Medical Claims Review Manager Salary in Cleveland, Ohio

To get your salary data, use the search bar below or browse by job, city, or state.
loading...

Job title is required

loading...

Job location is required.

Average Salary for Medical Claims Review Manager in Cleveland, Ohio

The average salary of a(n) Medical Claims Review Manager in Cleveland, Ohio is $94,349.

The average hourly rate of a(n) Medical Claims Review Manager in Cleveland, Ohio is $45.36.

The average bonus of a(n) Medical Claims Review Manager in Cleveland, Ohio is $5,227.00.

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

How helpful is this page?

Are you a(n) Medical Claims Review Manager?

Get a more personalized salary report now. Get Report

Average Salaries for Similar Jobs in Cleveland, Ohio

Job Openings by Indeed job search

Results for Medical Claims Review Manager in Cleveland, Ohio

Manager, Care Management - Cleveland, OH

Medical Mutual of Ohio

Precertification review, concurrent review, prospective review, retrospective review and discharge planning,....

View job on Indeed.com

Behavioral Health Clinical Care Manager - Strongsville, OH

Medical Mutual of Ohio

As necessary, will provide assistance to Claims and/or Customer Care Departments with the definition of medical terms, including diagnosis and procedures, as...

View job on Indeed.com

IT Project Manager - Beachwood, OH

Medical Mutual of Ohio

About Medical Mutual. Excellent medical, dental, vision, and disability insurance. Experience in the health care industry and knowledge of healthcare claims...

View job on Indeed.com

Claims Auditor - Hudson - Hudson, OH

University Hospitals

The medical claim auditor position performs daily audits on processed claims that are randomly selected to assure complete, timely and accurate claim payments...

View job on Indeed.com

Insurance Claims Manager, Property (CLE) - Cleveland, OH

Nationwide Insurance

Claims Best Practices and quality file review procedures. The Claims Manager position will support the Property team within the Midwest Claims Zone....

View job on Indeed.com

Discover How Much You
Should Be Paid

Work in Compensation or HR?    x