Medical Claims Review Manager jobs in Salem, OR

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 Claims Representative
  • TEKsystems
  • Portland, OR FULL_TIME
  • Currently seeking a Claims Representative to join the team at a medical company in downtown Portland.

    Job Description:

    • Performs quality assurance review of reports, correspondences, addendums for medical review cases
    • Verify document accuracy including physician information, patient demographics, insurance policy information, and denial details prior to sending appeal to review team
    • Perform repetitive data entry and verification tasks
    • Call and email correspondence with insurance companies and physician offices for missing/incomplete information

    Skills & Qualifications:

    • 1 years of recent experience working with medical insurance claims
    • Strong knowledge of medical terminology
    • Proficient in Microsoft Office

    About TEKsystems:

    We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.

    The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

  • Just Posted

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Data Entry Coordinator- Medical Claims
  • TEKsystems
  • Portland, OR FULL_TIME
  • Description: Performs quality assurance review of reports, correspondences, addendums for medical review cases Verify document accuracy including physician information, patient demographics, insurance...
  • 2 Days Ago

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Manager of Claims Health Plans
  • Global IT Resources
  • Corvallis, OR FULL_TIME
  • Full Time Manager of Claims Health Plans for a Hybrid position, will be onsite in Corvallis 2-3 times a week or more if needed. We need a candidate with strong management experience. Shift: Days. W2 B...
  • 8 Days Ago

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Manager of Claims (Health Plans)
  • MedNinjas
  • Corvallis, OR CONTRACTOR
  • Manager of Claims Health Plans - Hybrid role Location: Corvallis, OR Job Type: Permanent Fulltime Hybrid position, will be onsite in Corvallis 2-3 times a week or more if needed. We need a candidate w...
  • 1 Month Ago

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Manager of Claims Health Plans
  • Favorite Healthcare Staffing
  • Corvallis, OR FULL_TIME
  • A hospital located in Corvallis, OR is currently seeking a qualified Manager of Claims Health Plans to join their team full-time! Check out the details below: Title: Manager of Claims Health Plans Job...
  • 25 Days Ago

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Manager, Claims Health Plans
  • Akar IT services
  • Corvallis, OR FULL_TIME
  • Hi Professionals,We are hiring for Manager of Claims Health Plans- Hybrid in Corvallis, OR 97330Manager of Claims Health PlansDuration: Permanent full timeLocation: Corvallis, OR 97330 (Hybrid ,will b...
  • 26 Days Ago

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0 Medical Claims Review Manager jobs found in Salem, OR area

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Member Support Specialist ll
  • PacificSource Administrators, Inc.
  • Salem, OR
  • **Position Overview:** The Member Support Specialist will work as an integral part of the case management team to serve ...
  • 4/19/2024 12:00:00 AM

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Endocrinology NP/PA - Salem, Oregon
  • Praxis Health
  • Salem, OR
  • Job Description Salem Endocrinology has a great opportunity for anEndocrinology Nurse Practitioner or Physician Assistan...
  • 4/19/2024 12:00:00 AM

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Medical Science Liaison - Respiratory - Non-Alliance - (Northern CA, NV)
  • Sanofi Group
  • Salem, OR
  • Our Team: This position will report into the US Medical Immunology team which is a segment of the Medical Affairs Specia...
  • 4/19/2024 12:00:00 AM

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Field Operations Project Manager 1 - Utilities
  • Jacobs
  • Salem, OR
  • Your Impact: Our People & Places Solutions business - reinforces our drive to improve the lives of people everywhere and...
  • 4/19/2024 12:00:00 AM

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Analyst, Billing Services
  • Cardinal Health
  • Salem, OR
  • What Customer Billing Services Contributes to Cardinal Health Customer Billing Services is responsible for proactive res...
  • 4/19/2024 12:00:00 AM

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Mental Health Skills Trainer - Psychiatric Security Review Board - Supportive Housing - Part-time
  • Marion County, OR
  • Salem, OR
  • This recruitment has been reopened for additional applicants and will remain open until filled. If you have already appl...
  • 4/18/2024 12:00:00 AM

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Member Support Specialist II
  • PacificSource Administrators, Inc.
  • Salem, OR
  • **Position Overview:** The Member Support Specialist will work as an integral part of the case management team to serve ...
  • 4/18/2024 12:00:00 AM

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Public Health Nurse 2 - Clinical Preventive Services
  • Marion County, OR
  • Salem, OR
  • This recruitment has been reopened for additional applicants and will remain open until filled. If you have already appl...
  • 4/17/2024 12:00:00 AM

Salem /ˈseɪləm/ is the capital of the U.S. state of Oregon, and the county seat of Marion County. It is located in the center of the Willamette Valley alongside the Willamette River, which runs north through the city. The river forms the boundary between Marion and Polk counties, and the city neighborhood of West Salem is in Polk County. Salem was founded in 1842, became the capital of the Oregon Territory in 1851, and was incorporated in 1857. Salem had a population of 169,798 in 2017, making it the second-largest city in the state after Portland. Salem is a little under an hour's driving dis...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$97,962 to $124,903
Salem, Oregon area prices
were up 3.9% 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