Medical Claims Review Manager jobs in Anderson, SC

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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Manager Of Claims
  • Richland County
  • Richland, SC FULL_TIME
  • This class manages the reporting, investigation, disposition, and record keeping of workers compensation claims, County vehicle accidents, and general liability claims. The incumbent will monitor all claims types as assigned and will assist in monitoring of litigation files if the claim enters suit. This position reports to and works under the supervision of the Assistant Director, but significant leeway is granted for the exercise of independent judgment and initiative. Requires a Bachelor’s Degree, preferably in an insurance-related program or equivalent experience. Must possess a valid state driver’s license. Must possess working knowledge of claims administration, South Carolina Workers’ Compensation law, and Risk Management principles. Requires three years’ experience OR any equivalent combination of education and experience which provides the knowledge, skills, and abilities necessary to perform the work. Hiring Range: $65,634.73 - $81,968.79 Thank you for your interest in employment with Richland County Government. Apply for an open position online by selecting the job title you are interested in and clicking the "Apply" link. If this is your first time applying online, you must create an account and select a Username and Password. After your account is established, you may begin completing your application. This application may be saved and used to apply for more than one job opening. The County only accepts applications for positions that are currently open and advertised. You are responsible for documenting all relevant qualifications in the appropriate section of the application. Do not list "refer to a resume", as resumes will not be accepted in lieu of a complete application. All prior work history must be listed on your application. Resumes are treated as supplements to the application only and will not replace any section of the application. Incomplete applications will be disqualified, even if a resume is attached. The application is the primary tool used when determining whether the minimum qualifications are satisfied, so be sure to complete all sections. Applications are due by the deadline noted on the job posting. You will be notified by email regarding the status of your application. The Human Resource Services Department is not able to provide status updates by telephone or email. Richland County is an equal opportunity employer.
  • 12 Days Ago

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Claims Manager - Automotive
  • Safe-Guard Products International LLC
  • Greenville, SC FULL_TIME
  • Job Title: Claims Manager, VSC Location: US-SC- Greenville, SC - 5 days onsite FLSA: Exempt Job Summary To perform the job successfully, an individual must be responsible for assisting quality and eff...
  • 30 Days Ago

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Medical Office Manager
  • Regenerative Medical Institute
  • Greenville, SC FULL_TIME
  • Regenerative Medical Institute is seeking a Medical Office Manager to perform a variety of administrative and clerical tasks. Duties of the Medical Office Manager include providing support to our doct...
  • 1 Month Ago

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Roof Technician
  • Hancock Claims Consultants Technicians
  • Greenville, SC CONTRACTOR
  • CLIMB to New Heights…And live the American Dream. Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carriers...
  • Just Posted

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Claims- Field Claims Representative
  • The Cincinnati Insurance Companies
  • Greenville, SC FULL_TIME
  • US-SC-Greenville Description Make a difference with a career in insurance At The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. To put this into...
  • 21 Days Ago

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RN-Quality Review
  • Prisma Health
  • Greenville, SC FULL_TIME
  • Inspire health. Serve with compassion. Be the difference.Job SummaryThe RN - Quality Review is responsible for promoting a Culture of Safety through the coordination, evaluation, and implementation of...
  • 27 Days Ago

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0 Medical Claims Review Manager jobs found in Anderson, SC area

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Nurse Supervisor
  • Encompass Health
  • Anderson, SC
  • Night Shift Nurse Supervisor offering $10,000 Sign On Bonus! More personalized patient care More professional impact BE ...
  • 4/26/2024 12:00:00 AM

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CDL-A Truck Driver - Home Time Options - Industry Leading Pay
  • Hogan Transports
  • Anderson, SC
  • Hogan Transports is Now Hiring CDL-A Dedicated Truck Drivers! Industry Leading Pay & Sign-On Bonus Incentives* People al...
  • 4/26/2024 12:00:00 AM

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AE - Store Team Leader (Store Manager) - US
  • AMERICAN EAGLE OUTFITTERS INC.
  • Anderson, SC
  • BE PART OF SOMETHING REAL YOUR ROLE As the full-time Store Team Leader, you are the CEO of your store! You are an entrep...
  • 4/26/2024 12:00:00 AM

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PART TIME 7AM -3PM MEDICATION TECHNICIAN
  • TerraBella Senior Living
  • Anderson, SC
  • PART TIME EVERY OTHER WEEKEND MED TECH 3PM - 11PM TerraBella Senior Living is the proud operator of more than 30 plus, a...
  • 4/26/2024 12:00:00 AM

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PART TIME 7AM -3PM CAREGIVER/ MED TECHNICIAN
  • TerraBella Marchbanks
  • Anderson, SC
  • PART TIME 7AM - 3PM EVERY OTHER WEEKEND TerraBella Senior Living is the proud operator of more than 30 plus, amenity-, c...
  • 4/26/2024 12:00:00 AM

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Patient Care Technician
  • Encompass Health
  • Anderson, SC
  • Extra attention to detail Exceptional outcomes BE THE CONNECTION. Patient Care Technician Full-Time/PRN - Nights 7p to 7...
  • 4/26/2024 12:00:00 AM

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Dental Office Assistant - Business Assistant
  • Downtown Dental Associates
  • Anderson, SC
  • Overview: Business Assistant Downtown Dental Associates is looking for a Business Assistant to join our team. Why Heartl...
  • 4/25/2024 12:00:00 AM

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Associate Dentist
  • Hiring Now!
  • Anderson, SC
  • *Please note: this position is located in Anderson, SC. Overview: Work for a company that is truly making the world a ha...
  • 4/25/2024 12:00:00 AM

Anderson is a city in and the county seat of Anderson County, South Carolina, United States. The population was 26,686 at the 2010 census, and the city was the center of an urbanized area of 75,702. It is one of the principal cities in the Greenville-Anderson--Mauldin Metropolitan Statistical Area, which had a population of 824,112 at the 2010 census. It is further included in the larger Greenville-Spartanburg-Anderson, South Carolina Combined Statistical Area, with a total population of 1,266,995, at the 2010 census. Anderson is just off Interstate 85 and is 120 miles (190 km) from Atlanta an...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$90,059 to $114,826
Anderson, South 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