Medical Claims Review Manager Salary in Colorado - State Average

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

The average salary of a(n) Medical Claims Review Manager in Colorado - State Average is $96,077.

The average hourly rate of a(n) Medical Claims Review Manager in Colorado - State Average is $46.19.

The average bonus of a(n) Medical Claims Review Manager in Colorado - State Average is $5,323.00.

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 Colorado - State Average

Claims Manager Analyst - Aurora, CO

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The Claims Manager Analyst is responsible for the resolution and tracking of high-level Claims Manager (CM) edits....

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Revenue Cycle Manager - Medical Billing - Aurora, CO

University Physicians, Inc.

Analyze, make recommendations, and coordinate ways to improve front-end related issues involving insurance, registration, billing, claims, reimbursement, and...

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Manager, Insurance Verification and Utilization Management - Denver, CO

National Jewish Health

Reviews claim denials monthly for verification and authorization errors. Completes quality assurance review of staff work....

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Claims Manager, Liability - Centennial, CO

Ryder

Participates in large claim review calls and updates field operations personnel on claim status. This position manages claims within Ryder's self-insured, self...

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Clinical Operations Manager - Lakewood, CO

Equian, LLC.

Claim Review Team Management. Knowledge of billing guidelines and the claim review. Minimum of 3-5 years of claim review experience in. The Manager possesses....

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