Top 54 Eligibility specialist Jobs in Lansing, Mi

Encounter Data Specialist
Delta Dental of Michigan —Okemos, MI
- Full-time
- Hybrid work
- 5 years
- Word processing
- Research
- Dental insurance
- Opportunities for advancement
Financial Professional - Entry Level
New York Life —Okemos, MI
- $55,000 - $120,000 a year
- Full-time
- Hybrid work
- Background check
- Customer service
- US work authorization
- Disability insurance
- Health insurance
Quick Apply
7d
Document Specialist (Part-Time)
First National Bank of America —Lansing, MI
- Part-time
- Microsoft Outlook
- Office
- US work authorization
- 401(k) matching
- Pet insurance
Quick Apply
Departmental Specialist 14 (Training and Certification Specialist)
State of Michigan —Lansing, MI
- $35.28 - $52.61 an hour
- Full-time
- Hybrid work
- Pass drug screening
- Research
- Mid-level
- Paid parental leave
- Health savings account
HCR-Patient Access Specialist / Health Care Representative
Michigan State University —East Lansing, MI
- Full-time
- Medical office experience
- Mid-level
- Communication skills
Financial Specialist 13 - Office of Aeronautics
State of Michigan —Lansing, MI
- $31.99 - $47.75 an hour
- Full-time
- CPA
- Pass drug screening
- Research
- Paid parental leave
- Health savings account
7d
Departmental Specialist 13 - IET/IELCE Coordinator
State of Michigan —Lansing, MI
- $31.99 - $47.75 an hour
- Full-time
- Pass drug screening
- Mid-level
- Office
- Paid parental leave
- Health savings account
9d
Claims Specialist, Commercial Casualty - Remote
CSAA Insurance Services, Inc. —Okemos, MI
- $62,460 - $83,400 a year
- Weekends as needed
- Remote
- Bachelor of Science
- Mid-level
- High school diploma or GED
- 401(k) matching
4d
Veterans Employment Specialist
VOLUNTEERS OF AMERICA MICHIGAN INC. —Lansing, MI
- From $22.23 an hour
- Weekends as needed
- Mid-level
- Databases
- Driver's License
Leasing Specialist - Part Time
Pivotal Housing Partners LLC —Lansing, MI
- $20 - $21 an hour
- Part-time
- Sales
- Children
- 1 year
- Paid holidays
- Paid time off
Quick Apply
Adult Education- Pathway to Options Specialist
Lansing School District —Lansing, MI
- $37.06 an hour
- Multiple hires
- English
- Mid-level
- Master's degree
Quick Apply
Departmental Specialist 13 - Privacy and Information Security Officer
State of Michigan —Lansing, MI
- $31.99 - $47.75 an hour
- Full-time
- Pass drug screening
- Mid-level
- Office
- Paid parental leave
- Health savings account
Specialist: Seasonal, Part-time
Apple —Lansing, MI
- Part-time
- Entry level
- Employee stock purchase plan
- Health insurance
Sr. Litigation Specialist -Remote
CSAA Insurance Services, Inc. —Okemos, MI
- $89,865 - $119,800 a year
- Extended hours
- Remote
- Bilingual
- Bachelor of Science
- High school diploma or GED
- 401(k) matching
Sr. Claims Specialist, Commercial Casualty - Remote
CSAA Insurance Services, Inc. —Okemos, MI
- $74,295 - $99,050 a year
- Full-time
- Remote
- Spanish
- Bachelor of Science
- 3 years
- 401(k) matching
4d
HVRP Veterans Outreach, Referral & Recruitment Specialist
VOLUNTEERS OF AMERICA MICHIGAN INC. —Lansing, MI
- From $22.23 an hour
- Full-time
- Mid-level
- Office
- Driver's License
- Dental insurance
- Vision insurance
Payroll Specialist
The Christman Company —Lansing, MI
- Extended hours
- Background check
- Microsoft Excel
- Microsoft Outlook
Quick Apply
Specialist - Outreach-Continuing
Michigan State University —East Lansing, MI
- $68,000 - $74,000 a year
- Full-time
- Mid-level
- Master's degree
- University
Financial Wellness Expert
greenpath, inc. —East Lansing, MI
- $20.35 - $23.00 an hour
- 8 hour shift
- Remote
- Spanish
- English
- US work authorization
- Paid holidays
- Health insurance
Quick Apply
SCH PATIENT ACCESS SPECIALISTS
University of Michigan Health Sparrow —Saint Johns, MI
- Full-time
- Microsoft Outlook
- Hospital
- Customer service
3h

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eligibility specialist jobs near lansing, mi

Encounter Data Specialist

Delta Dental of Michigan -
Okemos, MI

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Job Details

Full-time

Benefits

Dental insurance
Opportunities for advancement

Qualifications

Benefits administration
Word processing
Spreadsheets
Bachelor's degree
Desktop applications
Productivity software
Health insurance management

Full Job Description

Job Title:

Encounter Data Specialist

Number of Positions:

Location:

Okemos, MI

Location Specifics:

Hybrid Position

Job Summary:

At Delta Dental of Michigan, Ohio, and Indiana we work to improve oral health through benefit plans, advocacy and community support, and we amplify this mission by investing in initiatives that build healthy, smart, vibrant communities. We are one of the largest dental plan administrators in the country, and are part of the Delta Dental Plans Association, which operates two of the largest dental networks in the nation.

At Delta Dental, we celebrate our All In culture. It’s a mindset, feeling and attitude we wrap around all that we do – from taking charge of our careers, to helping colleagues and lending a hand in the community.

Position Description:

Analyzes, corrects, and recommends solutions to internal and external stakeholders regarding encounter data issues, policies, processes, requirements, and records.

Primary Job Responsibilities:

Corrects rejected encounters in compliance with internal and external processing guidelines and best practices.
Researches, reviews, and interprets encounter data to identify potential issues and address rejected records.
Monitors, manages, and audits encounter submissions to ensure timely and accurate file submission and processing.
Develops, maintains, and updates all encounter policies and procedures.
Monitors related processes to ensure internal and external requirements are met, partners with functional areas to maintain claims system support tables, and performs data entry or general data maintenance for eligibility, providers, fee sets, and benefits for related records.
Conducts root cause analysis for encounter errors reviews results, processes, and/or system programming with other departments to minimize repeat issues.
Creates and maintains an encounter error library, policies and procedures to correct rejected encounters, and daily and weekly reports.
Analyzes trends of rejected encounters, identifies opportunities for improvement, and recommends solutions.
Develops and tests internal audit and Integrated Data Management reports to prevent rejections and oversees the completion of audit reports in other departments.
Establishes and maintains strong relationships with internal and external plans, partners, and other stakeholders to correct, prevent, and resolve encounter errors.
Serves as a subject matter expert and internal consultant on encounter data, policies, processes, corrections, and provides training to internal stakeholders regarding regulatory changes.
Leads and participates in encounter data and compliance meetings as assigned.
Oversees compliance with data integrity policies for all system configurations.

Perform other related assigned duties as necessary to complete the Primary Job Responsibilities as described above.

#LI-Hybrid

Minimum Requirements:

Position requires a bachelor’s degree in business administration or a related field and five years of experience identifying, analyzing, or resolving business, system, or process issues in the administration of health plan benefits. Previous experience in the administration of Medicare and/or Medicaid programs and Centers for Medicare and Medicaid regulations and guidelines is preferred. Will accept any suitable combination of education, training, or experience.

Position requires knowledge of word processing, spreadsheet, presentation, and database applications; strong verbal and written communication skills; strong analytical skills; the ability to work independently and as part of a team; the ability to manage multiple assignments with competing deadlines; and the ability to identify and resolve complex problems using independent judgement.

The company will provide equal employment and advancement opportunity within the context of its unique business environment without regard to race, color, religion, gender, gender identity, gender expression, age, national origin, familial status, citizenship, genetic information, disability, sex, sexual orientation, marital status, pregnancy, height, weight, military status, or any other status protected under federal, state, or local law or ordinance.

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Refine Your Search

eligibility specialist jobs in lansing, mi

Encounter Data Specialist

Financial Professional - Entry Level

Document Specialist (Part-Time)

Departmental Specialist 14 (Training and Certification Specialist)

HCR-Patient Access Specialist / Health Care Representative

Financial Specialist 13 - Office of Aeronautics

Departmental Specialist 13 - IET/IELCE Coordinator

Claims Specialist, Commercial Casualty - Remote

Veterans Employment Specialist

Leasing Specialist - Part Time

Adult Education- Pathway to Options Specialist

Departmental Specialist 13 - Privacy and Information Security Officer

Specialist: Seasonal, Part-time

Sr. Litigation Specialist -Remote

Sr. Claims Specialist, Commercial Casualty - Remote

HVRP Veterans Outreach, Referral & Recruitment Specialist

Payroll Specialist

Specialist - Outreach-Continuing

Financial Wellness Expert

SCH PATIENT ACCESS SPECIALISTS

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