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Backend Insurance Verification Jobs in Michigan (NOW HIRING)

Corporate Services

CentralAuthorizationSpecialist

Troy, MI · On-site

$17 - $22.75/hr

Ensure feedback relevant to successful authorization procurement is obtained from back-end coding ... insurance verification and/or billing experience * Authorization: Experience obtaining insurance ...

Corporate Services

Central Authorization Specialist

Troy, MI · On-site

$17 - $22.75/hr

Ensure feedback relevant to successful authorization procurement is obtained from back-end coding ... Insurance/Billing: 2+ years of healthcare insurance verification and/or billing experience

Corporate Services

Central Authorization Specialist

Troy, MI · On-site

$17 - $22.75/hr

Ensure feedback relevant to successful authorization procurement is obtained from back end coding ... Highly computer literate required * 2 years of healthcare insurance verification and/or billing ...

Corporate Services

Central Authorization Specialist

Troy, MI · On-site

$17 - $22.75/hr

Ensure feedback relevant to successful authorization procurement is obtained from back end coding ... Two years of experience related to healthcare insurance verification and/or billing required.

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Angular Developer

Detroit, MI · On-site

$54.25 - $66.25/hr

Collaborate with backend and data engineering teams to consume data from knowledge graph solutions ... and services, banking, insurance and public administration sectors in the definition and ...

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Angular Developer

Detroit, MI · On-site

$54.25 - $66.25/hr

Collaborate with backend and data engineering teams to consume data from knowledge graph solutions ... and services, banking, insurance and public administration sectors in the definition and ...

TH Medical

Revenue Cycle Analyst

Detroit, MI · On-site

Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... reduce back end rejections. Coordinates and performs corporate audits to ensure charges are ...

TH Medical

Revenue Cycle Analyst

Detroit, MI · On-site

Medical, dental, vision, and life insurance 401(k) retirement savings plan with employer match ... reduce back end rejections. Coordinates and performs corporate audits to ensure charges are ...

Reply

iOS Developer Intern

Detroit, MI · On-site

$27.50 - $35/hr

... backend developers, QA, UI/UX, and product owners Integrate REST APIs and third-party services ... and services, banking, insurance and public administration sectors in the definition and ...

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Android Developer Intern

Detroit, MI · On-site

$27.50 - $35/hr

... backend developers, QA, UI/UX, and product owners Integrate APIs and third-party libraries ... and services, banking, insurance and public administration sectors in the definition and ...

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All JobsBackend Insurance Verification JobsBackend Insurance Verification Jobs in Michigan

Backend Insurance Verification information

What is the difference between Backend Insurance Verification vs Front Desk Insurance Verification?

AspectBackend Insurance VerificationFront Desk Insurance Verification
Primary ResponsibilitiesProcessing insurance claims, verifying coverage electronically, and handling billing issuesChecking insurance information at patient check-in, collecting documents, and initial verification
Work EnvironmentOffice-based, often in billing or administrative departmentsFront desk, reception area, patient check-in stations
Required CredentialsKnowledge of insurance policies, billing software, and healthcare regulationsBasic insurance knowledge, customer service skills, and administrative training
Common UsageUsed in billing departments for detailed claim processingUsed at the point of patient intake for initial verification

Backend Insurance Verification involves processing insurance claims and verifying coverage electronically within billing departments, while Front Desk Insurance Verification focuses on initial patient insurance checks at the front desk. Both roles require insurance knowledge but differ in responsibilities and work environment.

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Backend Insurance Verification jobs near you

CentralAuthorizationSpecialist

Corporate Services

Troy, MI • On-site

$17 - $22.75/hr

Full-time

Posted 26 days ago

Job description

The purpose of the Central Authorization Specialist position is to centrally facilitate the successful procuring of insurance authorizations for ordered procedures and post-operative care. This will be done through quality validations of obtained authorizations as well as continuous education and opportunity feedback to a multi-disciplinary team with the underlying objective of managing the cost of care and providing timely and accurate information to payors. The Central Authorization Specialist helps drive change by identifying areas where performance improvement is needed (e.g., day to day workflow, education, process improvements, patient satisfaction). The Central Authorization Specialist is accountable for a designated caseload and plans effectively in order to meet demands and support resources procuring authorizations. Under general supervision and in accordance with established policies and procedures the specific functions within this role include Subject matter expertise of precertification and payor authorization processes. Ensure successful authorizations are procured by ordering physician offices through validation of work effort and education of procuring staff. Ensure feedback relevant to successful authorization procurement is obtained from back-end coding, billing and denial management resources and distributed to ordering physicians and authorization procurement staff to promote continuous improvement. Application of process improvement methodologies. The responsibilities include acting as a centralized resource for assigned specialty across all sites of practice to ensure standardized and consistent procurement of authorizations. 

  • Education: High school diploma or equivalent combination of education/experience
  • Experience: 3-5 years in a medical clinic, hospital, or corporate setting
  • Healthcare: 2+ years of insurance verification and/or billing experience
  • Authorization: Experience obtaining insurance authorizations and interpreting treatment plans/RN or physician notes
  • Knowledge: Medical coding, clinical terminology, insurance records, and revenue cycle
  • Preferred: Medical/surgical specialty clinic experience; knowledge of hospital operations, utilization/case management, and managed care reimbursement
  • Technical: Highly computer literate; strong data management skills
  • Communication: Strong written/verbal, interpersonal, and negotiation skills
  • Collaboration: Comfortable working with physicians, nurses, payors, patients, finance teams, and leadership
  • Organization: Strong time management and ability to prioritize multiple tasks
  • Judgment: Able to work independently and resolve issues/authorization roadblocks effectively
 
 
Additional Information
  • Organization: Corporate Services
  • Department: CBO Central Authorization Unit
  • Shift: Day Job
  • Union Code: Not Applicable

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