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 2021 Salary.com)

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Medical Business Office Support Specialist
  • Tribal One Professional Services (T1 Services)
  • Eugene, OR
  • ... Clinic Manager, and the KWC Claims Billing Manager this position will provide clerical and ... Review all denied claims for rebill and appeal. * Function as Outstation Eligibility Worker for ...
  • 1 hour ago

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Medical Credentialing Specialist
  • Perfect Timing Personnel Services
  • Greenbrae, CA
  • Initiates and performs document collection and review for the appointment and reappointment ... database management. * Knowledge of Joint Commission accreditation principles, processes ...
  • 7 hours ago

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IMMEDIATE HIRE FOR APPEALS/CLAIMS PROCESSOR
  • Strategic Systems, Inc
  • Austin, TX
  • ... medical staff for review * The analyst may serve as a liaison between grievances & appeals and /or medical management, legal, and/or service operations and other internal departments. Must Haves
  • 13 hours ago

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Medical Billing Specialist
  • didgwalic Wellness Center
  • Anacortes, WA
  • Maintains a working knowledge of all health information management issues such as HIPAA and all ... Prepare, review, and transmit claims using billing software, including electronic and paper claim ...
  • 14 hours ago

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Claims Manager
  • CareOregon
  • Portland, OR
  • ... Medical Management and Line of Business leaders and staff to ensure effective integration across ... and reviews. + Manages vendor relationships as they relate to functions of the department ...
  • yesterday

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$18-$20 An Hour // Medical Collections Specialist // HIRING IMMEDIATELY
  • Aston Carter
  • Englewood, CO
  • The corporate Revenue Cycle Management team oversees over 30 pharmacies across the country. There ... claims and resolve accordingly, communicating any needed system changes. • Review residual ...
  • 2 days ago

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Manager, Claims Compliance (Open to Remote Location)
  • Markel Corporation
  • Plano, TX
  • Review and approve correspondence and reports * Assess and evaluate individual compliance advice ... JD required * RN or other medical degree preferred Certifications Preferred * Successful ...
  • 4 days ago

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L&I Claims Manager Apprentice, Workers' Compensation Adjudicator 2
  • Washington State
  • Tumwater, WA
  • Claim Managers adjudicate and manage workers' compensation claims by authorizing or denying medical, vocational and monetary benefits and ensuring statutory time limits are met. As an apprentice you ...
  • 5 days ago

Income Estimation for Medical Claims Review Manager jobs
$90,015 to $114,768