Medical Claims Review Manager jobs in Flagstaff, AZ

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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Claims Administrator
  • AERO Med Claims
  • Lakeside, AZ FULL_TIME
  • Job Description

    Our company is looking for a full-time Claims Administrator to manage projects from start to finish and ensure that they are completed as per contract requirements. Claims Administrator will be responsible for coding, timely billing, posting payments, appeals, and statements. A successful candidate will perform the job with integrity, be self-motivated, organized, analytical, diligent, and focused. This position will be held in the office.

    Responsibilities

    • Coding and billing
    • Maintain and update account task lists
    • Applying and processing payments from both insurance companies and patients
    • Ability to write appeals to insurance companies
    • Communicate with both supervisors and colleagues to ensure efficiency and effectiveness

    Required Skills

    • Must type 40 wpm and 10 key
    • Must be able to use computers and related technology efficiently
    • Exceptional interpersonal communication skills
    • Billing/bookkeeping experience preferred
    • Ability to maintain workflow
    • Multitasking
    • Willing to work with all levels of internal management and utilize internal resources
    • Organized
    • Problem solving skills

    Job Type: Full-time

    Pay: $17.00 per hour

    Expected hours: 40 per week

    Benefits:

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

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work setting:

    • In-person
    • Office

    Experience:

    • Microsoft Office: 1 year (Preferred)
    • Customer service: 1 year (Preferred)

    Ability to Relocate:

    • Lakeside, AZ 85929: Relocate before starting work (Required)

    Work Location: In person

  • 9 Days Ago

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Nurse Case Manager/Utilization Review
  • Tuba City Regional Health Care Corporation
  • Tuba, AZ FULL_TIME
  • Navajo Preference Employment Act In accordance with Navajo Nation and federal law, TCRHCC has implemented an Affirmative Action Plan pursuant to the Navajo Preference in Employment Act. Pursuant to th...
  • 1 Month Ago

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Manager - Office
  • Optima Medical
  • Prescott, AZ FULL_TIME
  • About OptimaOptima Medical is an Arizona-based medical group consisting of 15 locations and 70 medical providers, who care for more than 120,000 patients statewide. Our mission is to improve the quali...
  • 1 Month Ago

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Chronic Care Manager
  • Optima Medical
  • Prescott, AZ FULL_TIME
  • About Optima Optima Medical is an Arizona-based medical group consisting of 15 locations and 70 medical providers, who care for more than 120,000 patients statewide. Our mission is to improve the qual...
  • 1 Month Ago

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Chronic Care Manager
  • Optima Medical
  • Prescott, AZ FULL_TIME
  • About Optima Optima Medical is an Arizona-based medical group consisting of 15 locations and 70 medical providers, who care for more than 120,000 patients statewide. Our mission is to improve the qual...
  • 16 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • MONUMENT VALLEY, UT 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...
  • 18 Days Ago

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0 Medical Claims Review Manager jobs found in Flagstaff, AZ area

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Remote Licensed Psychiatrist
  • Headway
  • Flagstaff, AZ
  • Remote Licensed Psychiatrist Wage: Between $157-$242 an hour Are you a licensed Psychiatrist looking to launch a private...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Flagstaff, AZ
  • Remote Licensed Clinical Social Worker (LCSW) Wage: Between $95-$130 an hour Are you a Licensed Clinical Social Worker l...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Flagstaff, AZ
  • Remote Licensed Professional Counselor (LPC) Wage: Between $95-$130 an hour Are you a Licensed Professional Counselor lo...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Clinical Psychologist
  • Headway
  • Flagstaff, AZ
  • Remote Licensed Clinical Psychologist Wage: Between $95-$174 an hour Are you a Licensed Clinical Psychologist looking to...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Flagstaff, AZ
  • Remote Licensed Marriage and Family Therapist (LMFT) Wage: Between $95-$130 an hour Are you a Licensed Marriage and Fami...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Flagstaff, AZ
  • Remote Licensed Mental Health Counselor (LMHC) Wage: Between $95-$130 an hour Are you a Licensed Mental Health Counselor...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Flagstaff, AZ
  • Remote Licensed Mental Health Therapist (LMHT) Wage: Between $95-$130 an hour Are you a Licensed Mental Health Therapist...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Flagstaff, AZ
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $147-$205 an hour Are you a licensed Psychiatric Nurse look...
  • 4/16/2024 12:00:00 AM

Flagstaff is a city in and the county seat of Coconino County in northern Arizona, in the southwestern United States. In 2015, the city's estimated population was 70,320. Flagstaff's combined metropolitan area has an estimated population of 139,097. The city is named after a ponderosa pine flagpole made by a scouting party from Boston (known as the "Second Boston Party") to celebrate the United States Centennial on July 4, 1876. Flagstaff lies near the southwestern edge of the Colorado Plateau, along the western side of the largest contiguous ponderosa pine forest in the continental United Sta...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$93,279 to $118,932
Flagstaff, Arizona area prices
were up 2.5% 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