Medical Claims Review Manager jobs in Delaware

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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Claims Analyst
  • Delaware Claims
  • Wilmington, DE FULL_TIME
  • Recent and Upcoming College Graduates are encouraged to apply, no experience needed. No sales or phone work required.


    Delaware Claims Processing Facility has openings in its downtown Wilmington, DE location for Claims Analysts


    Qualifications

    Ideal candidates will be hard working with a high energy level; the ability to remain focused and recall data is key. This position requires excellent organizational skills, and strong reading comprehension skills. Along with the ability to work independently in a team environment, candidates should be able to grasp new concepts quickly. Comfort in an ever-changing production environment, and Associates or Bachelor’s Degree needed. Must be able to learn and apply new concepts.


    Duties
    Review Claims in accordance with Review procedures. Take a proactive approach to claims processing and utilize resources to ensure proper handling of all claims. Maintain satisfactory or better quality and productivity standards. Portray a positive claimant focused attitude. Maintain a professional demeanor at all times.


    In addition to a pleasant and professional working environment, Delaware Claims Processing Facility offers a competitive salary and benefits package to include transportation allowance, tuition reimbursement, 401-K, hybrid work from home plans and more.


    Apply online here or visit our website to learn more about DCPF and what we can offer you www.delcpf.com


    Delaware Claims Processing Facility is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.

  • 1 Month Ago

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SVP Process Review Manager
  • Hispanic Technology Executive Council
  • Wilmington, DE FULL_TIME
  • The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Brand...
  • 8 Days Ago

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SVP Process Review Manager
  • Citi
  • WILMINGTON, DE OTHER
  • The Process Review Manager will report into the Business Control Head team for Branded Cards. The role will lead efforts to create standard methodology and processes for control execution across Brand...
  • 12 Days Ago

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Claims Manager
  • Sanford Federal, Inc.
  • Columbia, DE FULL_TIME,PART_TIME
  • About Us SANFORD headquartered in Stafford, VA., is a Service-Disabled VeteranOwned Small Business that provides federal professional services, primarily engaged in providing advanced information tech...
  • 3 Days Ago

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DE - 1099 Property Claims Adjuster
  • Copper Claims Services, Inc.
  • Delaware, DE PART_TIME,CONTRACTOR
  • 1099 Property Claims Adjuster Copper Claims Services is a quickly growing independent loss adjusting firm based out of Irvine, CA. Copper Claims Services excels in providing custom claims solutions fo...
  • 2 Months Ago

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AVP, Claims Manager-Aerospace Casualty
  • Chubb INA Holdings Inc.
  • Wilmington, DE FULL_TIME
  • Chubb seeks an Assistant Vice President/Claims Manager to lead the Aerospace Casualty claims team that provides specialized claim handling on behalf of Chubb’s Aerospace and Aviation customers. The Ae...
  • 2 Months Ago

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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

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

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Head of Medical Writing (Hybrid MA)
  • Aerovate Therapeutics, Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 5/6/2024 12:00:00 AM

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Regional Medical Lead
  • HeartFlow, Inc
  • New York, NY
  • HeartFlow, Inc. is a medical technology company advancing the diagnosis and management of coronary artery disease, the #...
  • 5/6/2024 12:00:00 AM

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Medical Manager
  • DivIHN Integration Inc
  • Chicago, IL
  • DivIHN (pronounced “divine”) is a CMMI ML3-certified Technology and Talent solutions firm. Driven by a unique Purpose, C...
  • 5/4/2024 12:00:00 AM

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Postdoc -Thoracic Head & Neck Medical Oncology
  • MD Anderson Cancer Center
  • Houston, TX
  • Postdoctoral Fellow - Thoracic and Head &Neck Medical Oncology - KRAS -mutant non-small cell lung cancer (NSCLC) Postdoc...
  • 5/4/2024 12:00:00 AM

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Vice President, Global Medical Lead
  • Relay Therapeutics
  • Cambridge, MA
  • The Opportunity Relay Therapeutics is seeking a motivated and patient-centric VP who is looking to have a broad and tang...
  • 5/4/2024 12:00:00 AM

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Medical Manager
  • CSL Behring
  • Kâğıthane, İstanbul
  • In order to strengthen our Medical Affairs Team in Turkey, we are currently recruiting for a Medical Manager (m/f) to be...
  • 4/26/2024 12:00:00 AM

Delaware is 96 miles (154 km) long and ranges from 9 miles (14 km) to 35 miles (56 km) across, totaling 1,954 square miles (5,060 km2), making it the second-smallest state in the United States after Rhode Island. Delaware is bounded to the north by Pennsylvania; to the east by the Delaware River, Delaware Bay, New Jersey and the Atlantic Ocean; and to the west and south by Maryland. Small portions of Delaware are also situated on the eastern side of the Delaware River sharing land boundaries with New Jersey. The state of Delaware, together with the Eastern Shore counties of Maryland and two co...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$99,268 to $126,567

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 examiner’s view of a particular bill’s status in a claim record’s related bill screen, or a bill review analyst’s 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