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Medical Claims Manager

Salary National Average

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52490.0000 63280.0000 80370.0000

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Candidate Supply: 137,351 Job Openings: 4,829

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Short Description:

A Medical Claims Manager oversees the administration and processing of healthcare claims, ensuring that claims are handled efficiently, accurately, and in compliance with regulatory guidelines. Their responsibilities include managing a team of claims adjusters and assistants, reviewing complex or disputed claims, and implementing strategies to improve the claims process. Medical Claims Managers also monitor claims data to identify trends, ensure adherence to healthcare policies, and collaborate with other departments to resolve issues. Strong leadership, analytical skills, and a deep understanding of healthcare billing and insurance practices are essential for success in this role, as Medical Claims Managers play a critical role in optimizing claims operations and maintaining compliance.

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