Medical Claims Review Manager jobs in Helena, MT

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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Workers' Compensation Claims Examiner
  • Intermountain Claims Inc
  • Missoula, MT FULL_TIME
  • Job Description

    Intermountain Claims, Inc., a premier regional independent claims adjusting company is seeking to hire an additional Workers’ Compensation Claims Examiner to work in our Missoula, MT office. This is an excellent career opportunity with competitive salary, benefit package, and paid time-off. We value our employees and provide learning and training opportunities to encourage employees to grow professionally. Our ideal candidate will have prior workers’ compensation claims handing experience. Intermountain Claims offers a work environment that rewards efforts and allows for some flexibility in addressing the needs of each of our employees. Historically, we have had one of the lowest turnover rates in the industry.

    Intermountain has multiple offices in Idaho, Utah, Oregon, Washington and Montana. Additionally, we can provide some claim services in portions of Nevada, Wyoming and Colorado. We have a Property & Casualty claims division, a Workers' Compensation claims division, and have a fire investigation team through our IC Specialty Services division. We are recognized by AMBest and are active members of multiple national and regional claims organizations.

    Job Duties & Job Requirements

    This is a position that involves working closely with insurers and self-insured employers. Typical job duties include:

    • Investigate and evaluate both time-loss and medical-only claims, coordinate early return to work, determine and pay benefits owed, and establish action plans that lead to the resolution of claims.
    • Communicate with insurers, medical providers, attorneys, and injured workers.
    • Requires excellent oral and written communication skills with the ability to document work activities in writing.
    • Position requires proficient data entry/keyboard/computer system skills.
    • Requires excellent customer service, organizational, and analytical skills.
    • Preference given to applicants with a State of Montana Claims Examiner Certification

    To learn more about our company, visit our website at www.intermountainclaims.com.

    Job Type: Full-time

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Professional development assistance
    • Retirement plan
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Day shift
    • Monday to Friday
    • No weekends

    Work setting:

    • In-person
    • Office

    Ability to Relocate:

    • Missoula, MT 59801: Relocate before starting work (Required)

    Work Location: In person

  • 6 Days Ago

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MT - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Helena, MT FULL_TIME
  • 1099 Property Claims AdjusterCopper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA.Copper Claims Services excels in providing custom claims solutions for ...
  • 23 Days Ago

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Care Manager RN – Utilization Review
  • Providence
  • Missoula, MT OTHER
  • DescriptionCare Manager RN in Utilization Review Unit at Providence St. Patrick Hospital, Missoula, MTThe Nurse Case Manager (NCM) is responsible to manage a caseload of patients across the continuum ...
  • 13 Days Ago

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UTILIZATION REVIEW SPECIALIST
  • Shodair Children's Hospital
  • Helena, MT FULL_TIME
  • DescriptionShodair is looking to hire a new Utilization Review Specialist. Utilization Review primarily focuses on evaluating and managing the utilization of healthcare services, treatments, and proce...
  • 17 Days Ago

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Travel Registered Nurse RN Manager
  • OneStaff Medical
  • BOZEMAN, MT FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 4 Days Ago

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Communications - Volunteers & Visitor Services Manager
  • Community Medical
  • Missoula, MT FULL_TIME
  • This is a full time (1.0 Status Exempt) day shift Volunteers & Visitor Services Manager position in the Communications department. The Volunteers & Visitor Services Manager is responsible for the over...
  • 25 Days Ago

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0 Medical Claims Review Manager jobs found in Helena, MT area

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Outpatient Psychiatric Mental Health Nurse Practitioner (PMHNP)
  • LifeStance Health
  • Fort Harrison, IN
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/16/2024 12:00:00 AM

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Nutritional Health Coach
  • Natural Grocers
  • Helena, MT
  • USD $22.00/Hr. - Applications are accepted by the date below, which may be updated if the hiring timeline is extended. 4...
  • 4/16/2024 12:00:00 AM

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Licensed Master of Social Worker (LMSW) - Hospice - Full Time
  • Enhabit Home Health & Hospice
  • Helena, MT
  • Overview: Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find y...
  • 4/16/2024 12:00:00 AM

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Pta / Physical Therapy Assistant
  • Aureus Group
  • Helena, MT
  • PTA opportunity in the Skilled Nursing setting for 13 weeks. Great team and very supportive staff. Excellent pay, benefi...
  • 4/16/2024 12:00:00 AM

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Licensed Practical Nurse (LPN) - Home Health - Full Time
  • Enhabit Home Health & Hospice
  • Helena, MT
  • Overview: Are you in search of a new career opportunity that makes a meaningful impact? If so, now is the time to find y...
  • 4/15/2024 12:00:00 AM

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Regional Nurse Consultant
  • Sage Search Group
  • Helena, MT
  • Some insight into the company: We are a regional operator of skilled nursing facilities in the Intermountain West founde...
  • 4/14/2024 12:00:00 AM

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Regional Nurse Consultant
  • Sage Search Group
  • Helena, MT
  • Some insight into the company: We are a regional operator of skilled nursing facilities in the Intermountain West founde...
  • 4/13/2024 12:00:00 AM

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Diagnostic Imaging - US - Sonographer
  • Trusted Health
  • Helena, MT
  • Trusted is seeking an experienced allied health professional for this exciting travel assignment. Trusted has streamline...
  • 4/11/2024 12:00:00 AM

Helena (/ˈhɛlɪnə/) is the state capital of the U.S. state of Montana and the county seat of Lewis and Clark County. Helena was founded as a gold camp during the Montana gold rush, and was established in 1864. Over $3.6 billion of gold was extracted in the city limits over a duration of two decades, making it one of the wealthiest cities in the United States by the late nineteenth century. The concentration of wealth contributed to the city's prominent, elaborate Victorian architecture. At the 2010 census Helena's population was 28,190, making it the fifth least populous state capital in the Un...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$84,790 to $108,108
Helena, Montana area prices
were up 3.1% 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