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)
Veritas Medical Evaluation and Review Inc. is looking for a confident, energetic and creative individual to:
1. Manage existing customers in current accounts, while expanding sales within those accounts.
2. Expand sales to new accounts in the New England region.
3. Travel frequently to client visits and sales calls for presentations.
4. Initiate and maintain relationships.
The ideal candidate must possess excellent communication skills, must be determined to succeed and can work well in a team environment. The ideal candidate should have good computer skills. All Account Executives/Outside Sales will have full support and use of social media, conferences, trade shows, etc. An understanding of insurance claims, healthcare and/or litigation management would be a positive but not required. We would prefer a candidate be a college graduate with one-year of work experience.
Veritas Medical Evaluation and Review was established in 2017 focusing on the Insurance Claims/second opinion space. Our management team has 25 plus years of experience and a highly successful track record in this arena. Our client base ranges from insurance company claims people, lawyers, self-insured adjusters, private and public entities. We offer the finest second opinion service in the industry. We have the absolute best medical providers on our medical panel. Our company works in a HIPAA compliant environment with state of the art computer systems.
This is a truly exciting opportunity to bring your talents to Veritas, where you will join a team of quality driven people at an early stage in our organizations development. If chosen, you will be an important part of the future. Come see if you are the right fit for our team.
The position offers salary, bonus and benefits.
Job Types: Full-time, Commission
Salary: $35,000.00 to $100,000.00 /year
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