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 $96,425.

The average hourly rate of a(n) Medical Claims Review Manager in Atlanta, Georgia is $46.36.

The average bonus of a(n) Medical Claims Review Manager in Atlanta, Georgia is $5,342.00.

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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Results for Medical Claims Review Manager in Atlanta, Georgia

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

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Golden State Foods

Processes workers’ compensation claims (including doctor appointments, first insurance reports, payment of medical bills, review of medical reports, and contact...

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Managed Care Reporting Manager - Parallon - Norcross, GA

Shared Services - Atlanta

Managed Care Reporting Manager. Review managed care I-Plans in accordance with corporate standards and PAS procedures....

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Manager - Claims and Encounters Operations - Atlanta, GA

Myers and Stauffer LC

Knowledge of claims pricing/reimbursement, claims, systems and refunds. Understanding of medical record review processes and coding desirable (credentials a...

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Supervisor, Bodily Injury - Atlanta, GA

Permanent General Assurance Corp.

Reporting to the Manager of Claims, the Claims BI Supervisor manages a staff of adjusters for our inbound call center....

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