Medical Claims Review Manager jobs in Indiana

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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Account Manager - Sales Hybrid (Hunter - Farmer)
  • Balance Claims
  • Indianapolis, IN FULL_TIME
  • About Balance, LLC

    Balance, LLC (https://balanceclaims.com) is a Business Process Outsourcing (BPO) firm focused exclusively on assisting contractors offload the management of their construction job file administration, including both the estimates and supplements work processes. We also own and operate the industry leading learning & training company = Art of the Supplement (https://artofthesupplement.com). We partner with most of the leading technology platforms and service vendors in our space to deliver thorough, compliant, and timely construction job file management. This allows our clients to focus on selling, building, and billing. Acting as a direct extension of our clients, we work within their platforms and processes to provide seamless and timely delivery with a focus on customer service and business process.

    Job Summary

    Balance, LLC, America’s Services Company for Contractors, is looking for an inside sales Account Manager - Sales Farmer to work from our Indianapolis, IN Corporate headquarters. This is a full time W2 employee position with compensation that includes competitive base salary plus aggressive incentive and commission plan. You will be joining our well established sales department and back filling a long time staff member that is moving to a different role. Thus, you are inheriting an annual book of business of ~$1.5 Million and working alongside other Account Management peers that manage similar books of existing business. Our sales team is split into a Hunter (new business acquisition representatives) and Farmer role (this job). There is also a Director for each role. This role has no prospecting or cold calling only managing existing clients that include major accounts, newer accounts coming out of implementation and all things in between. Our clients are construction restoration contractors of all types across all 50 states and they are our top priority. They specialize in roofing and exterior reconstruction, water and fire damage reconstruction and mitigation. This is a metrics and quota bearing role and expectations are high. There is a significant amount of sales, customer service and partnership related phone work (35-40 calls per day) and responsibility to manage all activity within our CRM and other critical business systems. The hours are 8am - 6pm M-F at the corporate offices. Dress is business casual. 

    We are committed to hiring experienced, professional, career-oriented Sales Professionals who are looking for a collaborative team environment and an exceptionally strong culture that recognizes quality work.

    Responsibilities and Duties

    • Manage and grow client account base with clients best interest and market trends in mind. 
    • Pro-actively work with over 150 accounts (once through training) to manage their business footprint with Balance and work with them and our strategic alliance partners to grow their business effectively. 
    • Work closely with Balance's accounting, customer service, production, management and senior leadership teams in an accountable fashion

    Qualifications and Skills

    • Sales experience with time spent both in new account acquisition and long term existing account management - 3-5 years
    • Very Strong communication and business writing skills
    • Problem solving skills
    • Strong analytical skills
    • Time management & organizational skills
    • Strong computer skills
    • Strong phone skills
    • strong interpersonal skills
  • 4 Days Ago

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Utilization Review Manager
  • Springstone, Inc.
  • Lafayette, IN FULL_TIME
  • Overview Sycamore Springs is a 44-bed behavioral hospital located in Lafayette IN. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their f...
  • 7 Days Ago

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Utilization Review Manager
  • Sycamore Springs
  • Lafayette, IN FULL_TIME
  • Overview Sycamore Springs is a 44-bed behavioral hospital located in Lafayette IN. The hospital offers inpatient and outpatient mental health and addiction treatment to adults, adolescents and their f...
  • 8 Days Ago

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Adjuster, Property Insurance Claims
  • Elevate Claims Solutions
  • Davenport, IN FULL_TIME
  • Elevate Claims Solutions is founded on the belief that human experience and claim quality are the essence of profitable growth and retention for our adjuster partners, our clients, and ourselves. Are ...
  • 3 Days Ago

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Medical Claims Representative
  • Robert Half
  • Fort Wayne, IN PER_DIEM
  • Needing a medical claims follow-up individual. Responsibilities include: * Must have a medical background* Claims follow-up experience* Follow-up on insurance* Patient claims paid* Customer service* M...
  • Just Posted

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Medical Claims Specialist - Hybrid
  • AC3, Inc.
  • South Bend, IN FULL_TIME
  • WHO WE ARE: AC3 was founded by practicing oncologists along with data and practice analytics experts to support the business side of medicine. Our mission is to modernize and digitize the delivery of ...
  • 3 Days Ago

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Orem, UT
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/28/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Fairfield, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/28/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Folsom, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/28/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Saratoga Springs, NY
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/28/2024 12:00:00 AM

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Medical Lead - Oncology, Medical Affairs
  • SEC Life Sciences
  • One of the world's leading pharmaceutical companies is seeking four passionate, forward-thinking individuals for key rol...
  • 3/28/2024 12:00:00 AM

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Hospital Medical Leader
  • Petco
  • Menifee, CA
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 3/27/2024 12:00:00 AM

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Executive Director, Head of Medical Affairs, Immunology
  • RBW Consulting
  • Philadelphia, PA
  • A major international pharma business is looking to expands its immunology pipeline and requires a dynamic and forward t...
  • 3/25/2024 12:00:00 AM

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Head of Medical Writing
  • Morgan Prestwich - Life Science & Healthcare Executive Search
  • Company Overview Morgan Prestwich is thrilled to be representing our client on an exclusive basis. Our client is a clini...
  • 3/24/2024 12:00:00 AM

Indiana /ˌɪndiˈænə/ (listen) is a U.S. state located in the Midwestern and Great Lakes regions of North America. Indiana is the 38th largest by area and the 17th most populous of the 50 United States. Its capital and largest city is Indianapolis. Indiana was admitted to the United States as the 19th U.S. state on December 11, 1816. Indiana borders Lake Michigan to the northwest, Michigan to the north, Ohio to the east, Kentucky to the south and southeast, and Illinois to the west. Before becoming a territory, various indigenous peoples and Native Americans inhabited Indiana for thousands of ye...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$94,938 to $121,047

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