Medical Claims Review Manager jobs in Columbus, MS

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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Case Manager
  • Flexx Integrated Medical
  • Columbus, MS FULL_TIME
  • Case Manager

    If you like rapid growth and working with enthusiastic team members to improve patients’ quality of life, you’ll enjoy your career with us!

    Position Summary:
    As a Case Manager, it will be your responsibility to build and maintain patient relationships throughout the patients care at FLEXX. You will be responsible for acquiring long term, quality patients for the clinic through the implementation of proven lead conversion systems. You will participate in educating the patients while working with the clinicians as they report the findings of an orthopedic exam and diagnostic imaging. It will be your responsibility to deliver a financial breakdown of the overall Care Plan along with helping patients to coordinate their schedules to arrive for the recommended care. As a Case
    Manager, you will focus on understanding patient needs and wants, helping them overcome obstacles and empathizing with their struggles and challenges while influencing them to do what is in their best interest to improve their quality of life. To be a remarkable Case Manager, you must be able to develop trust and the confidence necessary to help patients navigate their Care Plan.
    You will need to express a breadth of knowledge and experience in these areas, as well as the ability to work and collaborate effectively within a highly team- centric environment.

    About FLEXX:
    FLEXX, headquartered in Columbus, MS, is not your typical healthcare provider.
    We're on a relentless mission to completely transform the healthcare landscape in the United States. Our core belief is that everyone deserves a life free from pain and limitations, and we're here to make that a reality. Our approach is holistic and forward-thinking. We don't settle for harmful side effects – we provide natural solutions. Our team consists of nurse practitioners, physical therapists, and chiropractors who collaborate to create tailored care plans. Our aim is to empower patients to reach their peak performance, elevate their quality of life, and eliminate the need for unnecessary surgeries.

    Our Vision for the Future:
    Looking ahead to 2030, we have ambitious plans. We're set to expand to 10 clinics throughout the Southeastern United States and assemble a team of over 100 dedicated medical professionals and support staff. Our mission is not only to redefine healthcare but also to support our team members in achieving their personal, professional, and financial goals.

    Our Core Values:
    At FLEXX, we live and breathe our core values: Empowerment, Accountability,
    Alignment, Transparency, Discipline, and Results. These values guide our every action and decision.

    Performance Objectives:
    Develop emotional connection with patients to understand their expected goals and desired outcomes
    Perform an initial consultation on new patients to determine medical history, motivating factor that prompted patient to look for help with their problem and functional goals of the patient

    Attend Team Meeting to report on motivating factor that prompted patient to look for help with their problem and functional goals of the patient

    Create and deliver financial estimates and long-term scheduling to patients based on Provider’s orders

    Provide and ensure completion of all patient paperwork
    Effectively and continually educate patients about the need for, and

    progress through, the care plan
    Ensure that all of the patient’s needs are met, nothing gets overlooked, and care is consistent with the patient’s expressed desires
    Execute patient follow up calls
    Encourage, resolve concerns, and gather testimonials during care plan

    Capabilities/Key Competencies:
    Entrepreneurially oriented, driven to succeed and a commitment to achieve results
    Excellent relationship building skills with a demonstrated ability to quickly develop trust
    Ability to make decisions, offer strong recommendations, and take responsibility for results
    Ability to ask exploratory questions
    Demonstrate ability to create a high awareness around physical/functional limitations
    Self-starter who can work independently within existing processes or operate effectively with ambiguity

    Ability to overcome objections with confidence
    Strong oral and written communication skills
    Planning, organizing, prioritizing, and streamlining skills
    Ability to maximize and apply internal systems, processes, and platforms
    Team orientation and strong collaborator
    Present self in a professional and positive manner in attitude and

    appearance at all times
    Advocate for the patient and motivate them to reach their health goals
    Ability to coordinate and balance needs of the patient and the clinic
    Understand, align, and communicate our mission, vision, and values
    Desire to define and take massive action to accomplish your own personal, professional and financial goals

    Education & Experience:
    High school diploma or equivalent
    2 years of sales or management experience
    Experience working in a private medical practice preferred

    Physical Requirements:
    The physical demands described here are representative of those that should be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this Job, the employee is constantly required to sit, talk, see, hear, and use hands and arms. The employee is frequently required to stand; move about, climb steps or balance and stoop, kneel, crouch, or crawl. The employee may occasionally lift and/or move up to 10-15 pounds. Occasional travel to local meetings and training may be required.

    Commitment To Diversity:
    As an equal opportunity employer committed to meeting the needs of a multigenerational and multicultural workforce, (Clinic Name) recognizes that a diverse staff, reflective of our community, is an integral and welcome part of a successful and ethical business, we hire local talent at all levels regardless of race, color, religion, age, national origin, gender, sexual orientation, or disability, and actively foster inclusion in all forms both within our company and across interactions with clients, candidates and partners.

    Location:
    2013 Highway 45 N, Suite 1, Columbus, MS 39705

    Benefits:
    Health and Dental Insurance
    PTO Program
    Professional Training & Development Opportunities
    Retirement Opportunity with employer matching
    Performance based Incentive Program

    Salary Range:
    $15.00 - $20.00 base salary

    The above statements describe the general nature and level of work being performed by individuals assigned to this classification. This is not intended to be an exhaustive list of all responsibilities and duties required of personnel so classified.

    If you have a passion for health, a drive to see people live the life they deserve, and a talent for sales please submit your resume to Careers @ FLEXXMedical.com!

    Job Type: Full-time

    Pay: $15.00 - $20.00 per hour

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Flexible schedule
    • Health insurance
    • Paid time off
    • Professional development assistance
    • Retirement plan

    Schedule:

    • 10 hour shift
    • 8 hour shift
    • Day shift
    • Monday to Friday

    Work Location: In person

  • 13 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • Prairie, MS 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...
  • 20 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • SHUQUALAK, MS 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...
  • 20 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • DERMA, MS 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...
  • 20 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • TREBLOC, MS 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...
  • 20 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • GATTMAN, MS 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...
  • 20 Days Ago

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0 Medical Claims Review Manager jobs found in Columbus, MS area

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RN-Head Nurse - GT I/P Psychiatric Unit BMH GTR
  • Baptist Memorial
  • Columbus, MS
  • Summary Coordinates and provides care utilizing the critical thinking framework known as the nursing process. The nursin...
  • 4/17/2024 12:00:00 AM

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Work from Home-Mortgage Protection Insurance Agents
  • Shonda Crawford Insurance
  • Columbus, MS
  • Crawford Agency needs the right agents to help our growing clientele build an asset and not a liability. Our agents part...
  • 4/17/2024 12:00:00 AM

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RN-Head Nurse(7A-7P) - GT I/P Psychiatric Unit BMH GTR
  • Baptist Memorial
  • Columbus, MS
  • Summary Coordinates and provides care utilizing the critical thinking framework known as the nursing process. The nursin...
  • 4/17/2024 12:00:00 AM

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Behavioral Health Counselor - LCSW or LPC
  • Pathway Healthcare
  • Columbus, MS
  • Job Description Job Description POSITION ROLE The Behavioral Health Counselor’s role is to provide best in class behavio...
  • 4/16/2024 12:00:00 AM

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Restaurant Team Member Part Time
  • Love
  • Columbus, MS
  • Location: Columbus, MS, US, 39702 **Hiring immediately -** **Restaurant Team Members!** **Req ID:** 252141 Address: 525 ...
  • 4/16/2024 12:00:00 AM

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Registered Nurse, Home Health Full Time
  • CenterWell Home Health
  • Columbus, MS
  • Become a part of our caring community and help us put health first As a Home Health Registered Nurse, you will: Provide ...
  • 4/15/2024 12:00:00 AM

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Endodontist Columbus, MS- Part-time
  • Aspen Dental
  • Columbus, MS
  • At Aspen Dental, we put you first, so you can take your career to new heights. Our best-in-class learning and developmen...
  • 4/13/2024 12:00:00 AM

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Home Health Aide Full Time
  • Humana Inc.
  • Columbus, MS
  • Become a part of our caring community and help us put health first A Home Health Aide ( HHA ): * Provides direct patient...
  • 4/13/2024 12:00:00 AM

The city is located approximately 10 mi (16 km) west of the Mississippi-Alabama state line along U.S. Route 82, U.S. Route 45, and numerous state highways. US 82 leads southeast 29 mi (47 km) to Reform, Alabama and west 25 mi (40 km) to Starkville. US 45 leads south 32 mi (51 km) to Macon and north 28 mi (45 km) to Aberdeen. According to the United States Census Bureau, the city has a total area of 22.3 square miles (57.8 square kilometers), of which 21.4 square miles (55.5 square kilometers) is land and 0.9 square miles (2.3 square kilometers) is water. Large lakes and rivers are nearby, such...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$83,229 to $106,118
Columbus, Mississippi area prices
were up 1.2% 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