Medical Claims Review Manager jobs in New Brunswick, NJ

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)

K
Medical Office Manager
  • Katz Medical Group
  • Manalapan, NJ FULL_TIME
  • ```Duties:```
    - Oversee the daily operations of the medical office, ensuring smooth and efficient workflow
    - Manage and supervise office staff, including hiring, training, and performance evaluations
    - Develop and implement office policies and procedures to maintain compliance with industry regulations
    - Coordinate patient scheduling and ensure timely and accurate billing
    - Collaborate with healthcare providers to optimize patient care and improve patient outcomes
    - Utilize electronic health record systems such sas eClinicalWorks or Epic for documentation and data management
    - Monitor managed care contracts and utilization management to maximize reimbursement

    ```Qualifications:```
    - Bachelor's degree in healthcare administration or related field (preferred)
    - Previous experience in medical office management or a similar role
    - Knowledge of veterinary or critical care hospital operations (preferred)
    - Proficiency in electronic health record systems such as eClinicalWorks or Epic
    - Strong leadership skills with the ability to effectively manage a team
    - Excellent communication and interpersonal skills
    - Detail-oriented with strong organizational abilities

    Please note that this job description is intended to provide a general overview of the position. Duties, responsibilities, and qualifications may be subject to change based on the specific needs of the medical office.

    Job Type: Full-time

    Pay: $20.36 - $24.52 per hour

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee discount
    • Health insurance
    • Vision insurance

    Schedule:

    • Monday to Friday

    Experience:

    • Management: 2 years (Preferred)

    Work Location: In person

  • 10 Days Ago

G
Garage Co-Manager
  • Garage Clothing - Co manager-Natick, Mass
  • Freehold, NJ FULL_TIME
  • Seize the opportunity to join a global fashion retailer with two brands at the heart of its success, Garage and Dynamite, selected as one of Montreal's Top Employers 2020 and as one of Canada’s Top em...
  • 10 Days Ago

J
Nurse Manager Assistant - Medical Surgical - F/T Nights
  • JERSEY SHORE UNIVERSITY MEDICAL CENTER
  • Neptune, NJ FULL_TIME
  • Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives — and we help one another to succeed. With a culture rooted in c...
  • 8 Days Ago

B
Account Manager - B2B Facility Solutions Manager
  • B2B Facility Solutions Manager - City Wide Facility Solutions
  • East Brunswick, NJ FULL_TIME
  • Are you excellent at managing and retaining B2B accounts? Do you also have strong selling skills for increasing sales within an account? If you answered yes, consider this opportunity with City Wide!C...
  • 21 Days Ago

A
Claims Analyst
  • Allied World Assurance Company
  • Iselin, NJ FULL_TIME
  • Claims Analyst - Reinsurance, North American Reinsurance Claims Group - (2400000F) Description Job Summary To provide claims support and management for the Assumed Reinsurance Claims Unit Job Responsi...
  • 22 Days Ago

P
Medical Billing Manager
  • Pedicare Orthopedic
  • Lakewood, NJ PART_TIME,FULL_TIME
  • Pedi-care Orthopedic is seeking a f/t medical billing manager: > Hours: Monday, Wed, Thurs, Friday from 9 -1pm in our Lakewood office. >The right candidate will have medical office and billing experie...
  • Just Posted

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Medical Claims Review Manager jobs found in New Brunswick, NJ area

E
Psychiatrist
  • Easterseals NJ
  • Plainfield, NJ
  • Job Description Job Description Psychiatrist (Union County) Are you committed to ensuring the highest level of psychiatr...
  • 4/18/2024 12:00:00 AM

T
Medical Assistant
  • Tru Medical Management
  • New York, NY
  • Job Description Job Description We are looking for a skilled and organized medical assistant to join our healthcare team...
  • 4/17/2024 12:00:00 AM

T
Patient Call Center Agent
  • Tru Medical Management
  • New York, NY
  • Job Description Job Description Patient Call Center Agent Job Responsibilities and Duties: · Answer all incoming calls, ...
  • 4/16/2024 12:00:00 AM

P
Nurse Case Representative
  • Plymouth Rock Assurance
  • Woodbridge, NJ
  • In this vital role the Nurse Case Representative medically manages the treatment of our customers injured in an automobi...
  • 4/16/2024 12:00:00 AM

L
Child & Adolescent Nurse Practitioner (psychiatry) - PMHNP - North Brunswick, NJ
  • LifeStance Health
  • North Brunswick, NJ
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/15/2024 12:00:00 AM

L
Child & Adolescent Nurse Practitioner (psychiatry) - PMHNP - Piscataway, NJ
  • LifeStance Health
  • Piscataway, NJ
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 4/15/2024 12:00:00 AM

P
Nurse Case Representative
  • Plymouth Rock Assurance
  • Woodbridge, NJ
  • In this vital role the Nurse Case Representative medically manages the treatment of our customers injured in an automobi...
  • 4/15/2024 12:00:00 AM

L
Sr. Clinical Research Scientist
  • Legend Biotech Corp
  • Somerset, NJ
  • Company Information Legend Biotech is a global biotechnology company dedicated to treating, and one day curing, life-thr...
  • 4/14/2024 12:00:00 AM

According to the United States Census Bureau, the city had a total area of 5.789 square miles (14.995 km2), including 5.227 square miles (13.539 km2) of land and 0.562 square miles (1.456 km2) of water (9.71%). New Brunswick is in Raritan Valley (a line of cities in central New Jersey). New Brunswick is on the south side of Raritan Valley along with Piscataway Township, Highland Park, Edison Township, and Franklin Township (Somerset County). New Brunswick lies southwest of Newark and New York City and northeast of Trenton and Philadelphia. New Brunswick is bordered by Piscataway, Highland Park...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$110,159 to $140,454
New Brunswick, New Jersey 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