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)
Description
The Medical Copay Claims Processor plays a critical role in ensuring the smooth and accurate processing of medical copay claims. This position involves meticulous attention to detail, proficiency in handling medical billing software, and excellent communication skills to interact with internal teams, external stakeholders, doctor’s and provider’s offices and patients.
Requirements
Key Responsibilities
Supervisory Responsibilities / Accountabilities
Required Skills/Abilities:
Education and Experience:
Working Conditions
Work is generally performed within an indoor office environment utilizing standard office equipment.
General office environment requires frequent sitting; dexterity of hands and fingers to operate a computer keyboard and
mouse; walking and standing for long periods of time; and lifting of less than 20 pounds.
Clear All
0 Medical Claims Review Manager jobs found in Saint George, UT area