Medical Claims Review Manager jobs in Santa Rosa, CA

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)

N
MEDICAL OFFICE FRONT OFFICE MANAGER/RECEPTION
  • Naturopathic Integrative Medical Clinic of Santa Rosa
  • Santa Rosa, CA PART_TIME
  • Medical office FRONT OFFICE MANAGER/RECEPTION

    Role and Responsibilities: Medical practice with holistic healthcare providers, require a qualified person on our team to manage the front & back office and provide patients and multiple providers with the best professional caring service supporting the clinic’s excellence in health care. The manager has the ability to prioritize and organize the workload and the ability to multi-task to keep the office running smoothly and fosters a collaborative environment amongst the front desk staff and the practitioners. This position is solely responsible for the staffing of the front office at all times.

    Hours: Monday - Friday & some Saturdays (25-30 hrs./week) with possible additional fill-in as vacation/illness relief for staff. This position works at least 1- 3 reception shifts per week in addition to the management duties to be an active part of the reception team. They are also responsible for the smooth operation of the back office including maintaining a clean, professional environment and maintaining the necessary supplies.

    Essential Job Responsibilities

    Front Office:

    • Primary point of contact for front office
    • Attend to the needs of owner, practitioners, patients and the office.
    • Confidentiality per HIPAA regulations
    • Provide excellent customer service
    • Committed to excellent attendance
    • Provide clear communications with owner, patients, practitioners and front office staff
    • Work well independently and collaboratively with others
    • Attention to details, independent thinking and the ability to problem solve
    • Thorough knowledge of all the practitioners, the services each offers and all the systems and software utilized by the front desk.

    · Responsible for all front desk staff operating as a collaborative team with practitioners

    · Maintain consistent front desk operations best practices and exceptional service

    · Schedule patient appointments accurately with multiple practitioners: follow up calls, cancellations, rescheduling.

    · Correspondence with patients via phone/email.

    · Maintain office needs: stocked items, office supplies, misc. orders, etc.

    · Track weekly metrics with accuracy

    · Preparation of charts and accurate downloads of files

    · Run errands to keep office running effectively and efficiently.

    · Responsible for covering all front office shifts, including emergency absences and time off

    · Operate according to all HR documents and procedures

    · Responsible for all software used for scheduling, charting and POS procedures

    · Train staff and trouble shoot all software platforms

    · Hire, train, inspire and direct all front desk staff and shift teams

    · Create and manage all social media, monthly newsletters and email marketing and marketing metrics

    · Check for outstanding invoices

    Back Office:

    · Order products, IV supplies, lab kits, etc. and keep appropriate inventory of all essential products and procedural supplies for the clinic.

    · Prepare IV bags when necessary

    · Track patients with lab kits & schedule follow up appointments

    · Note new patients with supplement orders and contact then with ordering options

    Essential Front Office Duties/Knowledge

    · Answer and respond to incoming telephone calls, emails and messages.

    · Check in/check out of patients and collect fees for services rendered.

    · Schedule patient appointments using an electronic health record, acquire and enter accurate patient demographic and health insurance information as well as post relevant documents to patient record on an ongoing basis.

    · Cashier for vitamin and medical supplement sales and send follow up letters.

    · Keep offices neat and clean

    · Oversee additional individual responsibilities assigned to each receptionist such as social media/newsletter/marketing, product & water maintenance, customer service/records coordinator, analytics reports, etc.

    Skills needed for this fast-paced office: :

    · Ability to multitask while gracefully handling multiple demands is an absolute necessity.

    · Strong familiarity with Windows-based computers is required.

    · Understanding of healthcare insurance is a plus, with an interest in integrative and alternative medicine preferred.

    · Strong customer service skills

    · Excellent verbal and written communication skills

    · Strong multi-tasking skills with superb attention to detail

    · Enjoyment for a fast-paced environment

    · Professionalism essential and good attendance record necessary

    · Strong work ethic & accountability for time spent productivity

    · Prioritization/organization abilities and common sense very important

    · Enjoy working in a team environment.

    Job Type: Part-time/Temporary

    Salary: From $27.00 per hour

    Benefits:

    • Employee discount
    • Paid time off

    Holistic Medicine Healthcare setting:

    • Clinic
    • Private practice

    Schedule:

    • Day shift
    • Monday to Friday & some Saturdays

    Education:

    • High school or equivalent (Required)

    Experience:

    • Customer service: 1 year (Preferred)
    • Receptionist experience for holistic healthcare clinic a plus

    Language:

    • English & Spanish (Preferred)

    Work Location: In person (Santa Rosa)

    COVID-19 considerations: We follow all Sonoma County and State of California department of health protocols for COVID workplace precautions.

    I agree to professionally perform all responsibilities at NIMCSR they deem necessary as Receptionist.

    _____________________________ ______________________________

    Employee Signature Date Dr. Goldberg/Mgr. Signature Date

    Job Type: Part-time

    Pay: $27.00 - $29.00 per day

    Expected hours: 25 – 30 per week

    Benefits:

    • Paid time off

    Healthcare setting:

    • Clinic

    Medical specialties:

    • Holistic Medicine

    Schedule:

    • Monday to Friday
    • Rotating weekends

    Ability to Relocate:

    • Santa Rosa, CA 95403: Relocate before starting work (Required)

    Work Location: In person

  • 19 Days Ago

O
Travel Registered Nurse RN Case Manager
  • OneStaff Medical
  • SANTA ROSA, CA FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 1 Month Ago

P
Paid Product Tester
  • Product Review Jobs
  • Potter Valley, CA FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 21 Days Ago

P
Paid Product Tester
  • Product Review Jobs
  • Caspar, CA FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 21 Days Ago

P
Paid Product Tester
  • Product Review Jobs
  • Albion, CA FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 21 Days Ago

P
Paid Product Tester
  • Product Review Jobs
  • Gualala, CA FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 21 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Medical Claims Review Manager jobs found in Santa Rosa, CA area

H
Remote Licensed Marriage and Family Therapist
  • Headway
  • Santa Rosa, CA
  • Remote Licensed Marriage and Family Therapist (LMFT) Wage: Between $86-$130 an hour Are you a Licensed Marriage and Fami...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Psychiatrist
  • Headway
  • Santa Rosa, CA
  • Remote Licensed Psychiatrist Wage: Between $148-$232 an hour Are you a licensed Psychiatrist looking to launch a private...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Clinical Psychologist
  • Headway
  • Santa Rosa, CA
  • Remote Licensed Clinical Psychologist Wage: Between $95-$166 an hour Are you a Licensed Clinical Psychologist looking to...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Clinical Social Worker
  • Headway
  • Santa Rosa, CA
  • Remote Licensed Clinical Social Worker (LCSW) Wage: Between $86-$130 an hour Are you a Licensed Clinical Social Worker l...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Mental Health Counselor
  • Headway
  • Santa Rosa, CA
  • Remote Licensed Mental Health Counselor (LMHC) Wage: Between $86-$130 an hour Are you a Licensed Mental Health Counselor...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Mental Health Therapist
  • Headway
  • Santa Rosa, CA
  • Remote Licensed Mental Health Therapist (LMHT) Wage: Between $86-$130 an hour Are you a Licensed Mental Health Therapist...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Santa Rosa, CA
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $144-$222 an hour Are you a licensed Psychiatric Nurse look...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Psychiatric Nurse Practioner
  • Hiring Now!
  • Santa Rosa, CA
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $203 - $269 an hour Are you a licensed Psychiatric Nurse lo...
  • 4/13/2024 12:00:00 AM

According to the United States Census Bureau, the city has a total area of 41.50 sq mi (107.5 km2), of which 41.29 sq mi (106.9 km2) is land and 0.205 sq mi (0.5 km2) (0.49%) is water. The city is part of the North Bay region, which includes such cities as Petaluma, Rohnert Park, Windsor, and smaller cities as Sonoma, Healdsburg, Sebastopol. It lies along the US Route 101 corridor, approximately 55 miles (89 km) north of San Francisco, via the Golden Gate Bridge. Santa Rosa lies on the Santa Rosa Plain. The city's eastern extremities stretch into the Valley of the Moon, and the Sonoma Creek wa...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$107,817 to $137,468
Santa Rosa, California area prices
were up 2.5% 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