Medical Claims Review Manager Salary in Atlanta, Georgia

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Average Salary for Medical Claims Review Manager in Atlanta, Georgia

The average salary of a(n) Medical Claims Review Manager in Atlanta, Georgia is $96,533.

The average hourly rate of a(n) Medical Claims Review Manager in Atlanta, Georgia is $46.41.

The average bonus of a(n) Medical Claims Review Manager in Atlanta, Georgia is $5,348.00.

Job Description:

Manages the medical claims review staff to ensure process improvement and quality in claims review. Interfaces with clients to conduct/manage random sample reviews to determine medical claims processing accuracy and timeliness. Communicates with clients to coordinate operational reviews to assess administrative processes and controls. Translates benefit plan language (Summary Plan Descriptions) into standard review program procedures. Reviews organization's claims, eligibility, provider, and medical management systems to identify issues affecting quality and productivity. Documents findings and writes follow-up reports. Provides planning, organizing, and budgeting for the department. Develops, administers, and reports service quality indicators for each team under supervision. Recommends and implements innovative strategies to retain members, contain medical costs, and improve efficiency. Hires, trains, coaches, counsels, and evaluates performance of direct reports. Less

Manages the medical claims review staff to ensure process improvement and quality in claims review. Interfaces with clients to conduct/manage random sample reviews to determine medical claims processing accuracy and timeliness. Communicates with clients to coordinate operational reviews to assess... More

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Practice Manager II (MDVIP West, 1800 Howell Mill Road) - Atlanta, GA

Piedmont Healthcare

Insure that claims are processed through claims edits, corrected and re billed. Piedmont Medical Care Corporation....

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Chubb

Advanced technical guidance on claim investigation, reserving, medical, disability and litigation management, case resolution and settlement strategies....

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Medical Claims Product Manager - Alpharetta, GA

LexisNexis

5-7 years of medical claims analysis or healthcare claims analysis, medical case review background. Experience in Claims Handling Property Casualty insurance...

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Billing and Coding Manager - Pain Care / Medical - Roswell, GA

Synergy Hire LLC

Knowledge of medical terminology, ICD10 & CPT4 coding used for diagnoses and medical treatments. Attend staff meetings, annual review, and in-services as...

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Medical Claims Product Manager - Alpharetta, GA

Reed Elsevier

5-7 years of medical claims analysis or healthcare claims analysis, medical case review background. Experience in Claims Handling Property Casualty insurance...

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