Medical Policy Manager jobs in Vineland, NJ

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)

V
Medical Receptionist Lead
  • Vanguard Medical Group
  • Hammonton, NJ OTHER
  • Lead Medical Receptionist - Join Our Hammonton, NJ Team


    About Us: Vanguard Medical Group is an independent primary care group practice with 12 offices in New Jersey. We are committed to providing evidence-based healthcare that achieves quality outcomes that improve the health and safety of our patients and the populations we manage. We also strive to take care of our people, and that's not just patients. We want to ensure that our clinical and administrative staff have a good work-life balance, are engaged at VMG, and experience joy at work.


    Position Type: Full-Time

    Location: Hammonton, NJ

    Working Hours: Monday – Friday

    Compensation: $20.00 - $23.00 per hour, depending on years of experience


    About the role:

    Position Overview:
    The Medical Receptionist Lead plays a pivotal role in overseeing the daily operations of the medical front office, ensuring tasks are executed accurately, efficiently, and with utmost confidentiality. This position entails coordinating staff, supervising patient flow, maintaining office functionality, and facilitating vendor services to uphold the front office's effectiveness.


    Job Responsibilities:

    1. Staff Coordination and Training:
      • Coordinate and assist with staff cross-training in phone answering, patient reception, and medical record scanning.
      • Maintain staff scheduling to ensure appropriate coverage during operating hours.
    2. Meeting Coordination and Workflow Management:
      • Participate in developing regularly scheduled staff meetings and agendas to address current business needs.
      • Coordinate front office workflow to maximize quality and productivity.
    3. Privacy and Safety Assurance:
      • Ensure privacy, confidentiality, and safety of patients and staff in all front office operations.
    4. Billing Support and Supplies Management:
      • Work with the billing department to provide staff with up-to-date information on insurance, collections, policies, and procedures.
      • Monitor and order all necessary office supplies and equipment to maintain adequate inventory.
    5. Complaint Resolution and Quality Assurance:
      • Investigate, document, and promptly resolve patient complaints.
      • Regularly audit staff work to ensure adherence to best practices.
    6. Facility Maintenance and Vendor Coordination:
      • Audit cleanliness of office spaces weekly, including exam rooms, waiting areas, common spaces, break room, and bathrooms.
      • Interface with cleaning services and other vendors to ensure completeness, accuracy, and timeliness of services.
    7. Collaboration and Liaison:
      • Collaborate with Vanguard personnel to share knowledge of best practices across the organization and act as a resource for peers.
      • Act as a liaison between clerical, clinical, and administrative staff, updating clerical staff on policy and procedural changes as needed.
    8. Team Support and Computer Competence:
      • Act as a team player to ensure quality services are consistently provided.
      • Maintain competence in computer and software systems, including practice management and EHR systems.
    9. Other Duties and Support:
      • Perform other duties as assigned by Vanguard Medical Group to support medical practice operations.


    Requirements:

    • High school diploma or graduation equivalency degree (GED).
    • 2 Years of progressive experience.
    • Prior experience in a medical receptionist or phone-based customer service role, especially in a healthcare setting.
    • Proficiency in using electronic medical records (EMR) systems and phone systems.
    • Basic computer skills, including Word and Excel.
    • Athena experience a major plus.
    • Strong verbal communication skills and active listening abilities.
    • Exceptional phone etiquette and empathy when interacting with patients.
    • Strong organizational skills and the ability to manage multiple phone calls simultaneously.
    • Knowledge of medical terminology and insurance verification processes is advantageous.
    • Medical Billing experience preferred.


    Life at Vanguard:

    We are the innovators and visionaries in medical science, with the health of our patients as the ultimate goal. To take care of our patients, we hire warm and caring professionals who value and respect others, and who seek to achieve excellence in all they do. We take care of our team too! We offer a unique work environment where you can maximize your capabilities and contributions and we value everyone’s input. Some of our benefits include medical, dental and vision insurance, generous paid time off, 401(k) plans with employer match, and leadership opportunities.

  • Just Posted

A
Emergency Medical Technician (EMT)
  • All For You Medical Transportation
  • Vineland, NJ FULL_TIME
  • As an EMT, your responsibility Will be to Provide transport to medical facilities by assuming responsibility for patient’s medical care Remain up to date with current standards of care, equipment func...
  • 18 Days Ago

M
Medical Device Sales - Paid Internship
  • Medical Sales College
  • Clayton, NJ FULL_TIME
  • DescriptionMedical Device Sales - Paid InternshipLooking for a rewarding and lucrative career in the medical sales industry? Our paid Internship may be the right path for you!Here are just some of the...
  • 18 Days Ago

M
Medical Device Sales - Paid Internship
  • Medical Sales College
  • Franklinville, NJ FULL_TIME
  • DescriptionMedical Device Sales - Paid InternshipLooking for a rewarding and lucrative career in the medical sales industry? Our paid Internship may be the right path for you!Here are just some of the...
  • 19 Days Ago

S
Certified Medical Assistant/Receptionist (FT)
  • South Cumberland Medical Assoc
  • Bridgeton, NJ FULL_TIME
  • An exciting opportunity awaits qualified candidates! A fulltime CMA position for a Family Medicine practice in Cumberland County is available for a Certified Medical Assistant/Receptionist.Qualified a...
  • 26 Days Ago

C
Medical Assistant / Mobile Testing Technician
  • Clare Medical of New Jersey
  • Vineland, NJ FULL_TIME,PART_TIME
  • Clare Medical of New Jersey Full Time Certified Medical Assistants/Mobile Testing Technician needed for Visiting Physician Practice Clare Medical of New Jersey is a fast growing visiting physician pra...
  • 27 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Medical Policy Manager jobs found in Vineland, NJ area

A
ABA - Occupational Therapist - H
  • Aveanna
  • Vineland, NJ
  • ABA - Occupational Therapist - H ApplyRefer a FriendBack Job Details Requisition #: 194723 Location: Vineland, NJ 08360 ...
  • 5/10/2024 12:00:00 AM

P
Warehouse Associate - Vineland, NJ
  • Peirce Phelps
  • Vineland, NJ
  • Overview: Warehouse Associate Peirce-Phelps has been proudly serving our communities since 1926. We are a distributor of...
  • 5/10/2024 12:00:00 AM

L
Phlebotomist
  • Labcorp
  • Vineland, NJ
  • At Labcorp we have a passion in helping people live happy and healthy lives. Every day we provide vital information that...
  • 5/10/2024 12:00:00 AM

T
Production Technician - Second Shift
  • The Cannabist Company
  • Vineland, NJ
  • Reports to: Facility Manager or Processing Supervisor Position Overview: Processing Technicians are responsible for all ...
  • 5/10/2024 12:00:00 AM

I
Security Officer - Security - PART TIME NIGHTS 7P-730A Vineland
  • Inspira Health Network
  • Vineland, NJ
  • Job Description This position is responsible for creating a safe and secure environment for employees, patients, visitor...
  • 5/9/2024 12:00:00 AM

A
Evening and Overnight Nurse (LPN)
  • Aveanna
  • Vineland, NJ
  • Evening and Overnight Nurse (LPN) Job Ref: 193014 Location: Vineland, NJ 08361 Category: LPN/LVN Line of Business: PDS P...
  • 5/9/2024 12:00:00 AM

F
Medication Management Associate
  • Fresenius Medical Care
  • Philadelphia, PA
  • PURPOSE AND SCOPE: Promotes quality patient care, ongoing customer support for Fresenius Medical Care (FMCNA) renal pati...
  • 5/7/2024 12:00:00 AM

G
Companion Caregivers Immediate Openings>
  • Griswold Home Care
  • Woodbine, NJ
  • Griswold Home Care - Contractor [Nursing Assistant / Health Aide] As a Companion Caregiver at Griswold Home Care, you'll...
  • 5/6/2024 12:00:00 AM

According to the United States Census Bureau, the city had a total area of 69.029 square miles (178.785 km2), including 68.424 square miles (177.218 km2) of land and 0.605 square miles (1.568 km2) of water (0.88%). Of all the municipalities in New Jersey to hold the label of City, Vineland is the largest in total area. (Hamilton Township in Atlantic County is the largest municipality in New Jersey in terms of land area. Galloway Township, also in Atlantic County, is the largest municipality in total area, including open water within its borders.) Vineland borders Deerfield Township, Millville,...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Policy Manager jobs
$139,417 to $170,194
Vineland, New Jersey area prices
were up 1.5% from a year ago

Medical Policy Manager in Casper, WY
The Medical Policy Portal offers streamlined navigation to the various types of policies available.
February 14, 2020
Medical Policy Manager in Saint Paul, MN
The expanded policy, called the Air Force Memorandum for Appearance and Accession Standards Review, gives applicants with previously disqualifying medical conditions a second chance on a case-by-case basis.
February 12, 2020
Medical Policy Manager in Atlantic City, NJ
Get the latest updates to Blue Cross NC's medical policies.
January 14, 2020