Medical Policy Manager jobs in Pueblo, CO

Medical Policy Manager manages and implements corporate policy and process for medical provider and other reimbursements. Ensures that all claims are reviewed, settled, and processed in compliance with and according to contract provisions and regulatory requirements. Being a Medical Policy Manager evaluates and develops policies and provider reimbursement guidelines to effectively manage and control medical claims cost. Requires a bachelor's degree of finance, business or healthcare administration. Additionally, Medical Policy Manager typically reports to head of a unit/department. The Medical Policy 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 Policy 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 Billing/Office Manager
  • Southern Colorado Radiologists, P.C.
  • Pueblo, CO FULL_TIME
  • About us

    Southern Colorado Radiologists, P.C. is a small business in Pueblo, CO. We are professional, fast-paced, data-driven and our goal is to fill the position for a Medical Billing Associate to ensure efficient billing of clean claims, claim rejection review, corrected claims.

    Our company is looking to fill an Office Manager position for a group of 10 radiologist. The position will require a dedicated, self-motivated person who can lead a team of 8-10 employees to ensure that all coding and billing for patient accounts are charged, billed and paid in a timely manner for two separate companies. The ideal candidate is detail oriented, has prior experience in medical billing and coding. Manager must have experience in A/R reconciliation, daily and monthly balancing of accounts for two separate companies.

    Responsibilities:

    • Recruit, hire and train staff, provide direct supervision, ongoing education to employees.
    • Day-to-day administrative and operational functions for office of 8-10 employees and 10 providers.
    • Produce monthly financial reports. Income statements, balance sheets, cash flow statements, monthly RVU and production analysis reports.
    • Implement best practice standards for billing resulting in substantial reductions of accounts receivable delays.
    • Understand government regulations and insurance companies' policies and procedures.
    • Renew, update of create new insurance contracts. Renew, update or new credentialing for all providers. Update all State license, DEA License and malpractice insurance expiration dates.
    • Manage all requirements for MIPS reporting.
    • Assist and fill in for all employees with any problems within their job functions or time off.
    • Manage payroll, 401 contributions, medical benefits inquiries, employee 's time off and vacations.

    Job Type: Full-time

    Benefits:

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

    Schedule:

    • Day shift
    • Monday to Friday

    Experience:

    • ICD-10: 5 years (Required)

    Ability to Relocate:

    • Pueblo, CO 81003: Relocate before starting work (Required)

    Work Location: In person

  • Just Posted

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Registered Nurse (RN) - Nurse Manager (Surgery Department)
  • Assist Medical Staffing LLC
  • Alamosa, CO FULL_TIME
  • Hiring a Nurse Manager Registered Nurse (RN) for a full-time, permanent position in Alamosa, CO.The pay rate is $75,275.00 to $103,459.00Full-time hoursHiring for shifts: 7a-3pTo do well in this role ...
  • 1 Month Ago

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RN Nurse Manager Emergency Department Mon-Fri days ($32.65-$60.00)
  • Parkview Medical Center
  • Pueblo, CO OTHER
  • Job SummaryUnderstand who our customers are and what our customers expect of us.Be the first to respond to any customer request or need.Support other members of the work team in meeting customer needs...
  • 1 Month Ago

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RN Nurse Manager Surgical Services days with mandatory call 8 hr shifts ($32.65-$60.00)
  • Parkview Medical Center
  • Pueblo, CO OTHER
  • Job SummaryUnderstand who our customers are and what our customers expect of us.Be the first to respond to any customer request or need.Support other members of the work team in meeting customer needs...
  • 1 Month Ago

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Travel Registered Nurse RN Medical Surgical
  • OneStaff Medical
  • ALAMOSA, CO 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

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Medical Courier Jobs
  • Medical Courier Jobs Jobs Hiring
  • Center, CO FULL_TIME
  • (Hiring Immediately) Part/Full-Time Medical Courier Jobs Jobs Available in Center, CO. No Experience Required.
  • 24 Days Ago

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0 Medical Policy Manager jobs found in Pueblo, CO area

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Pueblo, CO
  • 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
  • Pueblo, CO
  • 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
  • Pueblo, CO
  • 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
  • Pueblo, CO
  • 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 Social Worker
  • Headway
  • Pueblo, CO
  • 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
  • Pueblo, CO
  • 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
  • Pueblo, CO
  • 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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Pharmacist Clinical Inpatient
  • UCHealth
  • Pueblo, CO
  • Description Location: UCHealth Parkview Medical Center, US:CO:Pueblo Department: Pharmacy FTE: Full Time, 1.0, 80.00 hou...
  • 4/19/2024 12:00:00 AM

Pueblo /ˈpwɛbloʊ/ is a home rule municipality that is the county seat and the most populous city of Pueblo County, Colorado, United States. The population was 106,595 in 2010 census, making it the 267th most populous city in the United States and the 9th largest in Colorado. Pueblo is the heart of the Pueblo Metropolitan Statistical Area, totaling over 160,000 people and an important part of the Front Range Urban Corridor. As of 2014, Pueblo is the primary city of the Pueblo–Cañon City combined statistical area (CSA) totaling approximately 208,000 people, making it the 134th largest in the nat...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$126,658 to $154,624
Pueblo, Colorado area prices
were up 2.3% from a year ago

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