Medical Claims Review Manager oversees the performance, productivity, and quality of the medical claims review staff. Responsible for hiring, training, and firing medical claims review staff. Being a Medical Claims Review Manager evaluates medical claims review processes and recommends process improvements. Serves as a technical resource for all medical review workers. Additionally, Medical Claims Review Manager typically requires an RN or BSN. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Claims Review Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Claims Review Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
Job Location: Salt Lake/Murray
Full-time (M-F day hours)...weekends off
Caddis Capital Management is the management company for Alpine Home Medical, Copper Star Home Medical Supplies and You Can Home Medical. We have been in business over 26-years and are based in Draper, Utah. We provide support to over 250 employees in Utah, Colorado, Arizona and Idaho.
We are currently seeking Medical Billing/Claims Specialist who will be responsible for billing insurance claims to patient’s insurance companies, following up on Accounts Receivable and coordinating collections on unpaid claims, as well as answering billing inquiries and assisting patients on their accounts as necessary. This position will rely heavily on exceptional customer service skills and knowledge of third-party medical insurance reimbursement requirements.
Day-to-Day Responsibilities:
What We’ll Need from You:
What We’d Also Like to See:
While not required, some big marks in your favor would include: prior experience with medical insurance providers, any previous HME experience, an Associate’s degree, and bilingual skills (Spanish/English). Candidates with any previous medical insurance billing experience or any billing systems are highly encouraged to apply.
Why Work Here?
Full-time employment at Caddis Capital Management offers many benefits, including Medical, Dental, Vision, and Life Insurance, 401(k) program with company match, among other benefits.
Job Type: Full-time
Pay: From $18.00 per hour
Expected hours: 40 per week
Benefits:
Schedule:
Education:
Experience:
Work Location: In person