Medical Claims Review Manager jobs in Springdale, AR

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)

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Claims Coordinator
  • TWO MEN AND A TRUCK®
  • Bentonville, AR FULL_TIME
  • Pay: $20 per hour
    The Claims Coordinator’s overall responsibility is to deliver the highest customer service to our customers and manage all customer claims. In this position, you will ensure the franchise is consistently operating in compliance with the franchise agreement, TWO MEN AND A TRUCK® system standards, and applicable laws and regulations.
    Responsibilities
    • Promote and protect the TWO MEN AND A TRUCK® brand
    • Handle all customer concerns and oversee the damage resolution process
    • Maintain constant communication with customers throughout the process and vendors repairing damages
    • Oversee vendor agreements and contract negotiations to ensure strong working relationships and cost reductions where necessary
    • Contact all customer complaints within 24 hours
    • Follow / promote the franchise’s safety policies and/or procedures to prevent accidents and damages
    • Organize and file job sheets
    • Drive communication upward through daily, weekly, and monthly reports of all functional areas for franchisees to review
    • Must be able to calmly and professionally handle difficult situations while provided next steps and solutions to address concerns in a timely manner
    • Occasionally attends after hour work functions and participates in charity events
    • Responsible for being an “on-call” emergency contact for movers, drivers and operations management outside of normal business hours.
    • Participates in regular training and development programs offered locally or through STICK MEN UNIVERSITY® online; may occasionally attend in-person training to further develop personal and professional skill sets
    • All other duties as assigned by the General Manager
    Requirements
    • A minimum of 3 years of business, management, or other relevant experience is required; TWO MEN AND A TRUCK® or moving industry experience is preferred
    • Excellent oral and written communication and comprehension skills
    • Outstanding organizational and time management skills
    • Demonstrated ability to lead by example to motivate, develop, and direct people
    • Ability to assess the performance of self, employees, and franchise to make improvements or take corrective action
    • Strong decision-making ability
    • Understanding of and commitment to customer service and TWO MEN AND A TRUCK® core values
    • Valid driver's license and clean driving record; must be able to be insured under the current franchise auto insurance plan
    • Must be proficient with the following Microsoft applications: Excel, Word, Outlook
    This job posting is for a position at the individually owned and operated TWO MEN AND A TRUCK® franchise located in Bentonville, Arkansas. The employer at this location is TMT Arkansas, Inc.
  • 1 Month Ago

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Non-Medical Case Manager
  • ARCARE
  • Fayetteville, AR FULL_TIME
  • The Non-Medical Case Manager is responsible for providing information and services to those living with HIV/AIDS. The NMCM works as part of a statewide team in the effort to end the HIV epidemic. Look...
  • 22 Days Ago

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Technology Operations Manager
  • Washington Regional Medical System
  • Fayetteville, AR OTHER
  • Job Details Job Location: Washington Regional Med. Ctr. - Fayetteville, AR Position Type: Full Time Education Level: 4 Year Degree Salary Range: Undisclosed Job Shift: Day Job Category: Information Te...
  • 24 Days Ago

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Clinical Documentation Integrity Manager
  • Washington Regional Medical System
  • Fayetteville, AR FULL_TIME
  • Position Summary The role of the Clinical Documentation Integrity Manager reports to the Director of Revenue Integrity. This position is responsible for managing staff to enhance the clinical document...
  • Just Posted

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Laboratory Quality Assurance Manager
  • Washington Regional Medical System
  • Fayetteville, AR OTHER
  • Job Details Job Location: Washington Regional Med. Ctr. - Fayetteville, AR Position Type: Full Time Education Level: ASCP Salary Range: Undisclosed Travel Percentage: None Job Shift: Day Job Category:...
  • 19 Days Ago

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Clinic Manager - PACE of the Ozarks
  • Washington Regional Medical System
  • Springdale, AR FULL_TIME
  • Supervised by: Executive Director Supervises: Clinic Nurse, Medical Records, and Clinic Operations Job Summary: Under the supervision of the Executive Director, manages flow of clinic leading all staf...
  • 1 Month Ago

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0 Medical Claims Review Manager jobs found in Springdale, AR area

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Pharmacy Tech I
  • Community Health System
  • Springdale, AR
  • Job Description Under the direct supervision of a registered pharmacist, compounds and dispenses medical prescriptions. ...
  • 4/30/2024 12:00:00 AM

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Caregiver
  • Curo Health Services
  • Springdale, AR
  • Our Company Gentiva Personal Care is a member of the Gentiva family - an industry leader in hospice, palliative, home he...
  • 4/29/2024 12:00:00 AM

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OTR CDL A Truck Driver
  • Paschall Truck Lines, Inc.
  • Springdale, AR
  • CDL-A Solos Start up to $0.60 CPM Base! Teams Start up to $0.75 CPM Base. Veteran Appreciation Pay that Won't Cost you Y...
  • 4/29/2024 12:00:00 AM

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Customer Service - Donor Support Technician (Bilingual - English/Spanish)
  • CSL Behring LTD
  • Springdale, AR
  • Job Description Summary Responsible for preparing the donor, donor area and equipment for the pheresis process. Job Desc...
  • 4/29/2024 12:00:00 AM

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Fleet (Route) Maintenence Supervisor
  • Penske
  • Springdale, AR
  • Responsibilities As a Penske Maintenance Supervisor you will use your excellent communication, organization, and multita...
  • 4/29/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Fayetteville, AR
  • Remote Licensed Psychiatrist Wage: Between $130-$238 an hour Are you a licensed Psychiatrist looking to launch a private...
  • 4/28/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Fayetteville, AR
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $130-$203 an hour Are you a licensed Psychiatric Nurse look...
  • 4/28/2024 12:00:00 AM

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Care Assistant - Drivers only - Brighton
  • Agincare Group
  • Rogers, AR
  • **Care Assistant - Drivers only - Brighton** **Job Introduction** A typical day in the life of a **Home Care Assistant**...
  • 4/27/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 108.9 square miles (282 km2), of which, 108.3 square miles (280 km2) of it is land and 0.7 square miles (1.8 km2) of it, or 0.62%, is water. The city limits extend north into southern Benton County. Springdale is bordered by the cities of Cave Springs, Lowell, and Bethel Heights to the north, by Elm Springs and Tontitown to the west, and by Johnson and Fayetteville to the south. The city is located in both Benton and Washington counties along Interstate 49/US Highway 62/US Highway 71 (I-49/US 62/US 71). This is the only...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$89,096 to $113,598
Springdale, Arkansas area prices
were up 1.2% from a year ago

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