Medical Claims Review Manager jobs in Greensboro, NC

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 Examiner
  • Smart Ims
  • Greensboro, NC OTHER
  • Job Description

    1-3 years experience; Reviews, evaluates, and processes claims and makes recommendations for resolution. Has contact with agents, claimants, and policyholders.

    • Top 3 skills needed for the role are  Attention to detail, effective communicator/collaborator, ability to work in a fast-paced environment with a computer/applications
    • Tools and/or software will they be utilizing? Document processing application, claims system, Microsoft Office applications/Teams

    Additional Information

    All your information will be kept confidential according to EEO guidelines.

  • Just Posted

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Medical Field Case Manager
  • Genex
  • Greensboro, NC FULL_TIME
  • Genex Service LLCMedical Field Case ManagerUS-NC-GreensboroJob ID: 24-16833Type: Regular Full-Time# of Openings: 1Category: Case ManagementMitchell International, Inc.OverviewThe Enlyte Family of Busi...
  • Just Posted

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Account Manager-Medical Sales
  • Thunderbird LLC.
  • Greensboro, NC FULL_TIME
  • Position Overview Thunderbird Molding is a full-service custom injection molder offering injection molding, insert and over molding, as well as assembly, heat-staking, pad printing, sonic welding and ...
  • 12 Days Ago

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Medical Market Manager
  • Precision Fabrics Group
  • Greensboro, NC FULL_TIME
  • Summary: Title: Medical Market Manager ID: 903-CORP Location: Corporate Office We are looking for dependable, honest and hardworking individuals to join our team. The ideal candidate for this position...
  • 23 Days Ago

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Assistant Business Office Manager
  • Medical Facilities of America
  • Burlington, NC FULL_TIME
  • Alamance Health Care Center in Burlington, NC is seeking an Assistant Business Office Manager. Working with us is more than just a job - it is an opportunity to do meaningful work that improves the li...
  • 3 Days Ago

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ASSISTANT FISHER HOUSE MANAGER NF-03
  • U.S. Army Medical Command
  • Liberty, NC FULL_TIME
  • Duties Provides direct, on-site management and administration of facilities and evaluates established programs and administrative procedures. Performs other related duties as assigned. Participates in...
  • 17 Days Ago

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0 Medical Claims Review Manager jobs found in Greensboro, NC area

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Remote Licensed Clinical Psychologist
  • Headway
  • Greensboro, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/22/2024 12:00:00 AM

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Remote Licensed Mental Health Counselor
  • Headway
  • Greensboro, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/22/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Greensboro, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Greensboro, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Outpatient Mental Health/Substance Abuse Therapist
  • United Quest care Services, LLC
  • Greensboro, NC
  • Job Description Job Description Mental Health, Substance Abuse and DWI agency seeking a LPC, LCAS, LCSW to work with ado...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Greensboro, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Greensboro, NC
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

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Adult and Child Psychiatrist - Outpatient - Hybrid Schedule
  • LifeStance Health
  • Greensboro, NC
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/19/2024 12:00:00 AM

Greensboro (/ˈɡriːnzbʌroʊ/ (listen); formerly Greensborough) is a city in the U.S. state of North Carolina. It is the 3rd-most populous city in North Carolina, the 68th-most populous city in the United States, and the county seat and largest city in Guilford County and the surrounding Piedmont Triad metropolitan region. As of the 2010 census, the city population was 269,666, and in 2015 the estimated population was 285,342. Three major interstate highways (Interstate 40, Interstate 85, and Interstate 73) in the Piedmont region of central North Carolina were built to intersect at this city. In ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$91,718 to $116,941
Greensboro, North Carolina 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