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)
Intercoastal Medical Group, Inc. is seeking an experienced Medical Claims Denial Specialist for a multispecialty practice. The specialist is responsible for managing claim denials, submitting medical records to the insurance carrier, processing explanation of benefits (EOB), communicating with the treating provider or office coordinator on claim issues, and re-submitting claims.
Intercoastal is a drug free workplace and EEO compliant.
Requirements:
*High School Diploma or Equivalent
*Current Medical Billing Experience
*Completion of Medical Coding Course a plus
*Basic HIPAA Knowledge
*Strong Computer Skills
Job Type: Full-time
Pay: From $18.00 per hour
Benefits:
Schedule:
People with a criminal record are encouraged to apply
Education:
Experience:
Work Location: In person
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