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Medical Insurance Claims Jobs in Michigan (NOW HIRING)

Claims Adjuster

Detroit, MI ยท On-site

$50K - $80K/yr

Claims Adjuster CURE Auto Insurance is a leading direct writer of auto insurance in New Jersey ... Comprehensive health benefits including medical, dental and vision coverage * Generous paid time ...

New

$69K - $92K/yr

Summit provides independent insurance agents and their clients with market-leading workers' comp ... Full-time employees have access to medical, dental, and vision coverage, wellness plans, parental ...

Auto Claims Representative

Detroit, MI ยท On-site

$23 - $30/hr

Auto Claims Representative - First Notice of Loss CURE Auto Insurance is a leading direct writer of ... Comprehensive health benefits including medical, dental and vision coverage * Generous paid time ...

Payment of appropriate medical bills * Determine reportable files per agreement with insurance company and give claim status reports to insurance company * ORM Reporting * Determining what claims ...

Clinical Denials Specialist

Farmington, MI ยท On-site

$17.75 - $23.50/hr

Keen attention to detail to ensure accurate review and analysis of denied claims and medical records. * Strong problem-solving skills to develop effective appeal strategies and overcome denial ...

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Showing results 1-20

Medical Insurance Claims information

See Michigan salary details

$12

$18

$25

How much do medical insurance claims jobs pay per hour?

As of Aug 15, 2026, the average hourly pay for medical insurance claims in Michigan is $18.28, according to ZipRecruiter salary data. Most workers in this role earn between $15.10 and $20.10 per hour, depending on experience, location, and employer.

How to become a medical insurance claims adjuster?

To become a medical insurance claims adjuster, you typically need a high school diploma or equivalent, with some roles preferring postsecondary education or relevant coursework in insurance or healthcare. Gaining experience in insurance, healthcare, or customer service can be helpful, and obtaining a state license may be required depending on the jurisdiction. Strong analytical skills, attention to detail, and knowledge of insurance policies are essential for success in this role.

What are the key skills and qualifications needed to thrive in the medical insurance claims position?

To thrive in Medical Insurance Claims, a strong understanding of healthcare billing, insurance policies, and claims processing procedures is essential, typically supported by a diploma or relevant experience in medical administration. Familiarity with claims management software, medical coding systems (such as ICD-10 and CPT), and knowledge of HIPAA regulations is commonly required. Attention to detail, problem-solving skills, and effective written and verbal communication help individuals excel in this role. These competencies ensure timely, accurate claims processing and positive working relationships with providers, insurers, and patients.

What is a medical insurance claims job?

A Medical Insurance Claims job involves processing and reviewing insurance claims submitted by healthcare providers or patients. Professionals in this role assess claims for accuracy, verify patient coverage, and determine the amount payable by the insurance company. They may also communicate with healthcare providers, policyholders, and adjusters to resolve discrepancies and ensure proper claim adjudication. Strong attention to detail and knowledge of medical billing codes and insurance policies are essential for success in this field.

What are the typical daily responsibilities of someone working in medical insurance claims?

Professionals in Medical Insurance Claims are responsible for reviewing and processing insurance claims submitted by healthcare providers or patients, verifying the accuracy of billing information, and ensuring compliance with policy guidelines. They regularly communicate with insurance companies, medical offices, and occasionally patients to resolve discrepancies or request additional information. The role involves considerable attention to documentation, data entry, and adhering to deadlines to expedite claim decisions. Teamwork is often essential, as collaboration with billing specialists and other administrative staff helps streamline claim resolution and maintain efficient workflow.

What cities in Michigan are hiring for Medical Insurance Claims jobs?

Cities in Michigan with the most Medical Insurance Claims job openings:

Infographic showing various Medical Insurance Claims job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 17% Part Time, and 5% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $38,021 per year, or $18.3 per hour.

Medical Insurance Biller

Integrated Autism Centers

Warren, MI โ€ข On-site

$23 - $26/hr

Full-time

Re-posted 19 hours ago


Job description

Medical Biller & Authorizations Representative — Integrated Autism Centers
About Us: Integrated Autism Centers provides high-quality autism diagnostic and therapy services (ABA, speech, and occupational therapy) to children and families across Metro Detroit. We're looking for a sharp, dependable Medical Biller to own our revenue cycle from authorization to payment.
The Role: This is a high-trust, full-time position for someone who knows their way around insurance billing and takes pride in clean claims and a healthy A/R. You'll be the point person for our billing operations — submitting claims, chasing denials, tracking authorizations, and making sure every service we deliver gets paid. The ideal candidate is detail-obsessed, persistent with payers, and comfortable owning the full billing cycle with minimal hand-holding.
Key Responsibilities:
  • Claims Submission: Prepare and submit clean claims for ABA, speech, and OT services to commercial payers and Medicaid; verify CPT codes, modifiers, units, and documentation before submission.
  • Denials & Appeals: Work denials and rejections promptly; prepare appeals and resubmissions, communicate with payers, and resolve issues to keep revenue flowing.
  • Insurance Authorizations: Submit, track, and follow up on authorizations and reauthorizations; monitor expiration dates and unit utilization to keep services uninterrupted.
  • Payment Posting & Reconciliation: Post ERAs/EOBs, reconcile payments against expected reimbursement, and flag underpayments or contract discrepancies.
  • A/R Management: Monitor aging reports, follow up on outstanding claims, and keep days-in-A/R low; provide regular reporting to leadership on collections and claim status.
  • Eligibility & Benefits Verification: Verify patient coverage and benefits at intake and re-verify as needed; communicate patient responsibility clearly to families.
  • Payer Documentation Requests: Gather and submit clinical documentation in response to payer records requests and pre-payment reviews, working with clinical staff to meet deadlines.

What We're Looking For:
  • 1+ years of medical billing experience; ABA, behavioral health, or pediatric therapy billing strongly preferred.
  • Working knowledge of CPT/ICD-10 coding, modifiers, and payer-specific billing rules; familiarity with BCBSM, Blue Care Network, HAP, UHC/Optum, Priority Health, and Michigan Medicaid is a strong plus.
  • Experience with practice management/EMR systems and clearinghouses (CentralReach experience a plus).
  • Strong follow-through and persistence — comfortable getting payers on the phone and staying on a claim until it's resolved.
  • Excellent attention to detail and organizational skills; able to manage multiple payers, deadlines, and priorities at once.
  • Clear written and verbal communication with families, staff, and insurance companies.
  • Discretion and reliability when handling PHI and confidential financial information; understanding of HIPAA requirements.