Medical Claims Review Manager jobs in Salisbury, NC

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)

H
Medical Practice Manager
  • HIGH ROCK INTERNAL MEDICINE
  • Lexington, NC FULL_TIME
  • About us

    High Rock Internal Medicine, PA is a busy internal medicine practice in Lexington, NC. We are a professional office that seeks to give the best care to our patients.

    ```Duties:```
    - Oversee the day-to-day operations of the medical practice, ensuring smooth and efficient workflow and coverage
    - Manage and supervise staff, including hiring, training, and annual reviews
    -Implement policies and procedures to improve operational efficiency
    - Coordinate with healthcare providers to ensure quality patient care

    -Experience in Quality Metrics and working with ACOs to meet all targets
    - Collaborate with human resources to handle employee relations and compliance matters
    - Implement and maintain electronic health record systems to streamline medical management processes
    - Ensure compliance with regulatory requirements and managed care contracts
    - Provide critical care support in emergency situations

    ```Qualifications:```

    - Proven experience in medical practice management or healthcare administration
    - Strong knowledge of Internal Medicine operations and medical administrative support functions
    - Excellenct customer service skills
    - Familiarity with electronic health record systems
    - Excellent leadership and communication skills
    - Ability to manage multiple priorities and work effectively under pressure

    Note: This job description is intended to provide a general overview of the position. Duties and responsibilities may be subject to change based on organizational needs.

    Please submit your resume highlighting relevant experience for consideration.

    Job Type: Full-time

    Pay: $47,000.00 - $53,000.00 per year

    Benefits:

    • 401(k)
    • Dental insurance
    • Health insurance
    • Paid time off
    • Vision insurance

    Healthcare setting:

    • Medical office

    Schedule:

    • 10 hour shift

    Experience:

    • Medical office management: 2 years (Required)

    Work Location: In person

  • 12 Days Ago

D
REGIONAL SALES MANAGER
  • De Soutter Medical
  • Mooresville, NC FULL_TIME
  • De Soutter Medical is a dynamic company focused on designing, manufacturing and supplying surgical power instruments to a global market. We set ourselves very high standards throughout the business. O...
  • 19 Days Ago

M
Assistant Business Office Manager
  • Medical Facilities of America
  • Lexington, NC FULL_TIME
  • Lexington Health Care Center in City, State> is seeking an Assistant Business Office Manager. Working with us is more than just a job - it is an opportunity to do meaningful work that improves the liv...
  • 8 Days Ago

D
Unit Manager - Behavioral Health, FT
  • Davis Regional Medical Center
  • STATESVILLE, NC FULL_TIME
  • Plans, manages and coordinates therapeutic program services and ensures compliance with philosophy, policies and procedures of Davis Regional Medical Center. Ensures delivery of services by multidisci...
  • 6 Days Ago

T
Medical Director
  • Theoria Medical
  • Statesville, NC FULL_TIME
  • Company Overview Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. T...
  • Just Posted

T
Medical Director
  • Theoria Medical
  • Mooresville, NC FULL_TIME
  • Company Overview Theoria Medical is a comprehensive medical group and technology company dedicated to serving patients across the care continuum with an emphasis on post-acute care and primary care. T...
  • Just Posted

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Medical Claims Review Manager jobs found in Salisbury, NC area

H
Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Salisbury, NC
  • 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

H
Remote Licensed Mental Health Counselor
  • Headway
  • Salisbury, NC
  • 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

H
Remote Licensed Mental Health Therapist
  • Headway
  • Salisbury, NC
  • 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

H
Remote Licensed Clinical Psychologist
  • Headway
  • Salisbury, NC
  • 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

H
Remote Licensed Psychiatrist
  • Headway
  • Salisbury, NC
  • 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

H
Remote Licensed Professional Counselor
  • Headway
  • Salisbury, NC
  • 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

H
Remote Licensed Marriage and Family Therapist
  • Headway
  • Salisbury, NC
  • 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

H
Remote Licensed Clinical Social Worker
  • Headway
  • Salisbury, NC
  • 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

Salisbury (/ˈsɔːlzbəri/ SAWLZ-bər-ee) is a city in the Piedmont of North Carolina; it is the county seat of Rowan County. Located 44 miles northeast of Charlotte and within its metropolitan area, the town has attracted a growing population. This was 33,663 in the 2010 Census (growing 27.8% from the Census in 2000). Founded in 1753, Salisbury is noted for its historic preservation, with five Local Historic Districts and ten National Register Historic Districts. Salisbury is the home to North Carolina soft drink, Cheerwine, regional supermarket, Food Lion and Rack Room Shoes. It is one of two ci...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$91,815 to $117,066
Salisbury, North Carolina 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