Medical Claims Review Manager Salary in Arkansas - State Average

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

The average salary of a(n) Medical Claims Review Manager in Arkansas - State Average is $88,138.

The average hourly rate of a(n) Medical Claims Review Manager in Arkansas - State Average is $42.37.

The average bonus of a(n) Medical Claims Review Manager in Arkansas - State Average is $4,883.00.

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 Arkansas - State Average

Supplier Compliance Coordinator - Siloam Springs, AR

Del Monte Food, Inc.

Works with the Walnut Creek team to lead the bi-monthly Supplier Approval Review (SAR) meetings and provides feedback to stakeholders as directed by the Senior...

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Manager, Quality Assurance - Siloam Springs, AR

Del Monte Food, Inc.

Comprehensive benefits package including Medical, Dental, Vision, 401(k) and Pension Plan. Assist Co-Pack Manager in evaluation and qualification of PL co...

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Revenue Integrity Manager - Fayetteville, AR

Washington Regional

The Manager oversees review of accounts that final billed for medical necessity edits, resolution of daily failed claims, appeals for denials and other audits...

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Corporate EHS Manager - Little Rock, AR

CTEH

Oversees worker’s compensation claims, working with the employee and medical providers to insure that the proper level of care is administered and with the...

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BRANCH MANAGER - Full Time - Eureka Springs - Eureka Springs, AR

Elite Home Health

Conducts at least monthly meetings with the medical director. Approves medical director invoices and submits on a monthly basis to the Home Office with...

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