Medical Claims Review Manager jobs in Chillicothe, OH
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 2024 Salary.com)
Recently Added Medical Claims Review Manager jobs
Manager, Medical Laboratory Technician
- Hocking College
-
Nelsonville, OH
FULL_TIME
-
Salary Range: $60,000 - $70,000I. Position PurposeUnder the guidance and direction of the Associate Dean and Dean of Allied Health and Nursing, the Medical Laboratory Technician (MLT) Manager manages the Medical Laboratory Technician (MLT) Program and oversees the operations of the Medical Assisting (MA) Program in conjunction with the Medical Assisting faculty. The Medical Laboratory Technician (MLT) Manager leads both independent project management and collaborative efforts with the Deans to create, maintain, and process materials; teaches classes each semester of the year; leads program review and accreditation efforts; and supervises faculty assigned to teach courses within the program. The Medical Laboratory Technician (MLT) Manager will also coordinate all related processes related to the MLT department such as placement testing, file completion and accreditation requirements..II. Duties and ResponsibilitiesPARTICIPATES IN DEPARTMENT ACTVITIES:
- Provide effective day-to-day management and administration of the Medical Laboratory Technician and Medical Assisting program at the School of Allied Health and Nursing.
- Supervises faculty.
- Plan and oversee professional development for faculty.
- In cooperation with the Dean of the School of Allied Health and Nursing maintain accreditation, manage curriculum, create course schedules, assist with faculty and student issues, coordinate professional development for faculty, coordinate adjunct assignments, complete adjunct faculty evaluations and participate in other special projects.
- Responsible for assuring that university policies are communicated and followed.
- Manage aspects of grant funding as needed.
- Serve on committees as assigned by the Dean.
PERFORMS STUDENT ACADEMIC DEVELOPMENT & ADVISING ACTIVITIES- Teaches courses as determined by department needs.
- Assist with the recruitment and placement of students.
- Coordinate textbook selection and review process to reduce overall student cost.
- Work with students and faculty to resolve conflicts and serve as the second step in grade appeals.
- Encourage students’ involvement in the advising process; Maintains sufficient advising hours compatible with student schedules; meet with advisees at least twice per semester and as often as needed; advise student having difficulty in class / clinical work; maintain appropriate advisee files; direct students to appropriate department and College resources; maintain confidentiality; periodically evaluates graduation progress and completions.
- Implement the orientation process for new faculty;
- Duties also include managing student files, including processing of applications, documenting, using spreadsheets (such as Excel), and databases (such as Colleague/Web Advisor and Blackboard). Keep track of student progress in cross disciplines and updating student records. This will involve working closely with many different offices throughout the College, Student Affairs, Financial Aid, etc.
- Acts as lead contact for international student needs in conjunction with the Office of the Registrar.
- Reviews graduation applications prior to final approval by the Dean of Allied Health and Nursing.
- Coordinate with CCP Liaison for site visits for College Credit Plus
- Act as the lead liaison for practicum sites for the MLT program in the School of Allied Health and Nursing.
- Certify to the board of MLT, in a format prescribed by the board for each student who is an applicant for licensure in Ohio that each applicant successfully completed the requirements of the program the date the applicant completed program requirements.
- Submit to the board of MLT a corrective action plan any time the program administrators submit one or more erroneous certifications of program completion to the board of MLT;
PROACTIVELY IDENTIFY AND IMPLEMENT METHODS FOR PUBLICIZING AND PROMOTINGTHE ACTIVITIES OF THE SCHOOL OF ALLIED HEALTH AND MEDICAL LABORATORY TECHNICIAN PROGRAM- Assist in the college marketing department in developing materials about the program (e.g., publications, web page, annual report).
- Represent the MLT and MA program to students, prospective students, and other interested parties.
- Facilitate advisory committee involvement in all program within the unit.
- Work with Tech Prep coordinator to develop articulation agreements with Career Technical and traditional secondary schools.
- Represent program at recruiting events, on and off campus.
- Collaborate and provide programming for career/program exploration camps.
- Participate in program relevant community & networking events.
PARTICIPATES IN ACADEMIC AFFAIRS AND INSTITUTIONAL ACTIVITIES:- Is familiar with the mission and philosophy of Hocking College;
- Follows Hocking College policies and procedures.
- Promote a positive working relationship across technology, department, and community lines;
- Participate in Academic Affairs and institutional activities including but not limited to graduation ceremonies and committees;
- Participate in student enrollment activities (recruiting and registration), contribute to the assessment of student academic achievement;
III. Qualifications – Education, Experience, and Skills- A Master of Science or related field of study required. Exceptions may be made to this requirement by the Dean pursuant to accreditation standards.
- Current ASCP-BOC or ASCPI-BOC generalist certification as a Medical Laboratory Scientist/Medical Technologist
- Three years of teaching experience
- Have knowledge of education methods and administration, as well as current NAACLS accreditation procedures and certification procedures experience.
- Have minimally obtained 36 hours of documented continuing professional development every 3 years.
- Excellent communication skills (written and verbal).
- Strong technology skills including usage of Microsoft Office, email, student information system, and learning management system
- Organizational, record-keeping, and interpersonal skills.
- Knowledge of subject area.
- Knowledge of educational theory and application.
- Knowledge of learners and individual learning styles.
- Interest in and commitment to the learner-centered educational process.
- Educational technology skills.
- Confidentiality.
- Caring attitude toward students.
- Learning and self-motivation skills.
- Willingness to extend self to help students succeed.
- Knowledge of College resources available to students.
- Knowledge of organizational structure.
- Current knowledge of curriculum, objectives, and requirements.
- Openness to suggestions for improvement.
- Attention to detail.
- Flexibility in dealing with others.
- Ability to work as a team member.
- Ability to prioritize work.
- Behaves in accordance with Hocking College and Academic Affairs mission, goals, and values.
- Positive attitude.
- Knowledge of safe working conditions; including Bloodborne Pathogens and OSHA guidelines.
Reasonable accommodations may be requested and reviewed according to the Americans with Disabilities Act (ADA). - 20 Days Ago
Medical assistant
- Medical Practices / Mgmt Services Org
-
Bainbridge, OH
FULL_TIME
- JOB DESCRIPTION Description This position is responsible for fully performing basic medical assistant duties. Facilitates unit operations by managing patient flow. Responsible for all front desk dutie...
- 25 Days Ago
RN Medical Surgical-Days-LHM 269417
- Lighthouse Medical
-
Chillicothe, OH
CONTRACTOR,OTHER
- RN Med Surg- Day Shift $1949(36hrs)--$2166(40hrs) Weekly 13 Weeks Chillicothe, OH Days 7am - 7pm - 36 Hours Guaranteed Start Date 4/29/24 Required BLS, NIHSS and OH or Compact RN License 1 Year Experi...
- 10 Days Ago
Travel Registered Nurse RN Medical Surgical
- OneStaff Medical
-
CHILLICOTHE, OH
FULL_TIME
- We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
- 1 Month Ago
Independent Insurance Claims Adjuster in Circleville, Ohio
- MileHigh Adjusters Houston Inc
-
Circleville, OH
FULL_TIME
- Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjus...
- Just Posted
Independent Insurance Claims Adjuster in Hillsboro, Ohio
- MileHigh Adjusters Houston Inc
-
Hillsboro, OH
FULL_TIME
- Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW!Are you ready to embark on a dynamic and in-demand career as an Independent Insurance Claims Adjus...
- Just Posted
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0 Medical Claims Review Manager jobs found in Chillicothe, OH area
Registered Nurse -RN - Home Health
- Professional Case Management
-
Chillicothe, OH
- Make a Difference on Your Own Schedule and Terms! Hiring Registered Nurses in Ohio Professional Case Management, the lea...
- 4/27/2024 12:00:00 AM
Travel Nurse RN - ICU - Intensive Care Unit - $1,853 per week
- Hiring Now!
-
Chillicothe, OH
- Trustaff is seeking a travel nurse RN ICU - Intensive Care Unit for a travel nursing job in Chillicothe, Ohio. Job Descr...
- 4/27/2024 12:00:00 AM
Crew Manager
- White Castle
-
Chillicothe, OH
- White Castle, America's first fast food restaurant, is over 100 years old and looking for friendly, fun and energetic Cr...
- 4/27/2024 12:00:00 AM
Travel Nurse RN - Med Surg - $1,882 per week
- Hiring Now!
-
Chillicothe, OH
- GetMed Staffing, Inc. is seeking a travel nurse RN Med Surg for a travel nursing job in Chillicothe, Ohio. Job Descripti...
- 4/27/2024 12:00:00 AM
Travel Nurse RN - CVICU - $1,882 per week
- Hiring Now!
-
Chillicothe, OH
- GetMed Staffing, Inc. is seeking a travel nurse RN CVICU for a travel nursing job in Chillicothe, Ohio. Job Description ...
- 4/27/2024 12:00:00 AM
Travel Nurse RN - Med Surg / Telemetry - $2,079 per week
- Hiring Now!
-
Chillicothe, OH
- MedPro Healthcare Staffing is seeking a travel nurse RN Med Surg / Telemetry for a travel nursing job in Chillicothe, Oh...
- 4/27/2024 12:00:00 AM
Bartender
- Olive Garden
-
Chillicothe, OH
- For this position, pay will be variable by location - plus tips. Our Winning Family Starts With You! Check out these gre...
- 4/27/2024 12:00:00 AM
Travel Nurse RN - CVICU - $1,886 per week
- Hiring Now!
-
Chillicothe, OH
- GLC On-The-Go is seeking a travel nurse RN CVICU for a travel nursing job in Chillicothe, Ohio. Job Description & Requir...
- 4/27/2024 12:00:00 AM
About Chillicothe, Ohio
Chillicothe (/ˌtʃɪlɪˈkɒθi/ CHIL-i-KOTH-ee) is a city in and the county seat of Ross County, Ohio, United States. Located along the Scioto River 45 miles south of Columbus, Chillicothe was the first and third capital of Ohio.
It is the only city in Ross County and the center of the Chillicothe Micropolitan Statistical Area (as defined by the United States Census Bureau in 2003). The population was 21,901 at the 2010 census. Chillicothe is a designated Tree City USA by the National Arbor Day Foundation.
Chillicothe is located at 39°20′11″N 82°59′2″W / 39.33639°N 82.98389°W / 39.33639; -82.983...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$90,254 to $115,075
Chillicothe, Ohio area prices
were up 1.3% from a year ago
were up 1.3% from a year ago
What does a Medical Claims Review Manager do?
Medical Claims Review Manager in Paramus, NJ
Support management with leading Medical Review team to ensure all types of claims requiring medical reviews are completed in compliance with State, Federal, accreditation standards and other applicable regulations.
February 01, 2020
Medical Claims Review Manager in Nashua, NH
By truly combining claims and bill review, the two systems are kept in sync utilizing the scheduled jobs of the aforementioned standard model; however, for real-time data updates, claims examiners are granted access to the entire live bill review system.
January 13, 2020
Medical Claims Review Manager in Davenport, IA
Complex claim errors can only be caught by physician reviewers with the clinical experience to spot mistakes that automated systems can’t detect.
January 03, 2020