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Medical Insurance Manager Jobs in Michigan (NOW HIRING)

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Medical Insurance Manager information

What does a medical insurance manager do?

A Medical Insurance Manager oversees the daily operations of a healthcare facility's insurance department. They are responsible for managing insurance claims, ensuring compliance with regulations, and maintaining relationships with insurance providers. Their role includes supervising staff, resolving claim disputes, and optimizing processes to maximize reimbursements and minimize denials. Medical Insurance Managers play a crucial role in ensuring that patients and healthcare providers receive proper payment for services rendered.

What are the key skills and qualifications needed to thrive as a medical insurance manager?

To thrive as a Medical Insurance Manager, you need in-depth knowledge of health insurance regulations, claims processing, and a background in healthcare administration or a related field. Familiarity with insurance management software, billing systems, and compliance tools is typically required, along with relevant certifications like Certified Professional in Healthcare Quality (CPHQ) or Certified Medical Manager (CMM). Strong analytical skills, leadership, and effective communication are crucial soft skills for managing teams and navigating complex insurance processes. These abilities ensure efficient operations, regulatory compliance, and high-quality service for patients and providers.

What are the biggest challenges medical insurance managers face when coordinating between healthcare providers and insurance companies?

Medical Insurance Managers often encounter challenges in ensuring clear communication and alignment between healthcare providers and insurance companies. They must navigate complex policy details, address discrepancies in claims, and resolve billing issues efficiently to prevent delays in patient care and reimbursement. Staying updated on changing regulations and insurance protocols is essential, as is fostering strong relationships with both parties to facilitate smooth processes. Effective problem-solving and negotiation skills are critical to overcoming these challenges and maintaining seamless operations.

What is the difference between Medical Insurance Manager vs Medical Claims Supervisor?

AspectMedical Insurance ManagerMedical Claims Supervisor
CredentialsCertifications like CPC, CCS, or CPC-H often preferredSimilar certifications may be required, focusing on claims processing
Work EnvironmentOffice setting, healthcare insurance companies, or hospital administrationHealthcare facilities, insurance companies, or third-party administrators
Employer & IndustryInsurance companies, healthcare providers, or government agenciesHospitals, insurance firms, or claims processing centers
Search & Comparison IntentUnderstanding managerial roles in insuranceFocus on claims processing and supervision

The Medical Insurance Manager oversees insurance policies, compliance, and team management, focusing on strategic planning. The Medical Claims Supervisor handles claims review, processing, and quality control, emphasizing operational tasks. Both roles require similar certifications and work environments but differ in scope and responsibilities.

How much do medical insurance managers make in the US?

Medical insurance managers in the US typically earn a median annual salary of around $80,000 to $120,000, depending on experience, location, and the size of the organization. Senior roles or those with specialized certifications can earn higher salaries, often exceeding $150,000 annually.

How much do medical insurance managers make?

Medical insurance managers typically earn a median annual salary of around $80,000 to $120,000, depending on experience, location, and the size of the organization. They often require strong knowledge of healthcare policies, insurance regulations, and management software. Salaries can vary widely based on industry and certification levels.

What is the role of a medical insurance manager?

A medical insurance manager oversees the administration of health insurance plans, ensuring compliance with regulations, managing claims processing, and coordinating with healthcare providers and clients. They often analyze policy data, implement coverage strategies, and may use insurance management software to streamline operations.

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

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

Medical Insurance Manager jobs near you
Infographic showing various Medical Insurance Manager job openings in Michigan as of August 2026, with employment types broken down into 1% As Needed, 73% Full Time, 16% Part Time, 2% Temporary, 7% Contract, and 1% Nights. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

Medical Insurance Biller

Warren, MI • On-site

Integrated Autism Centers
See more jobs at Integrated Autism Centersexternal

Other

Re-posted 27 days ago

Job description

About the Job
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.

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