthcare practice operations management
Medicaid
Home healthcare regulations
Office management
Patient services management
Home health agency experience

Full Job Description

Homecare Operations Manager – Alpenglow Homecare LLC

Position Summary

The Operations Manager oversees the coordinated delivery of personal care and home and community-based services for clients in the Detroit market. This role focuses on Michigan Medicaid programs, with primary emphasis on the Home Help Program (State Plan personal care), while also supporting the MI Choice Waiver and Habilitation Supports Waiver (HSW) / developmental disabilities services. The position drives business growth, maximizes authorized personal care and community living support hours, ensures high client and caregiver satisfaction, maintains full compliance with state and PIHP/CMHSP requirements, and supports operational excellence in a fast-paced homecare environment. The role is based in our Troy office.

Essential Functions

Communicate effectively with clients, family caregivers, Support Coordinators/ fiscal intermediaries, PIHPs/CMHSPs, and case managers to deliver high-quality, person-centered in-home personal care and community living supports.
Schedule and coordinate caregiver visits across the Detroit market, ensuring high utilization of authorized hours while proactively addressing staffing gaps or changes in client needs.
Collaborate with recruiting, training, and leadership teams to hire, onboard, and retain qualified caregivers; provide orientation on agency policies, documentation, Electronic Visit Verification (EVV), and program-specific requirements (especially Home Help individual vs. agency provider rules).
Assess client needs, support development and updates to service plans / person-centered plans, and advocate during assessments, reauthorizations, and renewals with PIHPs/CMHSPs or MDHHS to secure appropriate service levels.
Ensure full compliance with Michigan Medicaid, Home Help Program, MI Choice Waiver, HSW, and related guidelines; including timely documentation, EVV compliance, timesheet/authorization management, and audit readiness.
Directly manage payroll and billing processes (including timesheet review, authorization matching, and claims submission) until patient volume supports a dedicated team member.
Manage staffing to minimize overtime and resolve issues related to timesheets, authorizations, or payments.
Build and maintain strong relationships with PIHPs, CMHSPs, Area Agencies on Aging, clients, families, and community stakeholders in the Detroit area to support growth and retention.
Travel within the Detroit market and surrounding southeast Michigan territory as needed (up to 50-70%).
Perform other duties as assigned.

Qualifications

Required: Minimum 2–5+ years of operations or management experience in Michigan Medicaid homecare, with direct knowledge of the Home Help Program (individual self-directed and agency provider models). Proven success working with PIHPs/CMHSPs, authorizations, care coordination, and compliance.
Strongly Preferred: Experience with the MI Choice Waiver, Habilitation Supports Waiver (HSW), or other developmental disabilities / community living supports programs. Familiarity with self-determination / fiscal intermediary processes.
Strong understanding of Michigan Medicaid terminology, including personal care services, nursing facility level of care (NFLOC), person-centered planning, community living supports (CLS), and HCBS principles.
Proficient in EMR/EVV systems, Microsoft Office, and able to learn program-specific portals (e.g., MI Login, PIHP systems).
Excellent interpersonal, organizational, and problem-solving skills; ability to work independently and collaboratively.
Reliable, punctual, customer-focused, and committed to HIPAA compliance and client confidentiality.
Valid driver’s license and ability to travel regularly into the Detroit market from the Troy office.

About Alpenglow Homecare LLC

Alpenglow Homecare is a fast-growing, family-owned homecare agency founded from personal experience with a child’s medical needs. We specialize in personalized, high-quality personal care and community living supports for Michigan Medicaid patients, empowering individuals with disabilities, chronic conditions, and long-term support needs to live independently at home. We proudly participate in the Home Help Program, MI Choice Waiver, Habilitation Supports Waiver (HSW), and related self-determination options. Our compassionate team supports family caregivers and participants with flexible, culturally sensitive care that prioritizes choice, autonomy, and dignity.

Pay: $70,000.00 - $75,000.00 per year

Benefits:

401(k)
401(k) matching
Health insurance
Mileage reimbursement
Paid time off
Professional development assistance
Referral program

Experience:

operations or management experience in MI Medicaid homecare: 2 years (Required)
Home Help Program (self-directed and agency models): 1 year (Required)

Work Location: In person

Quick Apply

Refine Your Search

medical claims jobs in michigan

Homecare Operations Manager – Michigan Medicaid (Troy, MI)

Medical Biller

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Medical Claim Analyst

Ambulatory Clinical Documentation Integrity Specialist (Remote)

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Medical Biller: Workers’ Compensation Accounts Receivable (AR) Specialist

RCM Specialist-Medical Biller

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Medical Billing and Coding Specialist

CBO Insurance Sr. Specialist - Full Time Days - Remote (Michigan Residents)

Authorization and Denials Coordinator

Case Manager, Registered Nurse

Insurance Accounts Receivable Specialist

Healthcare Encounter Senior Analyst

Case Manager, Registered Nurse (Oncology experience required)

Medical Biller Medical supply

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