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Manager Medical Bill Review
Manager Medical Bill ReviewParadigm • Tampa, Florida, United States, 33602
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Manager Medical Bill Review

Manager Medical Bill Review

Paradigm • Tampa, Florida, United States, 33602
2 days ago
Job type
  • Part-time
Job description

Location : Tampa, FL, USA

Req Number : Req #1568

Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business : risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

We’re proud to be recognized—again! For the fourth year in a row, we’ve been certified by Great Place to Work ®, and for the third consecutive year, we’ve earned a spot on Fortune's Best Workplaces in Health Care™ list. These honors reflect our unwavering commitment to fostering a positive, inclusive, and employee-centric culture where people thrive.

Watch this short video for a brief introduction to Paradigm.

Are you a strategic leader with a passion for operational excellence in workers’ compensation? Paradigm is seeking a Medical Bill Review Manager to lead a high-performing team focused on complex bill review processes and provider engagement. This position offers a hybrid work schedule, with in-office presence required two to three days per week at our Tampa office .

Key Responsibilities :

  • Lead and mentor a team of bill review analysts, fostering a culture of accountability, empathy, and continuous improvement.
  • Supervise staff performance, training, and development to ensure alignment with Paradigm’s values and operational goals.
  • Promote a collaborative and inclusive work environment while driving strategic initiatives and optimizing workflows.

Required Qualifications :

  • Education : Bachelor’s degree or equivalent experience.
  • Experience :

    • Minimum of seven years of bill review management experience.

  • At least three years of hands-on medical bill processing and analysis.
  • One year of customer service experience.
  • Proven success in developing workflows, policies, procedures, and training programs.
  • Technical Knowledge :

    • Strong understanding of medical terminology and coding.

  • Working knowledge of CPT, ICD-9 & 10, RBRVS, and other coding methodologies.
  • Skills :

    • Excellent organizational, communication, and presentation skills.

  • Advanced problem-solving and analytical abilities.
  • Ability to influence and build consensus across all levels of the organization.
  • High adaptability and ability to thrive in a fast-paced, evolving environment.

    • Paradigm Benefits :

  • Health and wellness – We want our people to be and stay healthy, so we offer PPO, HDHP, and HMO health insurance options with Cigna and Kaiser (CA employees only).
  • Financial incentives – Paradigm’s financial benefits help prepare you for the future : competitive salaries, 401(k) matching contributions, employer-paid life and disability insurance, flexible spending and commuter accounts, and employer-matched HSA contributions.
  • Vacation - We believe strongly that work-life balance is good for you and for our company. Our paid time off and personal holiday programs give you the flexibility you need to live your life to the fullest.
  • Volunteer time – We want our employees to engage with and give back to their communities in meaningful ways. Full and part-time employees receive one paid day per calendar year.
  • Learning and development : One of Paradigm’s core values is expertise, so we encourage our employees to continually learn and grow. We support this in a variety of ways, including our new Learning Excellence at Paradigm (LEAP) program.

    • Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.

    Paradigm complies with federal and state disability laws and makes reasonable accommodations for applicants and employees with disabilities. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and / or to receive other benefits and privileges of employment, please contact Leave Management at leave.management@paradigmcorp.com.

    We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

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    Manager Medical Review • Tampa, Florida, United States, 33602