Medical Claims Review Manager jobs in Ann Arbor, MI

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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Disability Claims Liaison
  • Managed Medical Review Organization, Inc.
  • Novi, MI FULL_TIME
  • 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:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work setting:

    • In-person
    • Office

    Ability to Relocate:

    • Novi, MI 48377: Relocate before starting work (Required)

    Work Location: In person

  • 19 Days Ago

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Healthcare Review Specialist
  • Managed Medical Review Organization, Inc.
  • Novi, MI FULL_TIME
  • MMRO's Healthcare Review Specialist is responsible for the lifecycle of healthcare claims; including but not limited to, receiving the initial request, reviewing the case for service type and conflict...
  • 20 Days Ago

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Bill Review Manager
  • CorVel Brand
  • Novi, MI FULL_TIME
  • The Bill Review Manager is responsible for the overall operation of a designated bill review office. The Manager participates in formulating and administering company best practices as well as develop...
  • 27 Days Ago

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Insurance Review Program Manager RN
  • Beacon Hill Staffing Group
  • Novi, MI FULL_TIME
  • We are looking for Registered Nurse with program management experience that is familiar with disability and/or healthcare claims/appeals (or other claims/appeals experience) to lead a team of Register...
  • 13 Days Ago

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Medical Claims Representative Trainee
  • Progressive
  • Plymouth, MI FULL_TIME
  • Job Number: 225957 Join Forbes’ 2023 Best Employer for Diversity! As a medical claims representative trainee, you’ll be instrumental in keeping the medical claims process efficient and supportive for ...
  • 25 Days Ago

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Manager
  • Hart Medical Equipment
  • Novi, MI FULL_TIME
  • Hart Medical Equipment provides a full range of home care products and support services based on individual needs. We strive to conduct our patient care operation with the highest standards. We are a ...
  • 11 Days Ago

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0 Medical Claims Review Manager jobs found in Ann Arbor, MI area

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Phlebotomist
  • North West Labs
  • Ann Arbor, MI
  • Job Description Job Description We are seeking a Phlebotomist to join our team! The phlebotomist will draw blood for tes...
  • 4/19/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Ann Arbor, MI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/19/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Ann Arbor, MI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Ann Arbor, MI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Ann Arbor, MI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Clinical Psychologist
  • Headway
  • Ann Arbor, MI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Ann Arbor, MI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Ann Arbor, MI
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/15/2024 12:00:00 AM

Ann Arbor is a city in the U.S. state of Michigan and the county seat of Washtenaw County. The 2010 census recorded its population to be 113,934, making it the sixth largest city in Michigan. Ann Arbor is home to the University of Michigan. The university significantly shapes Ann Arbor's economy as it employs about 30,000 workers, including about 12,000 in the medical center. The city's economy is also centered on high technology, with several companies drawn to the area by the university's research and development infrastructure. Ann Arbor was founded in 1824, named for wives of the village'...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$100,109 to $127,640
Ann Arbor, Michigan area prices
were up 1.3% 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