Medical Claims Review Manager jobs in Alamogordo, NM

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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Medical Staff Manager
  • Carlsbad Medical Center
  • CARLSBAD, NM FULL_TIME
  • Provides administrative support to the Medical Staff Services Department and the Medical Staff Leadership. Process medical staff dues, prepare, distribute and record Medical Staff ballots, maintain physician mailboxes; prepare and distribute notices to physicians and departments, including but not limited to announcements, medical staff directory, out-of-town notices, change of address, temporary privileges and medical staff credentialing action following board meetings.   Performs credentialing responsibilities in an expeditious manner to bring on new physicians and allied health professionals (practitioners), maintain current practitioner status and to report concerns about the hospital's liability with credentials issues.  High School Diploma or equivalent.  Prefer Associates degree in related field. Minimum of 5 years previous experience in an office environment supporting administrative functions; 3 years comprehensive credentialing experience in an acute care hospital setting preferred. Proficient with Microsoft Office products, database software and interne . Understanding of medical terminology, disease entities and treatment desired.
  • 7 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • Mayhill, NM 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...
  • 15 Days Ago

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RN Case Manager - ER
  • Carlsbad Medical Center
  • CARLSBAD, NM FULL_TIME
  • RN We’re seeking RN’s! Come join our family and be a part of a culture that's dedicated to improving lives! In order to give the best patient care, we must be at our best. That’s why we’re committed t...
  • 13 Days Ago

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Trauma Program Manager
  • Carlsbad Medical Center
  • CARLSBAD, NM FULL_TIME
  • Provides professional nursing care for assigned patients in the emergency room. Triages each patient and determines priority of care based on physical, psychological and social needs as well as factor...
  • 24 Days Ago

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RN ER Case Manager
  • Eastern New Mexico Medical Center
  • Roswell, NM FULL_TIME
  • RN- ER Case Manager SIGN-ON BONUS FOR FT RN CANDIDATES- Apply NOW to get info! Relocation Benefit!!! As a Registered Nurse at, Eastern New Mexico Medical Center, you’ll play a vital role in doing what...
  • 1 Day Ago

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Billing and Coding Manager - 403000
  • Gerald Champion Regional Medical Center
  • Alamogordo, NM FULL_TIME
  • Demonstrates knowledge and skills necessary to provide services based on the physical, psychosocial, educational, safety, and other related criteria appropriate population in his/her assigned area Mai...
  • 1 Day Ago

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0 Medical Claims Review Manager jobs found in Alamogordo, NM area

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Painter (Holloman Air Force Base)
  • WinnCompanies
  • Holloman Air Force Base, NM
  • WinnCompanies is searching for a dependable and motivated Painter to join our team at Holloman Air Force Base, New Mexic...
  • 5/9/2024 12:00:00 AM

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Physical Therapist
  • ambercare
  • Alamogordo, NM
  • Come work for one of the largest Home Health Care companies in the State of New Mexico. Ambercare is dedicated to your p...
  • 5/9/2024 12:00:00 AM

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Electrician II
  • Dona Ana County
  • Alamogordo, NM
  • Electrician II **Bargaining Unit Position**- Facilities & Parks **EXTENDED** Overview This posting will close at 5:00PM ...
  • 5/9/2024 12:00:00 AM

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Inspector I (Electrical)
  • Dona Ana County
  • Alamogordo, NM
  • Overview This position closes at 5:00PM on the close date. Performs building inspection to determine electrical soundnes...
  • 5/9/2024 12:00:00 AM

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Fiscal Services Manager - Remote
  • Presbyterian Medical Services
  • Alamogordo, NM
  • Job Description JOB CATEGORY: ADMINISTRATION / FISCAL SERVICES / ACCOUNTING / BUSINESS / REMOTE WORK / WORK FROM HOME MU...
  • 5/9/2024 12:00:00 AM

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Assistant Store Manager - Martin Tire, Alamogordo
  • Martin Tire Company
  • Alamogordo, NM
  • Overview: Martin Tire operates multiple locations across El Paso, Tx and New Mexico and is expanding! We offer complete ...
  • 5/9/2024 12:00:00 AM

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EMT Paramedic
  • Distinctive Home & Healthcare
  • Holloman Air Force Base, NM
  • Job Description Job Description Distinctive Home & Health Care is a leading provider of healthcare to serve military ins...
  • 5/7/2024 12:00:00 AM

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Licensed Clinical Social Worker (True North)
  • Air Force Civilian Service
  • Holloman Air Force Base, NM
  • 🌟 Elevate Your Career at Holloman Air Force Base - Exciting Opportunities for Licensed Clinical Social Workers in Alamo...
  • 5/5/2024 12:00:00 AM

As of 2010, Alamogordo had a total area of 19.3 square miles (50.0 km2), all of it land. The city is located at an elevation of 4,336 feet (1,322 m) on the western flank of the Sacramento Mountains and on the eastern edge of the Tularosa Basin. It lies within the Rio Grande rift and in the northernmost part of the Chihuahuan Desert.:36 Tectonic activity is low in the Tularosa Basin. Plants native to the area are typical of the southern New Mexico foothills and include creosote bush, mesquite, saltbush, cottonwood, desert willow, and many species of cactus and yucca. The Tularosa Basin is an en...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$87,238 to $111,229
Alamogordo, New Mexico area prices
were up 2.5% 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