Medical Claims Review Manager jobs in Oklahoma City, OK

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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Customer Relations Manager
  • Claims Management Resources Inc
  • Oklahoma, OK FULL_TIME
  • The Customer Relations Manager oversees and is responsible for maintaining healthy customer relationships. Additionally, they serve as a primary contact person for resolving claim issues for customers. This position requires extensive interaction with customers, both internally and externally. This person must be flexible and dedicated with a passion for serving customers with integrity, a strong attention to detail, and ability to manage multiple projects at once.

    Duties and Responsibilities:

    • Acts as a proactive, in-house customer liaison; maintaining frequent communications and needs analysis for current customers.
    • Responds to customer requests for claims and settlement information.
    • Assists Sales/Marketing department in establishing and maintaining relationships with potential customers.
    • Creates reports, conducts data analysis and communicates results/conclusions to management and customers.
    • Conducts customer satisfaction surveys.
    • Manages, conducts and oversees monthly scheduled customer conference calls.
    • Serves as the operational or primary contact with customers.
    • Assist with new customer on-boarding transitions.
    • Lead projects to increase claims and create program/process efficiencies.
    • Researches and resolves claim issues by conferring with internal staff, and determines/offers resolutions to internal personnel and customer representatives.
    • Receives and reviews claim settlement offers, within customer relations settlement authority, and forwards requests to customers beyond internal settlement authority parameters.

    Required Skills:

    • Ability to think creatively
    • Proficient in Microsoft Office suite: Word, Teams, PowerPoint, Excel and Outlook
    • Ability to jump from high profile projects to lower profile-type projects
    • Strong communicator with ability to articulate ideas, both written and verbal
    • Strong analytical and problem-solving skills
    • Strong customer service skills including ability to engage with customers in meaningful ways
    • Ability to work independently and with minimal structure
    • Ability to identify and address acute issues and challenges
    • Available for light travel

    Education/Experience:

    • Associate’s Degree in related field required; Bachelor's degree preferred
    • 3 years of sales/marketing experience required.
    • 5 years in high level client services and/or sales/marketing experience are preferred.
  • Just Posted

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Property Insurance Claims Adjuster - Work From Home!
  • Claims Management Resources Inc
  • Oklahoma, OK FULL_TIME
  • Are you interested in working for a company that not only “talks the talk” but “walks the walk”? Lucrative Compensation Plan! Starting base of $15.00 per hour, PLUS monthly bonus! Do you thrive in a c...
  • 19 Days Ago

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Property Insurance Claims Adjuster - Work From Home!
  • CLAIMS MANAGEMENT RESOURCES INC
  • Oklahoma, OK OTHER
  • Job Details Job Location: Remote - Oklahoma City, OK Salary Range: $11.54 - $15.00 Hourly DescriptionAre you interested in working for a company that not only “talks the talk” but “walks the walk”? Lu...
  • 1 Month Ago

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Medical Claims Technician I
  • Red Rock Behavioral Health Services
  • Oklahoma, OK FULL_TIME
  • SummaryResearches insurance claim denials, determines the validity of the claim and when appropriate is responsible for adjusting and resubmitting the claims via multiple methods.Essential FunctionsRe...
  • 24 Days Ago

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Medical Claims Technician I
  • Oklahoma Mental Health Council dba Red Rock...
  • Oklahoma, OK FULL_TIME
  • SummaryResearches insurance claim denials, determines the validity of the claim and when appropriate is responsible for adjusting and resubmitting the claims via multiple methods.Essential FunctionsRe...
  • 1 Day Ago

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Medical Claims Technician I
  • Red Rock Behavioral Health Service
  • Oklahoma, OK FULL_TIME
  • SummaryResearches insurance claim denials, determines the validity of the claim and when appropriate is responsible for adjusting and resubmitting the claims via multiple methods.Essential FunctionsRe...
  • 1 Day Ago

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0 Medical Claims Review Manager jobs found in Oklahoma City, OK area

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Clinical Psychiatrist (Outpatient) OKC
  • LifeStance Health
  • Oklahoma City, OK
  • At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make liv...
  • 3/29/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Oklahoma City, OK
  • Remote Licensed Marriage and Family Therapist (LMFT) Wage: Between $120-$131 an hour Are you a Licensed Marriage and Fam...
  • 3/28/2024 12:00:00 AM

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Remote Licensed Clinical Psychologist
  • Headway
  • Oklahoma City, OK
  • Remote Licensed Clinical Psychologist Wage: Between $166-$196 an hour Are you a Licensed Clinical Psychologist looking t...
  • 3/28/2024 12:00:00 AM

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Remote Licensed Professional Counselor
  • Headway
  • Oklahoma City, OK
  • Remote Licensed Professional Counselor (LPC) Wage: Between $120-$131 an hour Are you a Licensed Professional Counselor l...
  • 3/28/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Oklahoma City, OK
  • Remote Licensed Psychiatrist Wage: Between $232 - $269 an hour Are you a licensed Psychiatrist looking to launch a priva...
  • 3/28/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Oklahoma City, OK
  • Remote Licensed Clinical Social Worker (LCSW) Wage: Between $120-$131 an hour Are you a Licensed Clinical Social Worker ...
  • 3/28/2024 12:00:00 AM

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Remote Licensed Mental Health Therapist
  • Headway
  • Oklahoma City, OK
  • Remote Licensed Mental Health Therapist (LMHT) Wage: Between $120-$131 an hour Are you a Licensed Mental Health Therapis...
  • 3/28/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practioner
  • Headway
  • Oklahoma City, OK
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $203 - $269 an hour Are you a licensed Psychiatric Nurse lo...
  • 3/28/2024 12:00:00 AM

Oklahoma City lies along one of the primary corridors into Texas and Mexico, and is a three-hour drive from the Dallas-Fort Worth metroplex. The city is in the Frontier Country region in the center of the state, making it an ideal location for state government. According to the United States Census Bureau, the city has a total area of 620.34 square miles (1,606.7 km2), of which 601.11 square miles (1,556.9 km2) is land and 19.23 square miles (49.8 km2) is water. Oklahoma City lies in the Sandstone Hills region of Oklahoma, known for hills of 250 to 400 feet (120 m) and two species of oak: blac...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$88,931 to $113,389
Oklahoma City, Oklahoma area prices
were up 1.2% 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