8 jobs found in wixom

Beacon Health Options Job Category: Operations - Customer Service General Req #: CLAIM02341 Schedule: Full Time Location: MI - Wixom We Help People Live their Lives to the Fullest Potential! For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a 'world-class' candidate experience from the moment you click 'Apply'! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise. Do you have a passion for helping others? If so, we are looking for you! Beacon is currently seeking a Claims Customer Service Representative to join our team at our Wixom, MI office. This position will be responsible for answering verbal and written customer/member/provider inquiries including questions regarding benefits, eligibility and certifications. Primary concentration on responding to claims inquiries and resolving problems. What does a typical day look like? Interface with external and internal customers to ensure optimal efficiency of service. Address concerns of dissatisfied and or angry customers/members/providers in a diplomatic manner. Respond to customer inquiries professionally and efficiently. Educate, inform and provide guidance to members/providers/customers/co-workers regarding the claims process. Resolve in a timely manner customer/member/provider claims issues through investigation and problem solving. Process related adjustments timely. Follow-up on inquiries as needed, referring problems to other appropriate Beacon Health Options personnel as identified. Keep all parties updated throughout the process. Document all inquiries and complaints, including their resolution, appropriately in ServiceConnect. Work all open inquiries daily until resolved. Communicate the correct procedure for submitting claims so that the claim can be successfully processed. Explain the payment or denial results accurately as necessary to foster an understanding. Contribute to overall success of the claims department in meeting performance guarantees to customers and maintaining customer standards. Ensure that established work processes are followed accordingly. What you Contribute? Education : High school diploma or equivalent required. Claims/billing certification from an accredited business institution preferred. Knowledge, Skills & Abilities: Must have knowledge and experience using management information systems and software; CAS or other computerized claims processing system, word processing and spreadsheet applications (Microsoft Word and Excel). What Makes Us Different? Here, it's not just a job - it's an opportunity to change lives. Our employees are learners, innovators and original thinkers. Our mission and values guide the way we treat our members, providers and each other. What We Have to Offer: Healthcare, Dental, Vision plans and more Health & wellbeing incentives, such as gym membership reimbursement 401K to help reach your future financial goals Generous PTO, because we know life happens outside of work Tuition reimbursement so you can keep reaching your fullest potential If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started! Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you. #CB PM16 #GD #LI-DC1 PI119471493

Beacon Health Options Job Category: Operations - Customer Service General Req #: CLAIM01891 Schedule: Full Time Location: MI - Wixom We Help People Live their Lives to the Fullest Potential! For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a 'world-class' candidate experience from the moment you click 'Apply'! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise. Do you have a passion for helping others? If so, we are looking for you! Beacon is currently seeking a Claims Customer Service Representative to join our team at our Wixom, MI office. This position will be responsible for answering verbal and written customer/member/provider inquiries including questions regarding benefits, eligibility and certifications. Primary concentration on responding to claims inquiries and resolving problems. What does a typical day look like? Interface with external and internal customers to ensure optimal efficiency of service. Address concerns of dissatisfied and or angry customers/members/providers in a diplomatic manner. Respond to customer inquiries professionally and efficiently. Educate, inform and provide guidance to members/providers/customers/co-workers regarding the claims process. Resolve in a timely manner customer/member/provider claims issues through investigation and problem solving. Process related adjustments timely. Follow-up on inquiries as needed, referring problems to other appropriate Beacon Health Options personnel as identified. Keep all parties updated throughout the process. Document all inquiries and complaints, including their resolution, appropriately in ServiceConnect. Work all open inquiries daily until resolved. Communicate the correct procedure for submitting claims so that the claim can be successfully processed. Explain the payment or denial results accurately as necessary to foster an understanding. Contribute to overall success of the claims department in meeting performance guarantees to customers and maintaining customer standards. Ensure that established work processes are followed accordingly. What you Contribute? Education : High school diploma or equivalent required. Claims/billing certification from an accredited business institution preferred. Knowledge, Skills & Abilities: Must have knowledge and experience using management information systems and software; CAS or other computerized claims processing system, word processing and spreadsheet applications (Microsoft Word and Excel). What Makes Us Different? Here, it's not just a job - it's an opportunity to change lives. Our employees are learners, innovators and original thinkers. Our mission and values guide the way we treat our members, providers and each other. What We Have to Offer: Healthcare, Dental, Vision plans and more Health & wellbeing incentives, such as gym membership reimbursement 401K to help reach your future financial goals Generous PTO, because we know life happens outside of work Tuition reimbursement so you can keep reaching your fullest potential If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started! Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you. PI119471475

Beacon Health Options Job Category: Operations: Claims Proc Req #: SENIO02398 Schedule: Full Time Location: MI - Wixom About the Position: Beacon Health Options is seeking a Senior Claims Processor to join our team in Wixom, MI. The Senior Claims Processor will handle complex claim issues, act as liaison to other Departments and providers, assist Claims Processors through training and monitoring, assist with auditing of the Claims Department staff, and participate in special projects and other duties, as assigned. Position Requirements: Interface with external and internal customers to resolve claim issues related to inquiries and adjustments ensuring optimal efficiency of service. Respond to written customer inquiries professionally and efficiently. Generate letters to providers/members explaining claims action to foster an understanding of the disposition of claims. Review and re-process claims (make adjustments) for additional consideration. Research claims for additional or missing information. Perform all duties of a Claims Processor, as needed. Ensure timely completion of adjustments, voids and refunds. Initiate request for refunds by generating refund letters and/or debits on MHS. Track collection from providers/members and follow-up accordingly. Process returned checks and forward information to appropriate departments. Assist with the department auditing function. Perform audits to ensure that ValueOptions policies and procedures are applied consistently and that claims are processed properly, accurately and timely. Assist the Claims Manager in maintaining inventory levels. Assist with training staff on equipment, systems and procedures and assist staff with on-going questions. Function as, assist and train Claims Processors and Claims Auditors, when necessary. Assist the Department Manager by generating and reviewing suspension reports to monitor status of suspended claims. Review results with appropriate staff to ensure all claims are resolved and released. Investigate claims questions problems and complaints. Conduct research in order to analyze and correct problems. Recover overpayments. Reply to related correspondence. Contribute to overall success of the claims department in meeting performance guarantees to customers and maintaining customer standards. Ensure that established work processes are followed accordingly. Apply Beacon Heath Options policies and procedures consistently. Maintain Confidentiality of Clients, Business Records and Reports. Maintain ethical and professional standards. Maintain individual productivity and performance standards. Meet Departmental expectations, accuracy, and productivity and performance standards. Complete tasks accurately within required timeframes. Support Beacon Health Options in achieving Mission Statement. Adhere to the components of the Compliance Program. Ensure that job tasks are performed in a legal and ethical manner. Actively assess work area for non-compliance issues and notifies supervisor or calls Ethics Hotline. Adhere to compliance training requirements and understand that training is a required condition of employment. Participate in corporate and service center quality and utilization management programs, as appropriate. Position Requirements: Education: High school diploma / GED required Relevant Work Experience: 3 years' experience in health care claims processing required, experience in a managed care setting using management information systems and software preferred Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you. #CB #GD PI119511912

Beacon Health Options Job Category: Operations - Customer Service General Req #: CLAIM01891 Schedule: Full Time Location: MI - Wixom We Help People Live their Lives to the Fullest Potential! For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a 'world-class' candidate experience from the moment you click 'Apply'! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise. Do you have a passion for helping others? If so, we are looking for you! Beacon is currently seeking a Claims Customer Service Representative to join our team at our Wixom, MI office. This position will be responsible for answering verbal and written customer/member/provider inquiries including questions regarding benefits, eligibility and certifications. Primary concentration on responding to claims inquiries and resolving problems. What does a typical day look like? Interface with external and internal customers to ensure optimal efficiency of service. Address concerns of dissatisfied and or angry customers/members/providers in a diplomatic manner. Respond to customer inquiries professionally and efficiently. Educate, inform and provide guidance to members/providers/customers/co-workers regarding the claims process. Resolve in a timely manner customer/member/provider claims issues through investigation and problem solving. Process related adjustments timely. Follow-up on inquiries as needed, referring problems to other appropriate Beacon Health Options personnel as identified. Keep all parties updated throughout the process. Document all inquiries and complaints, including their resolution, appropriately in ServiceConnect. Work all open inquiries daily until resolved. Communicate the correct procedure for submitting claims so that the claim can be successfully processed. Explain the payment or denial results accurately as necessary to foster an understanding. Contribute to overall success of the claims department in meeting performance guarantees to customers and maintaining customer standards. Ensure that established work processes are followed accordingly. What you Contribute? Education : High school diploma or equivalent required. Claims/billing certification from an accredited business institution preferred. Knowledge, Skills & Abilities: Must have knowledge and experience using management information systems and software; CAS or other computerized claims processing system, word processing and spreadsheet applications (Microsoft Word and Excel). What Makes Us Different? Here, it's not just a job - it's an opportunity to change lives. Our employees are learners, innovators and original thinkers. Our mission and values guide the way we treat our members, providers and each other. What We Have to Offer: Healthcare, Dental, Vision plans and more Health & wellbeing incentives, such as gym membership reimbursement 401K to help reach your future financial goals Generous PTO, because we know life happens outside of work Tuition reimbursement so you can keep reaching your fullest potential If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started! Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you. PI119460443

Project Manager I 209703-911 OVERVIEW Honesty and fairness. Hard work and performance. A love for what we do . At Boldt, these are the values that drive us. They push us to be better every day. To provide the highest-quality service and greatest value to every project we’re a part of. We’re looking for people who share in that commitment. At Boldt, we live by a philosophy we call BoldThinking ® . It’s what allows us to approach every project with an open mind and the freedom to innovate. It’s a mindset of collaborative, creative problem solving—of challenging assumptions and forging new paths. BoldThinking is our culture As a member of the Boldt family, you’ll collaborate with some of the most knowledgeable professionals in our industry. You’ll have the chance to learn new skills and take on greater responsibilities, while earning competitive pay and benefits. And you’ll be part of a team that builds real value in the world around you. This position provides overall management and leadership for industrial construction projects in the power and/or automotive industry. The focus of this role is to create highly effective teams in an industrial, construction project setting. This person makes many decisions that greatly affect client relationships and profitability. Has the ability to act without close supervision. This position reports into Boldt's Wixom, MI office, however, the assigned projects for this position are power and automotive projects generally located in the Southeastern and Midwest United States. This position requires the full-time presence at the location of the project assignment. Travel is required. Responsibilities Provide project leadership for establishing, implementing and full supporting a proactive project safety culture within the boundaries of Boldt corporate policy. Implement collaborative production planning techniques to ensure accountability of the Project Team members as it relates to the customers’ requirements. Proactively manage projects to ensure uninterrupted work flow especially self-performance activities. Monitor/control construction through administrative direction of on-site Superintendent and Project Managers to ensure project is built on schedule and within budget; investigate potentially serious situations and implement corrective measures. Represent company in project meetings, assist in project labor relations activities, safety program, strategy meetings, etc. Proactively manage financial aspects of project including but not limited to contracts, purchase orders, contingency, scope revisions, labor, equipment, billings, and receivables to achieve defined project goals. Collaboratively work with customer and project team, to ensure that customers’ needs and expectations are being met, while working within the confines of the project budget and schedule. Look for ways to enhance the processes and provide innovative solutions for betterment of the company. Establish project objectives, policies, procedures through performance standards within Boldt corporate policy. Other tasks as assigned. Thorough understanding of corporate and industry practices, processes, standards, etc. and their impact on project activities vital; superior communication and interpersonal (tact, diplomacy, influence, etc.) skills is essential. PM19 Four year construction management, engineering degree or equivalent, plus extensive experience/knowledge of construction, design, finance and management required. Must be able to apply innovative and effective management techniques to maximize employee performance. Candidate must have project management experience on mid-to-large projects in the power (gas, coal-fired) and/or automotive industry. Physical Demands and Work Environment: While performing the duties of this job, the employee is frequently required to sit; use hands to handle, or feel objects, tools, or controls; talk and hear. The employee regularly is required to walk and reach with hands. The employee is occasionally required to stand; climb or balance; and stoop, kneel, crouch, or crawl. Employee frequently uses computer keyboard, regularly travels (as vehicle driver and as passenger on various modes of transportation), and occasionally performs work on-site at construction work sites. The employee must regularly lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include close vision, peripheral vision, depth perception, and the ability to adjust focus. Employee views computer monitor frequently. The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is sometimes exposed to moving mechanical parts. The employee is occasionally exposed to airborne particles or caustic chemicals. The noise level in the work environment is usually moderate. An Equal Opportunity Employer The Boldt Company does not accept unsolicited resumes from search firms or agencies. If you have any questions, please contact Boldt's Human Resources Department. Wixom, Michigan, United States Full-Time/Regular PI119163487

Construction Project Engineer 209685-911 Provide project engineering support for industrial construction projects in the automotive and power industry. This position will require interaction with supervisors, contractors and crafts to insure construction work complies with all construction documents, drawings, specifications, standards and codes. This position will also include collaborating and building relationships with the project Owner, architect and engineers. This position requires travel to project sites across the southeastern and mid-south United States. Monitor and promote safe work practices throughout the project. Monitor and promote quality installations complying with project design documents, applicable codes and Boldt company standards. Plan and organize key field duties as assigned by the project manager. Establish project objectives, policies, procedures and performance standards within boundaries of Boldt policy. Monitor/control construction through administrative direction of on-site staffing to ensure project is built on schedule and within budget; implement corrective measures should situations occur. Assist in project labor relations activities/strategy meetings, while promoting safety and productivity. Assist with the management of financial aspects of contracts to protect company’s interest and simultaneously maintain good relationship with client. Assume additional responsibilities as directed by site leadership. Educational and experience requirements include: Four year engineering degree or equivalent combinations of technical training and/or related experience and a minimum of three years of construction, design, finance and management experience. Must be able to apply innovative and effective management techniques to maximize employee performance. Thorough understanding of industry practices, processes, standards, etc. and their impact on project activities is vital. Superior communication and interpersonal skills are essential. Must have strong computer skills. PM19 Wixom, Michigan, United States Full-Time/Regular PI119163485

Beacon Health Options Job Category: Operations - Customer Service General Req #: CLAIM02341 Schedule: Full Time Location: MI - Wixom We Help People Live their Lives to the Fullest Potential! For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a 'world-class' candidate experience from the moment you click 'Apply'! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise. Do you have a passion for helping others? If so, we are looking for you! Beacon is currently seeking a Claims Customer Service Representative to join our team at our Wixom, MI office. This position will be responsible for answering verbal and written customer/member/provider inquiries including questions regarding benefits, eligibility and certifications. Primary concentration on responding to claims inquiries and resolving problems. What does a typical day look like? Interface with external and internal customers to ensure optimal efficiency of service. Address concerns of dissatisfied and or angry customers/members/providers in a diplomatic manner. Respond to customer inquiries professionally and efficiently. Educate, inform and provide guidance to members/providers/customers/co-workers regarding the claims process. Resolve in a timely manner customer/member/provider claims issues through investigation and problem solving. Process related adjustments timely. Follow-up on inquiries as needed, referring problems to other appropriate Beacon Health Options personnel as identified. Keep all parties updated throughout the process. Document all inquiries and complaints, including their resolution, appropriately in ServiceConnect. Work all open inquiries daily until resolved. Communicate the correct procedure for submitting claims so that the claim can be successfully processed. Explain the payment or denial results accurately as necessary to foster an understanding. Contribute to overall success of the claims department in meeting performance guarantees to customers and maintaining customer standards. Ensure that established work processes are followed accordingly. What you Contribute? Education : High school diploma or equivalent required. Claims/billing certification from an accredited business institution preferred. Knowledge, Skills & Abilities: Must have knowledge and experience using management information systems and software; CAS or other computerized claims processing system, word processing and spreadsheet applications (Microsoft Word and Excel). What Makes Us Different? Here, it's not just a job - it's an opportunity to change lives. Our employees are learners, innovators and original thinkers. Our mission and values guide the way we treat our members, providers and each other. What We Have to Offer: Healthcare, Dental, Vision plans and more Health & wellbeing incentives, such as gym membership reimbursement 401K to help reach your future financial goals Generous PTO, because we know life happens outside of work Tuition reimbursement so you can keep reaching your fullest potential If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started! Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you. #CB PM16 #GD #LI-DC1 PI119032481

Halls Culligan Water Outside Sales Representative- Wixom, MI US-MI-Wixom Job ID: 2020-2331 Type: Full-Time # of Openings: 1 Category: Sales Culligan of Ann Arbor/Detroit Overview Outside Sales Representative/Bottled Water & Drinking Water Filtration Sales Hall's Culligan of Ann Arbor/Detroit Are you tired of long hours working retail? Is your late night schedule waiting tables preventing you from spending time with family and friends? Are you looking for a Monday through Friday schedule with no evening or weekend hours? Hall’s Culligan in Wixom is looking for an outgoing, upbeat team member who is driven to succeed as our next Outside Sales Representative selling Culligan bottled water and drinking water filtration systems to local businesses . Our ideal candidate is just starting their career and looking to gain experience in business to business sales. This person must enjoy and have experience interacting with the public and have the desire to learn our business. Our Outside Sales Representatives are part of the fastest growing segment of our business. Your success is essential to our organization and to our customers. You provide the positive attitude and the desire to succeed, we will provide you with the tools and training you need to achieve your career goals. Why should you sell for Culligan? Use of company vehicle, gas card and cell phone Guaranteed commission with uncapped earning potential Full benefits package including 401k with company match Paid Time Off Monday – Friday schedule Extensive Culligan equipment and product training Team support with management that cares Unlimited customer potential with brand recognition and marketing International Culligan recognition for those with exceptional sales/service numbers Training seminars and industry specific trade shows or events Local and/or national sales incentives/contests Stable and growing, family oriented company Use of free Culligan equipment in your home Responsibilities Direct sales and rental of bottled water services, filtration systems and bottle free coolers Cold call and run company generated leads and appointments offering drinking water solutions to businesses Follow up on all leads and self-generating prospects Responsible for consistently providing excellent customer service through effective follow up and communication Qualifications Must be outgoing and personable, eager to self-generate leads through cold calling, referrals, and a variety of methods for lead generation. Maintain a professional appearance Customer service oriented with excellent organizational and time management skills Positive attitude, strong work ethic, outgoing & friendly A history of meeting and exceeding performance expectations Willingness to learn our products and be the local spokesperson for the brand Must have a decent driving record and be able to lift/push/pull a minimum of 50lbs For insurance purposes it is mandated that our drivers be a minimum of 21 years of age Successful completion of pre-employment screenings required Ready to apply? Email your resume directly to our hiring manager Don Powell at dpowell@hallswater.com or apply through our Career Center at https://careers-hallswater.icims.com . Benefits: Our company always offers opportunity for advancement, competitive pay, and comprehensive benefits including: Health, Dental, Vision Insurance, Company Paid Life (+ the option for additional supplemental life insurance), Disability, Critical Illness, and Accident Supplemental Plans, Flexible Spending Accounts, 401(k) with generous company match and Paid Time Off. Candidates are subject to pre-employment testing up to and including drug/alcohol screening, background check, motor vehicle record check, and D.O.T. physical, as applicable. Hall’s Culligan is proud to be an Equal Opportunity Affirmative Action Employer and encourages minorities, females, veterans and those with disabilities to apply. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or national origin. We will consider qualified candidates with criminal histories in a manner consistent with applicable law. Hall’s Culligan does not accept unsolicited resumes from staffing agencies, search firms or any third parties. INDHCL PI118892206