Medical Claims Review Manager jobs in Pocatello, ID

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)

I
Operations Manager
  • InterMountain Medical Clinic
  • Pocatello, ID FULL_TIME
  • Competitive salary and benefits as well as opportunity for advancement.

    Bachelor’s degree or equivalent combination of education and/or experience.

    • Bachelor’s degree in Health Care Administration or related field and/or a minimum of two years of progressive healthcare management and team leadership experience
    • Basic understanding of medical coding, billing and collections. Experience with process improvement and team engagement initiatives

    Other knowledge, skills and abilities:

    • Effective verbal, written, and interpersonal communication skills with the ability to comfortably interact with diverse populations
    • Demonstrated ability to work collaboratively in a team-oriented environment with a strong customer service orientation
    • Ability to handle patient and organizational information in a confidential manner
    • Demonstrated leadership skills with the ability to create and work within a collaborative team environment. Inspires respect and instills confidence at all levels
    • Creative and able to identify and use innovative approaches for leading a health care team and operational problem solving
    • Able to effectively maintain the workload expected of a healthcare administrator
    • Ability to plan and implement programs and projects with designated time frames
    • Continuously promotes self-growth and keeps current on health care regulatory compliance

    Job Type: Full-time

    Benefits:

    • 401(k)
    • 401(k) matching
    • Dental insurance
    • Employee discount
    • Flexible spending account
    • Health insurance
    • Health savings account
    • Paid time off
    • Retirement plan
    • Vision insurance

    Schedule:

    • Day shift
    • No nights
    • No weekends

    Ability to Relocate:

    • Pocatello, ID 83201: Relocate before starting work (Required)

    Work Location: In person

  • 11 Days Ago

P
Paid Product Tester
  • Product Review Jobs
  • Bern, ID 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...
  • 22 Days Ago

P
Paid Product Tester
  • Product Review Jobs
  • COKEVILLE, WY 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...
  • 23 Days Ago

P
Paid Product Tester
  • Product Review Jobs
  • Thatcher, ID 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...
  • 23 Days Ago

P
Paid Product Tester
  • Product Review Jobs
  • Arimo, ID 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...
  • 23 Days Ago

P
Paid Product Tester
  • Product Review Jobs
  • ARBON, ID 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...
  • 23 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Medical Claims Review Manager jobs found in Pocatello, ID area

H
Remote Licensed Psychiatric Nurse Practitioner
  • Hiring Now!
  • Pocatello, ID
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $136-$203 an hour Are you a licensed Psychiatric Nurse look...
  • 4/19/2024 12:00:00 AM

P
Fleet (Route) Maintenence Supervisor
  • Penske
  • Pocatello, ID
  • Responsibilities As a Penske Maintenance Supervisor you will use your excellent communication, organization, and multita...
  • 4/19/2024 12:00:00 AM

H
Remote Licensed Clinical Social Worker
  • Headway
  • Pocatello, ID
  • Remote Licensed Clinical Social Worker (LCSW) Wage: Between $90-$122 an hour Are you a Licensed Clinical Social Worker l...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Mental Health Counselor
  • Headway
  • Pocatello, ID
  • Remote Licensed Mental Health Counselor (LMHC) Wage: Between $90-$122 an hour Are you a Licensed Mental Health Counselor...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Professional Counselor
  • Headway
  • Pocatello, ID
  • Remote Licensed Professional Counselor (LPC) Wage: Between $90-$122 an hour Are you a Licensed Professional Counselor lo...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Clinical Psychologist
  • Headway
  • Pocatello, ID
  • Remote Licensed Clinical Psychologist Wage: Between $90-$174 an hour Are you a Licensed Clinical Psychologist looking to...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Marriage and Family Therapist
  • Headway
  • Pocatello, ID
  • Remote Licensed Marriage and Family Therapist (LMFT) Wage: Between $90-$122 an hour Are you a Licensed Marriage and Fami...
  • 4/16/2024 12:00:00 AM

H
Remote Licensed Mental Health Therapist
  • Headway
  • Pocatello, ID
  • Remote Licensed Mental Health Therapist (LMHT) Wage: Between $90-$122 an hour Are you a Licensed Mental Health Therapist...
  • 4/16/2024 12:00:00 AM

Pocatello (/ˈpoʊkəˈtɛloʊ/ (listen)) is the county seat and largest city of Bannock County, with a small portion on the Fort Hall Indian Reservation in neighboring Power County, in the southeastern part of the U.S. state of Idaho. It is the principal city of the Pocatello metropolitan area, which encompasses all of Bannock county. As of the 2010 census the population of Pocatello was 54,255. Pocatello is the fifth-largest city in the state, just behind Idaho Falls (population of 56,813). In 2007, Pocatello was ranked twentieth on Forbes list of Best Small Places for Business and Careers. Pocate...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$84,790 to $108,108
Pocatello, Idaho area prices
were up 2.5% 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