Medical Claims Review Manager Salary in Arizona - State Average

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Average Salary for Medical Claims Review Manager in Arizona - State Average

The average salary of a(n) Medical Claims Review Manager in Arizona - State Average is $91,455.

The average hourly rate of a(n) Medical Claims Review Manager in Arizona - State Average is $43.97.

The average bonus of a(n) Medical Claims Review Manager in Arizona - State Average is $5,067.00.

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 Arizona - State Average

Casualty Claims Manager - Private Client - Scottsdale, AZ

Nationwide Mutual Insurance Company

Supports the coordination efforts with other claims functions such as audit, medical, claims legal, subrogation, SIU, service centers, claims technical and...

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Claims Manager - Gilbert, AZ

Ironwood Cancer & Research Centers

We are looking for a motivated, professional, and friendly individual to work as a Claims Manager at our Central Business Office....

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Medical Office Manager - OBGYN - Tucson, AZ

Sunflower Women's Health Care

Medical Office Manager – OBGYN - Tucson, AZ*. Review the A/R aging and provide assistance to the billing company with patient or claim questions....

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Business Office Manager - Flagstaff, AZ

North Country Health Care Inc

The Business Office Manager also oversees operation of the business office, which encompasses medical coding, claims submission, payment posting, accounts...

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Insurance Revenue Cycle Manager - Phoenix, AZ

Treatment Assessment Screening Center (TASC)

Expert level knowledge of revenue cycle, claims payment laws, and associated medical terminology. Seasoned professional with experience working in a mental...

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