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)
Date Posted: 03/01/2024
Hiring Organization: Rose International
Position Number: 459642
Job Title: Auditor (Call Center - Medical Review)
Job Location: Albany, NY, USA, 12210
Work Model: OnsiteShift: M-F, 9-5
Employment Type: Temporary
Estimated Duration (In months): 25
Min Hourly Rate($): 25.00
Max Hourly Rate($): 30.00
Must Have Skills/Attributes: Administrative, Call Center, Data Entry, Healthcare, Medicaid, Medical Claims
Job Description
Paid parking available at this location.
Position Description:
The Auditor positions are located within Bureau of Medical Review Call Center and Administrative Staff Support unit. These positions have multiple responsibilities including, but not limited to:
Additional Skill Level, Experience or Other Requirements:
**Only those lawfully authorized to work in the designated country associated with the position will be considered.**
**Please note that all Position start dates and duration are estimates and may be reduced or lengthened based upon a client’s business needs and requirements.**
Benefits:
For information and details on employment benefits offered with this position, please visit here. Should you have any questions/concerns, please contact our HR Department via our secure website.
California Pay Equity:
For information and details on pay equity laws in California, please visit the State of California Department of Industrial Relations' website here.
Rose International is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender (expression or identity), national origin, arrest and conviction records, disability, veteran status or any other characteristic protected by law. Positions located in San Francisco and Los Angeles, California will be administered in accordance with their respective Fair Chance Ordinances.
If you need assistance in completing this application, or during any phase of the application, interview, hiring, or employment process, whether due to a disability or otherwise, please contact our HR Department.
Rose International has an official agreement (ID #132522), effective June 30, 2008, with the U.S. Department of Homeland Security, U.S. Citizenship and Immigration Services, Employment Verification Program (E-Verify). (Posting required by OCGA 13/10-91.).
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Job Types: Full-time, Temporary
Pay: $25.00 - $30.00 per hour
Benefits:
Schedule:
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Experience:
Ability to Commute:
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Work Location: In person
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