Medical Claims Review Manager jobs in Atlantic City, NJ

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 Billing Manager
  • Tricare Medical Transportation
  • Pleasantville, NJ FULL_TIME
  • Description

    TriCare Medical Transportation is South Jersey’s premier medical transportation company. We are a large-scale 24/7 operation with over 300 employees and 130 vehicles, providing service from our headquarters in Pleasantville, NJ and two satellite locations in Vineland and Cherry Hill.


    WHAT YOU’LL DO

    As a Billing Manager, you will be a key part of our Billing team.

    • The billing manager will be responsible for evaluating the current billing processes and implement new processes to improve the efficiency of the billing flow.
    • Verify insurance benefits
    • Communicate with insurance companies regarding denials and appeals
    • Ensure trips are billed within a timely filing limit
    • Payment tracking and follow up
    • Manage revenue cycle
    • Oversee all billing  functions and manage billing staff

    WHAT YOU’LL NEED

    • Availability to multitask with a keen attention to detail

    • Proficient computer skills

    • Excellent communication skills

    • Experience dealing with major insurance companies and patient scheduling is preferred

    • Ability to work in high pressure situations

    • Clean background check

    • Negative drug screening  

    • COVID-19 Vaccination

    • Ability to work full time in an in person setting

    • Minimum 5 years billing management


    PERKS

    • Competitive compensation 

    • Benefits package (Medical, Dental & Vision Insurance)

    • Paid time off (PTO)

    • 401(k) after 6 months of service

    • Opportunities for growth and advancement 


    JOB TYPE: Full-time - In person

    TriCare Medical Transportation is an Equal Opportunity Employer

  • 1 Month Ago

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Part Time Patient Care Advocate
  • Oakland Manager LLC
  • Waretown, NJ PART_TIME
  • Summary The Patient Care Associate (PCA) is responsible for delivering an exceptional customer experience. This role ensures all sales are compliant with state regulations and that customer needs are ...
  • 1 Month Ago

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Utilization Review Specialist
  • Avenues Recovery
  • Toms River, NJ FULL_TIME
  • Avenues Recovery Center is a nationwide network of drug and alcohol rehab centers with fourteen locations across five states. We offer highly individualized treatment in a clean, modern, comfortable s...
  • 2 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • LEEDS POINT, NJ 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...
  • 27 Days Ago

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Claims Adjustor
  • Coventry
  • Egg Harbor, NJ FULL_TIME
  • CoventryClaims AdjustorUS-NJ-Egg HarborJob ID: 24-16753Type: Regular Full-Time# of Openings: 1Category: Insurance & AdministrationMitchell International, Inc.OverviewThe Enlyte Family of BusinessesMit...
  • 24 Days Ago

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RN - Utilization Review (Evenings) #41067
  • AdeIphi MedicaI Staffing®
  • Lewes, DE FULL_TIME
  • Summary:Ref #: 41067.Profession: Registered Nurse.Specialty: Utilization Review.Job Type: Full-time.Start Date: ASAP.Location: Lewes, DE.Shift Schedule: 8 hrs per day; 2:00 PM - 10:30 PM.Weekend Requi...
  • 27 Days Ago

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0 Medical Claims Review Manager jobs found in Atlantic City, NJ area

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Family Medicine - Physician - Unite Here Health (UHH) and Mount Sinai Solutions - Atlantic City, NJ
  • Mount Sinai Hospital
  • Atlantic City, NJ
  • Job Description The Mount Sinai Health System is seeking a Primary Care Provider for its practices in UNITE HERE Health ...
  • 4/23/2024 12:00:00 AM

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Physician (DO) - GME Family Medicine - Director of Osteopathic Recognition
  • AtlantiCare
  • Atlantic City, NJ
  • Job Description AtlantiCare -a Malcolm Baldrige National Quality Award recipient and the largest healthcare system in so...
  • 4/23/2024 12:00:00 AM

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Biomedical Equipment Technician 2 - Southern NJ
  • Philips
  • Atlantic City, NJ
  • Job Title Biomedical Equipment Technician 2 - Southern NJ Job Description Biomedical Equipment Technician 2 - Southern N...
  • 4/23/2024 12:00:00 AM

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Security Officer - Per diem - Atlantic City
  • Atlanticare Regional Medical Center, Inc.
  • Atlantic City, NJ
  • Minimum Qualifications: * High School degree or equivalent. * Excellent communication and interpersonal skills required....
  • 4/23/2024 12:00:00 AM

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Business Operations Coordinator Skyline Tower
  • Travel + Leisure Co.
  • Atlantic City, NJ
  • We Put the World on Vacation At Travel + Leisure Co., our mission is simple: to put the world on vacation. Our vacation ...
  • 4/23/2024 12:00:00 AM

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IT Technician Support
  • Playtech
  • Atlantic City, NJ
  • PT Services (New Jersey) LLC is part of Playtech - the world's largest online gaming software supplier traded on the Lon...
  • 4/23/2024 12:00:00 AM

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Psychiatrist Office based or APN/PMHNP/PA
  • Shore Clinical TMS & Wellness ctr
  • Linwood, NJ
  • Job Description Job Description Psychiatrist, PMHNP or PA: OP private practice Shore Clinical TMS strives to provide our...
  • 4/21/2024 12:00:00 AM

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Clinical Research Nurse Practitioner
  • SQRL
  • Somers Point, NJ
  • Rare Opportunity! Take a stepping stone into Clinical Research Careers, a rare opportunity not offered by many Slower pa...
  • 4/20/2024 12:00:00 AM

Atlantic City is a resort city in Atlantic County, New Jersey, United States, known for its casinos, boardwalk, and beaches. In 2010, the city had a population of 39,558.[21][22] It was incorporated on May 1, 1854, from portions of Egg Harbor Township and Galloway Township.[23] It borders Absecon, Brigantine, Pleasantville, Ventnor City, Egg Harbor Township, and the Atlantic Ocean. Atlantic City inspired the U.S. version of the board game Monopoly, especially the street names. Since 1921, Atlantic City has been the home of the Miss America pageant. In 1976, New Jersey voters legalized casino g...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$104,499 to $133,238
Atlantic City, New Jersey area prices
were up 1.5% 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