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)
To provide an objective appraisal to credit union management of Member Business Loans and applications for credit in order to identify potential loan problems and ensure compliance with established loan policies and federal regulations.
Primary Duties:
Other Responsibilities:
Windows based PC (MS Word/Excel/Power Point/Outlook
Familiar with Bank CORE syatems
Document Imaging
copy machine; telephone
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0 Medical Claims Review Manager jobs found in Monroe, LA area