Medical Claims Review Manager jobs in Nebraska

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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Medical Bill Review Specialist
  • Omaha National
  • Omaha, NE OTHER
  • Omaha National is searching for a Medical Bill Review Specialist to join our team. This position will focus on entering medical bills into the system for review by the Analysts. A strong sense of timeliness and accuracy will help the team ensure medical providers are reimbursed at the appropriate rate for medical services provided to injured workers insured under our program. The Medical Bill Review Specialist will become familiar with medical codes and glean a strong understanding of medical procedures and rehab procedures.
    The ideal candidate has some exposure to medical terminology or has worked in a health care setting. An interest in attaining a CPC certification is a plus but not required. Prior workers’ compensation experience is not necessary – we will provide the training!
    RESPONSIBILITIES:
    • Enter medical bills into the system in a timely manner.
    • Produce accurate, error free work.
    • Maintain compliance with regulatory deadlines.
    • Ability to learn medical terminology and affiliated codes.
    • Strong verbal and written communication skills.
    REQUIREMENTS:
    • Understanding of various medical areas including, anatomy, physiology, pharmacology, physician specialty, and the medical industry in general.
    • Comfortable entering medical data on a daily basis.
    • Proficient in Microsoft Office programs and a demonstrated ability to master other software applications as needed.
    BENEFITS:
    Omaha National provides a stable, positive work environment, competitive pay, excellent benefits, such as paid parental bonding leave, tuition reimbursement, 401K, and paid vacation and sick leave.
  • 3 Days Ago

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Claims Manager
  • Wilcox Financial Services, Inc
  • Mc Cook, NE FULL_TIME
  • Wilcox Companies is seeking an experienced Health Insurance Claims Manager to oversee the claims processing and adjudication for our health insurance division. As a Health Insurance Claims Manager, yo...
  • 10 Days Ago

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Provider and Utilization Review Manager - developmental disabilities
  • Liberty Healthcare Corporation
  • Omaha, NE FULL_TIME
  • Due to continued organizational growth, Liberty Healthcare Corporation is now hiring for a new Provider and Utilization Review Manager position. This is a key position which will support Liberty Healt...
  • Just Posted

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Provider and Utilization Review Manager - developmental disabilities
  • Liberty Healthcare Corporation
  • Lincoln, NE FULL_TIME
  • Due to continued organizational growth, Liberty Healthcare Corporation is now hiring for a new Provider and Utilization Review Manager position. This is a key position which will support Liberty Healt...
  • 3 Days Ago

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Provider and Utilization Review Manager - developmental disabilities
  • Liberty Healthcare Corporation Career Center
  • Lincoln, NE FULL_TIME
  • Due to continued organizational growth, Liberty Healthcare Corporation is now hiring for a new Provider and Utilization Review Manager position. This is a key position which will support Liberty Healt...
  • 4 Days Ago

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STD Claims Manager
  • Lincoln Financial
  • Omaha, NE FULL_TIME
  • Date: Mar 25, 2024 Primary Location: Omaha, NE, US Company: Lincoln Financial Alternate Locations: Work from Home; Atlanta, GA (Georgia); Boston, MA (Massachusetts); Charlotte, NC (North Carolina); Do...
  • 1 Day Ago

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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...
  • 3/29/2024 12:00:00 AM

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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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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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Medication Management Associate
  • Fresenius Medical Care
  • Bluffton, IN
  • PURPOSE AND SCOPE: Promotes quality patient care, ongoing customer support and case management for Fresenius Medical Car...
  • 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

The state is bordered by South Dakota to the north; Iowa to the east and Missouri to the southeast, across the Missouri River; Kansas to the south; Colorado to the southwest; and Wyoming to the west. The state has 93 counties and is split between two time zones, with the state's eastern half observing Central Time and the western half observing Mountain Time. Three rivers cross the state from west to east. The Platte River, formed by the confluence of the North Platte and the South Platte, runs through the state's central portion, the Niobrara River flows through the northern part, and the Rep...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$91,346 to $116,467

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