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HBA Claims Manager
@MedReview
[Hiring] HBA Claims Manager @MedReview
Apr 03, 2025 - MedReview is hiring a remote HBA Claims Manager. 💸 Salary: $70,000/annually. 📍Location: USA.
This description is a summary of our understanding of the job description. Click on 'Apply' button to find out more.
Role Description
We are seeking a Claims Manager with experience in claims processing and the assignment of claims to work within our auditing department.
- Oversees the claim assignment and screening queues to ensure claims are completed by the nurses within the appropriate time frames.
- Works collaboratively with The Document Management Support Team and the Nursing Leadership to ensure claims flow through our proprietary system appropriately.
- Responsible for medical record screening and claim assignment of escalated/expedited reviews to the nurses.
- Ensures that claims have been manually transcribed and processed correctly.
- Troubleshoots issues related to discrepancies between both the Itemized bill and universal bill.
- Accesses client systems for claim payment information as needed.
This is a fulltime position (40 hours per week) Monday – Friday. You’ll enjoy the flexibility to telecommute from anywhere within the United States. Training will be conducted virtually from your home.
Qualifications
- College Graduate – Bachelor’s or an Associate degree.
- Minimum of two years’ experience in claims processing or payment integrity required.
- Experience/knowledge of medical records is preferred.
- Detail oriented with highly organized work and time management skills.
- Excellent computer skills.
- Demonstrates the ability to motivate others.
- Positive attitude who works well with others.
- Willingness to improve workflow.
- Demonstrates commitment to NYCHSRO/MedReview values.
- Shows adaptability through handling day-to-day work challenges confidently.
- Willing and able to adjust to multiple demands, shifting priorities, ambiguity, and rapid change.
- Demonstrates flexibility in the face of constraints, frustrations, or adversity.
Requirements
- High speed internet (100 Mbps per person recommended) with secured WIFI.
- A dedicated workspace with minimal interruptions to protect PHI and HIPAA information.
- Must be able to sit and use a computer keyboard for extended periods of time.
Benefits
- Healthcare that fits your needs - excellent medical, dental, and vision plan options that provide coverage to employees and dependents.
- 401(k) with Employer Match - Join the team and we will invest in your future.
- Generous Paid Time Off - Accrued PTO starting day one, plus additional days off when you’re not feeling well, to observe holidays.
- Wellness - We care about your well-being. From Commuter Benefits to FSAs, we’ve got you covered.
- Learning & Development - Through continued education/mentorship on the job and our investment in LinkedIn Learning, we’re focused on your growth as a working professional.
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| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
Back to Remote jobs >
All others
All others
|
Salary
💸
$70,000/annually
|
Remote
Location
USA
|
|
Job Type
full-time
|
Posted
Apr 03, 2025
|
️
| 📍 | Be aware of the location restriction for this remote position: USA |
| ‼ | Beware of scams! When applying for jobs, you should NEVER have to pay anything. Learn more. |
