Medical Claims Review Manager jobs in Indianapolis, IN

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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Administration/Data Entry - Entry Level
  • Balance Claims
  • Indianapolis, IN FULL_TIME
  •  

    Job Summary

    Balance, LLC, America’s Services Company for Contractors, is always looking for motivated Administrative Professionals in Indianapolis, IN. Our Shared Service Department administratively intakes and processes various construction projects. We are committed to hiring professional, career-oriented administrators who are looking for a collaborative team environment, and an exceptionally strong culture that recognizes quality work.

    Responsibilities and Duties

    • Utilizes various forms of communication and software to interact with and handle Client files
    • Intakes and reviews client submitted documentation to confirm that all necessary information is included in the project
    • Managing a variety of tasks to enable the company's efficiency & generating revenue 

    Qualifications and Skills

    • Strong communication 
    • Solid grammar
    • Strong analytical skills 
    • Task management & organization
    • Strong computer aptitude 
    • Motivated personality
    • Strong “Team Work” mentality
    • Comfortable working in an office environment 

     

    Balance, LLC (https://balanceclaims.com) is a Business Process Outsourcing (BPO) firm focused exclusively on assisting contractors offload the management of their construction job file administration, including both the estimates and supplements work processes. We partner with most of the leading technology platforms and service vendors in our space to deliver thorough, compliant, and timely construction job file management. This allows our clients to focus on selling, building, and billing. Acting as a direct extension of our clients, we work within their platforms and processes to provide seamless and timely delivery with a focus on customer service and business process.

  • Just Posted

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AP/AR Accounting Professional
  • Balance Claims
  • Indianapolis, IN FULL_TIME
  • Company OverviewSolar Integrated Roofing Corp. (OTC:SIRC), is an integrated, single-source solar power and roofing systems installation platform company specializing in commercial and residential prop...
  • 2 Days Ago

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Storm Restoration - Project Supplementor
  • Balance Claims
  • INDIANAPOLIS, IN FULL_TIME
  • About Balance, LLC - https://balanceclaims.com/Balance provides contracting businesses with full-service claims administration, estimates, advisory and technology services. We help contractors save ti...
  • 4 Days Ago

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Construction Project Administrator/Inside Sales Representative
  • Balance Claims
  • INDIANAPOLIS, IN FULL_TIME
  • About Balance, LLC - https://balanceclaims.com/Balance provides contracting businesses with full-service claims administration, estimates, advisory and technology services. We help contractors save ti...
  • 9 Days Ago

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Utilization Review RN Care Manager II
  • Professional Management Enterprises
  • Indianapolis, IN FULL_TIME
  • A Medical RN Care Manager II is needed to meet HBR targets and member enrollment. Fully remote M-F 8AM - 5PM. MUST reside in the state of Indiana.Cold call outreach to members,Completion of member mul...
  • 13 Days Ago

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MLR (Medical, Legal, Review) Submissions Support Associate I
  • Precision Value & Health
  • Indianapolis, IN FULL_TIME
  • ***This role requires you to be located in Indianapolis, Indiana because this is a hybrid role.** ***Unfortunately, we are not able to provide sponsorship now or anytime in the future.*** PRECISIONxtr...
  • 3 Days Ago

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0 Medical Claims Review Manager jobs found in Indianapolis, IN area

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Indianapolis, IN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Indianapolis, IN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Indianapolis, IN
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/25/2024 12:00:00 AM

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Psychiatrist
  • Bluesky Telepsych
  • Indianapolis, IN
  • *** Psychiatrist with interest in APN supervision at 300/APN About BlueSky: We are a clinician-led, patient-centered, co...
  • 4/23/2024 12:00:00 AM

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Remote Bilingual Spanish CSR 48250
  • Alpha Rae Personnel Inc
  • Indianapolis, IN
  • Remote with onsite/virtual training. Work from home position after training completion Position Summary: This position w...
  • 4/22/2024 12:00:00 AM

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Bilingual Remote CSR (English/Burmese) 48250
  • Alpha Rae Personnel Inc
  • Indianapolis, IN
  • Remote with onsite/virtual training. Work from home position after training completion Bilingual applicants preferred-el...
  • 4/22/2024 12:00:00 AM

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RN Case Manager - Full-Time - Southside
  • Interim HealthCare
  • Indianapolis, IN
  • Our Registered Nurse Case Managers (RNCM) have been called to care when they’re needed most. As a member of our home hea...
  • 4/22/2024 12:00:00 AM

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REMOTE Burmese Bilingual CSR
  • Alpha Rae Personnel, Inc.
  • Indianapolis, IN
  • Job Description Job Description Remote with onsite/virtual training. Work from home position after training completion -...
  • 4/21/2024 12:00:00 AM

Indianapolis is in the East North Central region of the Midwestern United States, in central Indiana. According to the U.S. Census Bureau, the Indianapolis (balance) encompasses a total area of 368.2 square miles (954 km2), of which 361.5 square miles (936 km2) is land and 6.7 square miles (17 km2) is water. The consolidated city boundaries are coterminous with Marion County, with the exception of the autonomous municipalities of Beech Grove, Lawrence, Southport, and Speedway. Indianapolis is the 16th largest city by land area in the U.S. Indianapolis is within the Tipton Till Plain, a flat to...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$94,937 to $121,047
Indianapolis, Indiana 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