Medical Claims Review Manager jobs in Vermont
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
- New England Federal Credit Union
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South Burlington, VT
FULL_TIME
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Position: Account Services Review Specialist
Location: 88 Technology Park Way, South Burlington, VT
Hours: Monday-Friday, 8:30am-5:00pm & 9:30am-6:00pm
Position description: The Account Review Specialist is responsible to review account changes on new and existing accounts, ensure proper documentation is received and completed, as well as ensure system integrity and review transaction errors and remedy any issues.
Specific duties include:
- Reviews account changes on new and existing accounts.
- Ensures received documentation is complete and any legal and/or required documentation is received and archived.
- Processes transactions daily for all incoming mail deposits, loan and credit card payments including check scanning for processing and collection.
- Reviews and remedies share draft exceptions as well as handles check adjustments
- Reviews and posts returned checks as appropriate.
- Reviews debit and credit card reports to ensure portfolio integrity and cards are ordered per procedure.
- Tracks and communicates any errors.
- Prints and mails all necessary notices.
- Handles returned mail to update addresses.
Qualifications:
- High School degree or equivalent.
- One year or more of similar or related experience, including preparatory experience.
- Strong knowledge and understanding of deposit regulations, BSA and deposit risk.
- Strong research ability, attention to detail and ability to manage multiple priorities with varying deadline
E.O.E.
- 11 Days Ago
- OneStaff Medical
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BARRE, VT
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...
- 5 Days Ago
- OneStaff Medical
-
BARRE, VT
FULL_TIME
- Case Management Nurses coordinate long-term care for their patients. Their goal is to treat their patients at optimal times to keep them healthy and out of the hospital. As a Case Management Nurse, yo...
- 8 Days Ago
- Rutland Regional Medical Center
-
Rutland, VT
FULL_TIME
- **Sign-on Bonus Available for New Hires** COMPETITIVE DIFFERENTIALS - $4.25 - 2nd , $8.00 - 3rd , $4.75 - Weekend Case Management is a collaborative process of assessment, planning, facilitation and a...
- 15 Days Ago
- American Medical Associates
-
Woodford, VT
FULL_TIME
- Unit Manager - SNF/LTC - Located in Bennington, VT Salary: Up to $50/HR; based on experience) INQUIRE TODAY!! Responsibilities: Assist with patient’s examinations and/or questions. Implement and inter...
- 7 Days Ago
- Product Review Jobs
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NORTH TROY, VT
FULL_TIME
- Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
- 21 Days Ago
Medical Claims Review Manager jobs at Popular Companies
- University Of Texas M.d. Anderson
-
Houston, TX
- Coordinator, Clinical Studies - Thoracic-Head & Neck Medical Oncology The University of Texas MD Anderson Cancer Center ...
- 4/19/2024 12:00:00 AM
- MD Anderson
-
Houston, TX
- The University of Texas MD Anderson Cancer Center is ranked the nation's top hospital for cancer care by U.S. News & Wor...
- 4/18/2024 12:00:00 AM
- Baptist Memorial
-
Germantown, TN
- Summary Perform all functions of the Medical Technologist and supervise the personnel and activities of various sections...
- 4/18/2024 12:00:00 AM
- Integrated Resources Inc
-
Chicago, IL
- Job Title: Medical Management Specialist I Location: Chicago/ Cook County, IL (remote+ Fild visit) Job Duration: 6 month...
- 4/18/2024 12:00:00 AM
- Proclinical Staffing
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- Head of Medical Writing - Permanent - Onsite Proclinical is seeking a Head of Medical Writing to join a cutting-edge bio...
- 4/17/2024 12:00:00 AM
- Aerovate Therapeutics Inc.
-
Waltham, MA
- Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
- 4/16/2024 12:00:00 AM
- Aerovate Therapeutics, Inc.
-
Waltham, MA
- Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
- 4/15/2024 12:00:00 AM
- Vir Biotechnology, Inc.
-
- Vir Biotechnology, Inc. is an immunology company focused on combining cutting-edge technologies to treat and prevent inf...
- 4/15/2024 12:00:00 AM