Medical Claims Review Manager jobs in West Haven, CT

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)

C
Medical Billing Account Manager
  • CPa Medical Billing
  • East Haven, CT FULL_TIME
  • $1,000 Sign On Bonus

    CPa Medical Billing, a division of GeBBs healthcare is seeking an experienced Medical Billing Account Manager with a strong foundation in Revenue Cycle Management and Medicare/Medicaid billing to join our team. Reporting to the Director of Billing, you will be responsible for managing a team of up to10 Medical Billing / Insurance follow up professionals.

    Job Requirements include, but are not limited to:

    • Responsibility and oversight of the day to day operations of your account(s) and accounts receivable billing staff;
    • Supervise and facilitate all processes, policies and procedures; workflow, quality, productivity, overall team motivation and effectiveness, professional development and training;
    • A team player with strong attention to detail with multi-tasking, prioritizing, delegating and follow-up;
    • Accelerates in great communication, interpersonal, coaching and problem-solving skills;
    • Work independently at a fast pace and troubleshoot payment problems with minimal supervision;
    • Meet weekly, monthly and annual goals and deadlines;
    • Initiate or assist with appeals as needed to payers following the guidelines outlined for that payer. Note account and track appeal from start to resolution;
    • Advanced understanding with carriers claim guidelines and EOB’s.
    • Expertise with ICD-10, ICD-9, CPT-4 coding, HCFA, UB04 and EDI.

    Job Type: Full-time

    Experience:

    • Supervisory Level - Medical Billing Supervisory 3 years
    • Medical Billing: At least 5 years
    • Medicare, Medicaid Medical Billing experience required
    • Prior Revenue Cycle management experience in a similar setting preferred
    • Certified Coder preferred but not required
    • Previous experience with Epic and/or Centricity

    About the Company:

    CPa Medical Billing is a 3rd party medical billing company that operates the “back office” services for over seven hundred providers with clients that range from small doctor offices to large multi-specialty clinics and health centers. The company is privately owned and the work environment is a quiet setting without many interruptions

    Location:

    • CPa Medical Billing is located in East Haven, CT
    • In office position only -no remote candidates

    Job Type: Full-time

    Pay: $55,000.00 - $75,000.00 per year

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee assistance program
    • Flexible spending account
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • Monday to Friday

    Experience:

    • Medical Billing: 5 years (Required)
    • Medical Billing Supervisory: 3 years (Required)
    • Medicare/Medicaid billing: 3 years (Preferred)

    Ability to Commute:

    • East Haven, CT 06512 (Required)

    Work Location: In person

  • 9 Days Ago

S
Medical assistant/office manager
  • Suhradam Medical Practice LLC
  • Naugatuck, CT PART_TIME
  • Office management, supervision of staff, operation of office including schduling, patient registration, payment collection/billing, monitoring of productivity of office and staff, Medical assisting, a...
  • 1 Month Ago

T
Contract review specialist
  • Times Microwave Systems
  • Wallingford, CT FULL_TIME
  • About Times Microwave Systems Times Microwave Systems®, a member of Amphenol North America Military Group, a division of Amphenol Harsh Environment Solutions, is an innovative industry leader in RF an...
  • 6 Days Ago

N
Lead Teachers, Assistant Teachers, and Substitute Teachers
  • North Guilford Nursery School: The Athena Group, Hiring Manager
  • Guilford, CT PART_TIME
  • Summary The North Guilford Nursery School seeks applicants for lead teachers, assistant teachers, and substitute teacher positions. NGNS is a half-day, private preschool that has a 75 year history of ...
  • Just Posted

N
Preschool Director
  • North Guilford Nursery School: The Athena Group, Hiring Manager
  • Guilford, CT FULL_TIME
  • Summary General Position Description North Guilford Nursery School seeks an experienced early childhood professional, skilled people manager, and visionary entrepreneur to spearhead the revitalization...
  • Just Posted

J
Medical Practice Operations Manager
  • J. Morrissey
  • Wallingford, CT OTHER
  • Medical Practice Operations Manager Our Longstanding Client, a Medical Practice, is seeking an Operations Manager to handle the Front Office aspects of the Practice. This is a Specialty Practice that ...
  • 1 Day Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Medical Claims Review Manager jobs found in West Haven, CT area

Y
Clinical Pharmacist II - Oncology Services
  • Yale New Haven Health
  • New Haven, CT
  • Overview: To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mi...
  • 5/24/2024 12:00:00 AM

S
Psychiatric Nurse Practitioner
  • Supportive Solutions Behavioral Health & Wellness, LLC
  • Hamden, CT
  • Job Description Job Description MUST BE LIVE IN THE STATE OF CONNECTICUT. Schedule: Flexible! Hybrid Work or Fully remot...
  • 5/23/2024 12:00:00 AM

O
Center Medical Director
  • Oak Street Health
  • New Haven, CT
  • Description Company: Oak Street Health Title: Center Medical Director Location: Varies Role Description: The purpose of ...
  • 5/23/2024 12:00:00 AM

M
Primary Care Provider: Telehealth, Cardiovascular Risk Reduction: Connecticut - New Haven, Hartford, Fairfield & Surrounding Areas
  • Movn Health
  • New Haven, CT
  • Background We are seeking a highly motivated and compassionate Primary Care Provider to join our dynamic team. The selec...
  • 5/23/2024 12:00:00 AM

H
Physician Assistant or Nurse Practitioner (APRN) / Neuroimmunology Southington
  • Hartford HealthCare
  • East Haven, CT
  • Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Mon-Fri Get MORE from your care...
  • 5/23/2024 12:00:00 AM

H
Physician Assistant or Nurse Practitioner (APRN) / Cardiology Trumbull
  • Hartford HealthCare
  • West Haven, CT
  • Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Mon-Fri Work where every moment...
  • 5/23/2024 12:00:00 AM

H
Physician Assistant or Nurse Practitioner (APRN) / Cardiology Bridgeport
  • Hartford HealthCare
  • West Haven, CT
  • Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Mon-Fri Work where every moment...
  • 5/23/2024 12:00:00 AM

P
Hospital Medical Leader
  • Petco
  • Patchogue, NY
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 5/22/2024 12:00:00 AM

West Haven is a city in New Haven County, Connecticut, United States. At the 2010 census, the population of the city was 55,564. According to the U.S. Census Bureau, the city has a total area of 11 square miles (28 km2), of which 10.75 square miles (27.8 km2) is land .2 square miles (0.52 km2), or 1.54%, is water. West Haven has 3.5 miles (5.6 km) of publicly accessible beaches, which is one-quarter of the publicly accessible beaches in Connecticut. The hilly Allingtown district of the city is home to the University of New Haven. West Haven is located in the south-central portion of Connecticu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$105,527 to $134,547
West Haven, Connecticut area prices
were up 1.7% 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