Medical Claims Review Manager jobs in Clarksville, TN

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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Housekeeping Manager
  • TriStar Horizon Medical Center
  • Dickson, TN FULL_TIME
  • Introduction

    Last year our HCA Healthcare colleagues invested over 156,000 hours volunteering in our communities. As an EVS Manager with TriStar Horizon Medical Center you can be a part of an organization that is devoted to giving back! This is an evening shift 3:00-11:30pm.

    Benefits


    TriStar Horizon Medical Center, offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

    • Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
    • Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
    • Free counseling services and resources for emotional, physical and financial wellbeing
    • 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
    • Employee Stock Purchase Plan with 10% off HCA Healthcare stock
    • Family support through fertility and family building benefits with Progyny and adoption assistance.
    • Referral services for child, elder and pet care, home and auto repair, event planning and more
    • Consumer discounts through Abenity and Consumer Discounts
    • Retirement readiness, rollover assistance services and preferred banking partnerships
    • Education assistance (tuition, student loan, certification support, dependent scholarships)
    • Colleague recognition program
    • Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
    • Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

    Learn more about Employee Benefits

    Note: Eligibility for benefits may vary by location.


    Would you like to unlock your potential with a leading healthcare provider dedicated to the growth and development of our colleagues? Join the TriStar Horizon Medical Center family! We will give you the tools and resources you need to succeed in our organization. We are looking for an enthusiastic EVS Manager to help us reach our goals. Unlock your potential!

    Job Summary and Qualifications


    The Manager Environmental Services leads, manages the operations and activities of the Environmental Services Department within assigned hospital and hospital department/campus locations. Manager provides consistent, high quality service in a sanitary environment while ensuring State, Local, Federal and Joint Commission regulations, established policies and procedures and department standards of performance are met.


    • Evaluates existing systems and processes, initiates change and improvements, and makes suggestions to Director

    • Demonstrates knowledge and ensures compliance with all current policies, procedures and regulatory standards (TJC, OSHA, EEOC and others) within all Environmental Services areas.

    • Consistently demonstrates the organization's commitment for and adherence to sound ethical business practices in accordance with the Corporate Integrity and Compliance Program, annual work plan and established policies and procedures

    • Manages the effective operation of all Environmental Services activities in the organization to provide for an aseptic and aesthetically pleasing environment through coordinating and supervising all functions of the department.

    • Prepares or directs the preparation of department records as well as recurring and special reports and analyses indicating bed management turnaround times and so forth as required/requested.

    • Manages the effective operation of all Environmental Services activities in the organization to provide for an aseptic and aesthetically pleasing environment through coordinating and supervising assigned functions of the department


    What qualifications you will need:


    • College Degree Preferred

    • High School Diploma Required

    • Minimum of three years’ experience in managing environmental services Required

    • Knowledge of hospital and health care operations Preferred

    • Knowledge of hospital and health care financial metrics Preferred

    HCA Healthcare has been named one of the World’s Most Ethical Companies by Ethisphere Institute for ten consecutive years (2010-2019). In 2019, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.


    "There is so much good to do in the world and so many different ways to do it."- Dr. Thomas Frist, Sr.
    HCA Healthcare Co-Founder

    Be a part of an organization that invests in you! We are reviewing applications for our EVS Manager opening. Qualified candidates will be contacted for interviews. Submit your application and help us raise the bar in patient care!

    We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

  • 20 Days Ago

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Operations Manager
  • Global Medical Response
  • Paris, TN FULL_TIME
  • Job Description Summary : We invite you to join a team of highly skilled emergency medical professionals and leaders! Our mission of providing care to the world at a moment's notice is at the heart of...
  • 1 Month Ago

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Paid Product Tester
  • Product Review Jobs
  • Palmersville, TN 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...
  • 1 Day Ago

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Paid Product Tester
  • Product Review Jobs
  • LAVINIA, TN 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...
  • 1 Day Ago

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Paid Product Tester
  • Product Review Jobs
  • Sharon, TN 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...
  • 6 Days Ago

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Coding Manager
  • Premier Medical Group P C
  • Clarksville, TN FULL_TIME
  • All Employees of Premier Medical Group are required to demonstrate our core values of Integrity, Respect and Compassion throughout their employment with us, placing patients first. Our employees must ...
  • 15 Days Ago

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0 Medical Claims Review Manager jobs found in Clarksville, TN area

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Route Sales Representative 5/8 Commission
  • Alsco Inc.
  • Clarksville, TN
  • ** Route Sales Representative 5/8 Commission** **Job Category****:** Service **Requisition Number****:** ROUTE21592 Show...
  • 3/28/2024 12:00:00 AM

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Certified Home Health Licensed Practical Nurse - $48-49/hr - Clarksville, TN
  • ConnectRN
  • Clarksville, TN
  • connectRN is an app created by a nurse, with nurses and aides' needs in mind. Every day, connectRN helps thousands of nu...
  • 3/28/2024 12:00:00 AM

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FT Customer Support Specialist - Work From Home>
  • Quartzy
  • Clarksville, TN
  • [Customer Service / Remote] - Anywhere in U.S. / Up to $50K per year / Medical, Dental and Vision / PTO / Internet Stipe...
  • 3/28/2024 12:00:00 AM

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Appointment Agent - Entry Level & REMOTE
  • Global Elite
  • Clarksville, TN
  • With consistent growth year over year, we're looking to add more talented individuals to our rapidly growing company. Th...
  • 3/28/2024 12:00:00 AM

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Company Expansion- Hiring remote work from home positions
  • Global Elite
  • Clarksville, TN
  • With consistent growth year over year, we're looking to add more talented individuals to our rapidly growing company. Th...
  • 3/28/2024 12:00:00 AM

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Remote Licensed Clinical Psychologist
  • Headway - Design & Development
  • Clarksville, TN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 3/27/2024 12:00:00 AM

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Nurse Practitioner
  • CHE Behavioral Health Services
  • Clarksville, TN
  • Overview CHE Behavioral Health Services is seeking full-time or part-time Nurse Practitioners with Psychiatric Experienc...
  • 3/27/2024 12:00:00 AM

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Mental Health Nurse Practioner
  • John T Clardy Sr Md Inc
  • Clarksville, TN
  • Job Description Job Description Psychiatric Mental Health Nurse Practitioner (PMHNP) needed to start private practice in...
  • 3/25/2024 12:00:00 AM

Clarksville is the county seat of Montgomery County, Tennessee, United States. It is the fifth-largest city in the state behind Nashville, Memphis, Knoxville, and Chattanooga. The city had a population of 132,929 at the 2010 census, and an estimated population of 153,205 in 2017. It is the principal central city of the Clarksville, TN–KY metropolitan statistical area, which consists of Montgomery and Stewart Counties in Tennessee, and Christian and Trigg Counties in Kentucky. The city was founded in 1785 and incorporated in 1807, and named for General George Rogers Clark, frontier fighter and ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$88,425 to $112,743
Clarksville, Tennessee 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