Medical Claims Review Manager jobs in Lima, OH

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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Medical Staff Peer Review Assistant
  • Lima Memorial Health System
  • Lima, OH PART_TIME
  • Functioning within the Health System’s mission, values, objectives, and policies and procedures, the Medical Staff Peer Review Assistant is responsible for coordination of medical staff peer review committee functions including, but not limited to, compilation of statistics, agenda preparation, assignment of cases for physician review, preparation of meeting packet, take/type meeting minutes, referral letters and any meeting follow-up tasks.  In addition, this position serves as department secretary for the Quality Resource Management Department.  

    Education:  High School diploma or equivalent (GED) required.  An associate’s degree in business/secretarial/administrative support is preferred.

    Licensure/Certification:  N/A

    Experience: Minimum of one (1) year of experience in the clinical or healthcare business setting preferred. Experience with Word, Excel, and Outlook is preferred.

    Skills:  Excellent written and oral communication, listening and interpersonal skills, and basic competency with 
    Microsoft products (i.e. Word and Excel) preferred.  Must also have the demonstrated ability to work 
    Independently and the ability to juggle competing demands and deal with interruptions.
     

     

  • 9 Days Ago

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Senior Liability Complex Claims Manager
  • Central Mutual Insurance Company
  • Van, OH FULL_TIME
  • Location: Hybrid Work Model Central’s Senior Liability Complex Claims Manager will lead the Liability Complex Claims team and will play a critical role in achieving our Claims’ mission of achieving Op...
  • 29 Days Ago

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Director Of Property Claims
  • Central Mutual Insurance Company
  • Van, OH FULL_TIME
  • Location: Hybrid Work Model Central’s Director of Property Claims heads our property line. This individual plays a critical role in achieving our mission in Claims to deliver exceptional hospitality t...
  • 20 Days Ago

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Director Of Casualty Claims
  • Central Mutual Insurance Company
  • Van, OH FULL_TIME
  • Location- Hybrid Work Model Central’s Director of Casualty Claims heads all casualty lines (liability and workers’ compensation claims). This individual plays a critical role in achieving our mission ...
  • 20 Days Ago

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Claims Supplier Management Specialist
  • Central Mutual Insurance Company
  • Van, OH FULL_TIME
  • Location: Hybrid Work Model We are a team of employees who are passionate to deliver best in-class customer service and innovation in the industry. It's because we put Integrity, Relationships and Exc...
  • 20 Days Ago

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Casualty Claims Supervisor
  • Wayne Mutual Insurance Company
  • Lima, OH FULL_TIME
  • Who are We? Wayne Insurance Group is an Ohio based mutual insurance company founded in 1910 in Wooster, Ohio. The core of our foundation was the farming community and while we stay true to the farmers...
  • 10 Days Ago

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0 Medical Claims Review Manager jobs found in Lima, OH area

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Remote Licensed Mental Health Counselor
  • Headway
  • Lima, OH
  • 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 Psychiatrist
  • Headway
  • Lima, OH
  • 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 Mental Health Therapist
  • Headway
  • Lima, OH
  • 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 Marriage and Family Therapist
  • Headway
  • Lima, OH
  • 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
  • Lima, OH
  • 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 Psychologist
  • Headway
  • Lima, OH
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/24/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Lima, OH
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/24/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Lima, OH
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/23/2024 12:00:00 AM

Lima (/ˈlaɪmə/ LY-mə) is a city in and the county seat of Allen County, Ohio, United States. The municipality is located in northwestern Ohio along Interstate 75 approximately 72 miles (116 km) north of Dayton and 78 miles (126 km) south-southwest of Toledo. As of the 2010 census, the city had a population of 38,771. It is the principal city of and is included in the Lima, Ohio metropolitan statistical area, which is included in the Lima–Van Wert–Wapakoneta, OH, combined statistical area. Lima was founded in 1831. The Lima Army Tank Plant, built in 1941, is the sole producer of the M1 Abrams....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$91,815 to $117,066
Lima, Ohio 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