Medical Claims Review Manager jobs in Minnesota
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)
Recently Added Medical Claims Review Manager jobs
Medical Insurance Claims Manager - Remote | WFH
- Get It Recruit - Healthcare
-
Paul, MN
FULL_TIME
-
Are you passionate about leading teams and driving excellence in the medical insurance claims process? We are looking for a dynamic and experienced Medical Insurance Claims Manager to join our team! In this role, you'll oversee the Claims department (with two direct reports), ensuring timely and accurate claim submissions, prompt reimbursements, and resolution of claim rejections and denials, all while maintaining compliance with insurance regulations and policies. You'll work closely with our funding operations and finance teams to drive continuous improvement, enhance productivity in Salesforce and other tools, and elevate the customer experience.
This position offers flexibility - you can choose to work fully remote or hybrid! The base salary ranges from $95K to $105K, plus bonuses and an Employee Stock Ownership Plan (ESOP). This is a direct hire position with full benefits!
Key Responsibilities
Lead the Claims department to achieve key performance metrics, ensuring productivity meets or exceeds expectations for both internal and external customers.
Align department objectives with corporate goals and translate broader company strategies into actionable tasks for the Claims team.
Hire, train, and provide daily guidance and coaching to the Claims team, promoting our "Listen, Learn, and Lead" philosophy.
Identify and recommend technical solutions to improve response times and accuracy.
Collaborate with Medical Funding staff to ensure a successful funding process, focusing on continuous improvement and compliance with HIPAA and FRPA regulations.
Collect and maintain data to ensure the integrity of medical information for process improvement and audits.
What We're Looking For
7-10 years of experience managing a claims department, with in-depth knowledge of medical funding and insurance processes.
Demonstrated excellence in team management and leadership, with the ability to guide and grow a team (this role has two direct reports with growth projected in the near future).
Strong analytical skills with the ability to interpret and utilize data to drive business strategy.
Proven ability to collaborate cross-functionally with a focus on continuous improvement and achieving optimal outcomes.
Bachelor's degree in business, healthcare management, or a related field.
We are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We also consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
If you're ready to make a significant impact and be part of a supportive and forward-thinking team, we'd love to hear from you!
Employment Type: Full-Time - 7 Days Ago
Medical Insurance Claims Manager ($95-105K + bonus!)
- Ultimate
-
Saint Paul, MN
FULL_TIME
- Job Description The Medical Insurance Claims Manager is responsible for overseeing the Claims department (2 direct reports), ensuring timely and accurate claim submissions, prompt reimbursements, and ...
- 10 Days Ago
Medical Review Nurse
- Vital Signs
-
Minneapolis, MN
FULL_TIME
- 100% Remote, Work-From-Home position anywhere in the US. (Any state RN license is accepted). As an RN, you will provide direction, guidance, and support to our physician Medical Claims Reviewers as we...
- 20 Days Ago
MEDICAL CLAIMS ADJUSTER
- Wilson-McShane Corp
-
Saint Paul, MN
FULL_TIME
- As a Medical Claims Adjuster with Wilson-McShane Corporation, you will be processing medical, and short-term disability claims. This position has direct impact on the participants and families of the ...
- 9 Days Ago
Medical Claims Processor
- Zenith American Solutions, Inc.
-
Mendota, MN
FULL_TIME
- Title: Medical Claims Examiner Department: Claims Bargaining Unit: 12 Grade: 26 Position Type: Non Exempt Hours per Week : 40 Position Summary The Medical Claims Examiner provides customer service and...
- 10 Days Ago
MEDICAL CLAIMS ADJUSTER
- Wilson-McShane Corp
-
Bloomington, MN
FULL_TIME
- DescriptionAs a Medical Claims Adjuster with Wilson-McShane Corporation, you will be processing medical, and short-term disability claims. This position has direct impact on the participants and famil...
- 1 Month Ago
Medical Claims Review Manager jobs at Popular Companies
Hospital Medical Leader
- Petco
-
Fairfield, CA
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Hospital Medical Leader
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-
Deerfield Beach, FL
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Hospital Medical Leader
- Petco Animal Supplies Inc
-
Noblesville, IN
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Head of Medical Writing
- Barrington James
-
- Clinical-stage biopharmaceutical company in San Francisco, is seeking a Head of Medical Writing. This leadership role in...
- 6/8/2024 12:00:00 AM
Head of Medical Strategy
- ExecuSearch
-
Atlanta, GA
- The Head of Medical Strategy provides medical expertise to the rheumatology commercial and medical teams and provides cl...
- 6/8/2024 12:00:00 AM
Head of Medical Strategy Rheumatology
- UCB
-
Atlanta, GA
- Make your mark for patients The Head of Medical Strategy provides medical expertise to the rheumatology commercial and m...
- 6/8/2024 12:00:00 AM
Head of Medical Writing
- Barrington James
-
San Francisco, CA
- Head of Medical Writing - Rare disease Biotech We are currently partnered with a growing, west coast based biotech focus...
- 6/7/2024 12:00:00 AM
Hospital Medical Leader
- Petco Animal Supplies, Inc.
-
Plainview, NY
- Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
- 6/7/2024 12:00:00 AM
About Minnesota
Minnesota (/ˌmɪnɪˈsoʊtə/ (listen)) is a state in the Upper Midwest and northern regions of the United States. Minnesota was admitted as the 32nd U.S. state on May 11, 1858, created from the eastern half of the Minnesota Territory. The state has a large number of lakes, and is known by the slogan the "Land of 10,000 Lakes". Its official motto is L'Étoile du Nord (French: Star of the North).
Minnesota is the 12th largest in area and the 22nd most populous of the U.S. states; nearly 60% of its residents live in the Minneapolis–Saint Paul metropolitan area (known as the "Twin Cities"). This area i...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$100,279 to $127,857
Most Popular Cities in Minnesota for Medical Claims Review Manager Jobs
What does a Medical Claims Review Manager do?
Medical Claims Review Manager in Parkersburg, WV
This end-to-end e-billing and e-payment solution is fully integrated with DecisionPoint, which means it can be immediately and easily integrated with your providers, adjusters, IT infrastructure, and claims workflow—enabling you to.
January 01, 2020
Medical Claims Review Manager in Juneau, AK
Examples include a claims examiners view of a particular bills status in a claim records related bill screen, or a bill review analysts view of an available reserve amount for the claim record related to the bill they are processing.
December 03, 2019
Medical Claims Review Manager in Galveston, TX
Assists the Manager, Medical Review with performing duties to oversee day-to-day activities within the Medical Claims Review Department to facilitate the achievement of business goals and targets.
December 16, 2019