Medical Claims Review Manager jobs in the United States

Medical Claims Review Manager oversees the performance, productivity, and quality of the medical claims review staff. Responsible for hiring, training, and firing medical claims review staff. Being a Medical Claims Review Manager evaluates medical claims review processes and recommends process improvements. Serves as a technical resource for all medical review workers. Additionally, Medical Claims Review Manager typically requires an RN or BSN. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Claims Review Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Claims Review Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2022 Salary.com)

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Medical Billing Support Specialist
  • 'ike Group
  • Honolulu, HI
  • Medical Claims Management : Accurate and timely processing of medical claims by retrieving ... Reviewing all denials and credits. * Balancing bank deposits from reports, including confirming ...
  • 7 hours ago

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Claims Examiner
  • Innovative Management Systems Incorporated
  • City of Industry, CA
  • We are looking for a detail-oriented individual that can accurately review, research, and analyze ... Coordination of Benefits to management for approval and updating system insurance coverage profile
  • yesterday

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Coder/Abstractor II $5,000 sign-on incentive
  • UW Medicine/Valley Medical Center
  • Renton, WA
  • Reviews coding-based edits, corrects errors, and educates clinic and medical staff on appropriate ... of claims. Communicates effectively with various hospital departments to resolve missing or ...
  • yesterday

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Litigation Claims Examiner (Remote)
  • Stillwater Insurance Services, Inc.
  • Remote, OR
  • ... experience to manage the Claims examinations and reviews. You will need to ensure compliance ... Stillwater offers: * Medical, dental, vision and life insurance benefits to keep you and your ...
  • yesterday

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Entry-level Paralegal
  • Claims Management Inc
  • Tacoma, WA
  • The paralegal/case manager position performs a variety of services necessary to personal injury case management to include: · procurement and review of medical records · letter preparation · basic ...
  • 4 days ago

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Claims Examiner
  • Enterprise Engineering
  • Orange County, CA
  • ... and Management. 19) Identify claims that are a potential Stop Loss case. 20) Identify any ... review and or history search. Follow department protocol for reporting and follow-up. 21) When ...
  • 4 days ago

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Claims Adjuster Subrogation Arbitration Analyst II (Remote - Home Based)
  • Allstate
  • Remote, OR
  • ... and Medical claims. Key Responsibilities: • Summarizes documents and enters into claim system ... review liability and subrogation response, and obtains information regarding decision to reduce ...
  • 4 days ago

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Environment, Health and Safety Manager
  • Faurecia
  • Highland Park, MI
  • ... Claims § Represent company where needed in Worker's Compensation Hearings § Manage return to work ... medical and company reporting requirements and analyze data. Maintain employee administrative ...
  • 5 days ago

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Manager, Utilization Review and Claims
  • Medical Transportation Management (MTM)
  • Unionville, CT FULL_TIME
  • Who We Are and Our Mission: MTM and MTM Transit are healthcare and transportation management companies whose mission is ...
  • 2 Months Ago

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Manager, Utilization Review and Claims
  • Medical Transportation Management (MTM)
  • South Glastonbury, CT FULL_TIME
  • Who We Are and Our Mission: MTM and MTM Transit are healthcare and transportation management companies whose mission is ...
  • 2 Months Ago

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Manager, Utilization Review and Claims
  • Medical Transportation Management (MTM)
  • Unionville, CT FULL_TIME
  • Who We Are and Our Mission: MTM and MTM Transit are healthcare and transportation management companies whose mission is ...
  • 2 Months Ago

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Manager, Utilization Review and Claims
  • Medical Transportation Management (MTM)
  • South Glastonbury, CT FULL_TIME
  • Who We Are and Our Mission: MTM and MTM Transit are healthcare and transportation management companies whose mission is ...
  • 2 Months Ago

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Manager, Utilization Review and Claims
  • Medical Transportation Management (MTM)
  • East Glastonbury, CT FULL_TIME
  • Who We Are and Our Mission: MTM and MTM Transit are healthcare and transportation management companies whose mission is ...
  • 2 Months Ago

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Manager, Utilization Review and Claims
  • Medical Transportation Management (MTM)
  • Hartford, CT FULL_TIME
  • Who We Are and Our Mission: MTM and MTM Transit are healthcare and transportation management companies whose mission is ...
  • 2 Months Ago

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Manager, Utilization Review and Claims
  • Medical Transportation Management (MTM)
  • Somersville, CT FULL_TIME
  • Who We Are and Our Mission: MTM and MTM Transit are healthcare and transportation management companies whose mission is ...
  • 2 Months Ago

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Manager, Utilization Review and Claims
  • Medical Transportation Management (MTM)
  • Barkhamsted, CT FULL_TIME
  • Who We Are and Our Mission: MTM and MTM Transit are healthcare and transportation management companies whose mission is ...
  • 2 Months Ago

Income Estimation for Medical Claims Review Manager jobs
$92,807 to $118,326