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)
MMRO's Claims Liaison is responsible for the operational support for disability claims. This task requires proficiency in administrative/clerical work including faxing, scanning, mailing, making phone calls and organizing claims. Being tech savvy and organized is crucial. This role works closely with the nurse assigned to the case.
Experience that will help you excel in this role: organization, detail oriented, familiarity with medical terminology, scheduling medical appointments, customer service experience and medical office experience.
If you have industry knowledge of disability claims, workers comp, short term disability, long term disability or medical claims, that is beneficial.
MMRO seeks new team members who are reliable, punctual, detail oriented, respectful and contribute to a positive workplace culture.
Job Type: Full-time
Pay: From $18.50 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Work setting:
Ability to Relocate:
Work Location: In person
Clear All
0 Medical Claims Review Manager jobs found in Ann Arbor, MI area