Medical Claims Review Manager jobs in Winston Salem, 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)

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Site Manager - Full Time
  • Site Manager - Full Time
  • Salem, NC FULL_TIME
  • We are looking for a Site Manager.

    • Full-Time
    • On-site role
    • 8:00 AM - 5:00 PM
    • Monday-Friday

    POSITION PROFILE

    Accountable for daily operations of medium to large team that may multiple sites. Ensures contract compliance of contracted services including: Copy services, Courier Services, Managed Print services, Hospitality, Imaging and Mail services. Responsible for selecting and assessing talent, recruiting, hiring, onboarding, employee retention, staff training & development, succession planning, and conducts performance management that includes employee counseling.

    JOB DUTIES AND RESPONSIBILITIES

    • Responsible to manage daily operations of a medium-large size site while managing a mediumlarge team of direct reports
    • Expert knowledge of Ricoh's products and offerings. Consistently consults and displays insights into strategic and tactical issues by actively seeking input of counterparts in other business units and businesses.
    • Responsible for staffing and performance management of assigned site personnel and assigned Field Service Representative staff.
    • Creates and maintains a customer-focused environment with regular end-user feedback and customer satisfaction surveys, with active Commitment Action Document.
    • Identifies and recommends high performers for succession planning. Responsible for employee retention, performance management and employee counseling.
    • Able to support, lead and manage team through all phases of Change Management.
    • Facilitates resolution of issues concerning pricing, orders-in and invoicing by interacting and communicating with sales department.
    • Collaborates with other leaders, team members, and internal or external customers to implement a solution or initiative.

    QUALIFICATIONS (Education, Experience, and Certifications)

    • High school or GED is required.
    • 5 years of work experience in a related field (B2B and/or technical).
    • Previous 2 years of managerial work experience strongly preferred.
    • Previous 5 years Customer facing work experience required.
    • Demonstrated high level knowledge and understanding of technology.
    • Off 360 proficient user

    Job Type: Full-time

    Pay: $22.00 per hour

    Expected hours: 32 – 40 per week

    Benefits:

    • 401(k)
    • Dental insurance
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Referral program
    • Tuition reimbursement
    • Vision insurance

    Schedule:

    • 8 hour shift

    Application Question(s):

    • Hourly pay is $22. Please feel free to answer and let us know your salary expectations.

    Experience:

    • Printing: 1 year (Required)

    Work Location: In person

  • 6 Days Ago

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Site Manager - Full Time
  • Site Manager - Full Time
  • Salem, NC FULL_TIME
  • We are looking for a Site Manager. Full-Time On-site role 8:00 AM - 5:00 PM Monday-Friday POSITION PROFILE Accountable for daily operations of medium to large team that may multiple sites. Ensures con...
  • 6 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • State Road, NC 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...
  • Just Posted

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Paid Product Tester
  • Product Review Jobs
  • TRAPHILL, NC 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...
  • 25 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • Vesta, VA 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...
  • 27 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • PATRICK SPRINGS, VA 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...
  • 27 Days Ago

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0 Medical Claims Review Manager jobs found in Winston Salem, NC area

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Remote Licensed Clinical Social Worker
  • Headway
  • Winston Salem, 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

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Remote Licensed Mental Health Therapist
  • Headway
  • Winston Salem, 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

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Winston Salem, 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

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Remote Licensed Professional Counselor
  • Headway
  • Winston Salem, 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

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Remote Licensed Mental Health Counselor
  • Headway
  • Winston Salem, 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

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Winston Salem, 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

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Remote Licensed Clinical Psychologist
  • Headway
  • Winston Salem, 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

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Remote Licensed Psychiatrist
  • Headway
  • Winston Salem, 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

Winston-Salem is a city in and the county seat of Forsyth County, North Carolina, United States. With a 2019 estimated population of 251,907 it is the second largest municipality in the Piedmont Triad region, the fifth most populous city in North Carolina, and the eighty-ninth most populous city in the United States. With a metropolitan population of 676,673 it is the fourth largest metropolitan area in North Carolina and is expected to keep that fourth spot for many more years. Winston-Salem is home to the tallest office building in the region, 100 North Main Street, formerly the Wachovia Bui...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$91,620 to $116,817
Winston Salem, 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