Medical Claims Review Manager jobs in Bergenfield, 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 Office Manager
  • Primary Care / Integrative Medical Practice
  • Saddle Brook, NJ FULL_TIME,PART_TIME
  • Responsibilities

    • Develops and implements office policies and procedures.
    • Oversees financial operations, including billing and coding.
    • Supervises, trains, and evaluates administrative staff.
    • Sets the staffing schedule and approves paid time off.
    • Hires and onboards new administrative staff.
    • Ensures that customer service standards are met.
    • Collaborates with nurses, doctors, and executives.
    • Makes sure regulations, guidelines, and standards are followed.
    • Uses popular software for electronic medical records (EMR), billing, scheduling.

    Qualifications

    • Works well independently and has strong operational skills.
    • Excels at customer service and has strong interpersonal skills.
    • Learns quickly and has strong problem-solving and critical thinking skills.
    • Develops strong relationships with coworkers and has strong leadership skills.
    • Communicates effectively and has strong verbal and written communication skills.

    Education and Experience Requirements

    • At least 3 years of medical office management experience is required.
    • An associate or bachelor’s degree in healthcare management, business, or a related degree is required.

    Job Types: Full-time, Part-time

    Pay: From $65,000.00 per year

    Benefits:

    • 401(k)
    • Flexible schedule
    • Paid time off

    Schedule:

    • 4 hour shift
    • 8 hour shift

    Supplemental pay types:

    • Bonus opportunities

    Ability to commute/relocate:

    • Saddle Brook, NJ 07663: Reliably commute or planning to relocate before starting work (Required)

    Experience:

    • Management: 2 years (Preferred)

    Work Location: In person

  • 29 Days Ago

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Office Manager for Medical and Radiation Oncology
  • Holy Name Medical Center
  • Teaneck, NJ FULL_TIME
  • Description Holy Name is New Jersey's last remaining independent, Catholic health system, comprising a comprehensive 361-bed acute care medical center, a cancer center, medical fitness center, residen...
  • 24 Days Ago

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Utilization Review Specialist (REMOTE)
  • BriteLife Recovery
  • Englewood, NJ FULL_TIME
  • The Utilization Review Specialist is responsible for organizing and conducting concurrent reviews with all insurance carriers. Daily task are (but not limited to): Conducting prior authorizations and ...
  • 6 Days Ago

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Virtual Utilization Review Adovocate
  • Social Work p.r.n.
  • Hackensack, NJ FULL_TIME
  • Virtual Utilizatio Review Advocate needed for permanent, full-time position.
  • 11 Days Ago

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Physician Utilization Review Specialist
  • Hackensack Meridian Health
  • Hackensack, NJ FULL_TIME
  • OverviewThe Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient popu...
  • 24 Days Ago

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Physician Utilization Review Specialist
  • HACKENSACK UNIVERSITY MED CNTR
  • Hackensack, NJ PER_DIEM
  • The Senior Utilization Review Specialist collaborates with the healthcare team in the management and resolution of activities that assure the integrity of clinical records for the patient population a...
  • 1 Month Ago

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0 Medical Claims Review Manager jobs found in Bergenfield, NJ area

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Patient Call Center Agent
  • Tru Medical Management
  • New York, NY
  • Job Description Job Description Patient Call Center Agent Job Responsibilities and Duties: · Answer all incoming calls, ...
  • 4/23/2024 12:00:00 AM

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Medical Assistant
  • Tru Medical Management
  • New York, NY
  • Job Description Job Description We are looking for a skilled and organized medical assistant to join our healthcare team...
  • 4/22/2024 12:00:00 AM

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Field Registered Nurse
  • REBEKAH CERTIFIED HOME HEALTH AGENCY
  • Bronx, NY
  • The RN (Registered Nurse) Case Manager is responsible for providing Rebekah Certified Home Health Agency patients with q...
  • 4/22/2024 12:00:00 AM

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Veterinarian - Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Montclair, NJ
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 4/21/2024 12:00:00 AM

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Regional Medical Lead
  • HeartFlow, Inc
  • New York, NY
  • HeartFlow, Inc. is a medical technology company advancing the diagnosis and management of coronary artery disease, the #...
  • 4/21/2024 12:00:00 AM

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Regional Medical Lead
  • HeartFlow
  • New York, NY
  • HeartFlow, Inc. is a medical technology company advancing the diagnosis and management of coronary artery disease, the #...
  • 4/21/2024 12:00:00 AM

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US Pneumococcal Adult Medical Lead, MD
  • Pfizer
  • New York, NY
  • ROLE SUMMARY Provide pneumococcal franchise leadership on behalf of Asset Medical Affairs team. * Collaborates with Bran...
  • 4/21/2024 12:00:00 AM

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Psychiatrist
  • TMR Mental Healthcare PC
  • Hackensack, NJ
  • Job Description Job Description Evaluating and diagnosing patients. Prescribing medications. Conducting other forms of t...
  • 4/20/2024 12:00:00 AM

Bergenfield is a borough in Bergen County, New Jersey, United States. As of the 2010 United States Census, the borough's population was 26,764, reflecting an increase of 517 (+2.0%) from the 26,247 counted in the 2000 Census, which had in turn increased by 1,789 (+7.3%) from the 24,458 counted in the 1990 Census. Bergenfield was formed on the basis of a referendum held on June 25, 1894, from portions of Englewood Township and Palisades Township.[21][22][23] The borough was formed during the "Boroughitis" phenomenon then sweeping through Bergen County, in which 26 boroughs were formed in the co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$112,208 to $143,066
Bergenfield, 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