Medicare Supervisor Claims Reviewer
Brigham and Women(27 days ago)
About this role
The Claims Review Manager at Mass General Brigham Health Plan leads a small team responsible for Medicare claims review. The role focuses on maintaining accurate, compliant claims adjudication and timely reimbursement within the health plan. It also supports cross-department collaboration and process improvement to uphold regulatory and payer standards.
Required Skills
- Claims Review
- Regulatory Compliance
- Eligibility
- Team Leadership
- Escalation Management
- Data Analysis
- Training
- QNXT
- CPT Coding
- ICD-10
+5 more
Qualifications
- Bachelor's Degree
About Brigham and Women
brighamandwomens.orgBrigham and Women’s Hospital is one of the top hospitals in America with more than 790 beds, and a premier teaching hospital of Harvard Medical School. Learn more.
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