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Network Medical Management Jobs (NOW HIRING)

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Out-of-Network Medical Biller We are seeking an experienced Out-of-Network Medical Biller to join ... Submit and manage out-of-network insurance claims accurately and timely * Follow up on unpaid or ...

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Out-of-Network Medical Biller We are seeking an experienced Out-of-Network Medical Biller to join ... Submit and manage out-of-network insurance claims accurately and timely * Follow up on unpaid or ...

... network of physicians and other practitioners. The Vice President for Medical Management will possess the skills and capabilities needed to develop and execute medical cost management and health care ...

... network of physicians and other practitioners. The Vice President for Medical Management will possess the skills and capabilities needed to develop and execute medical cost management and health care ...

$70K - $75K/yr

Responsible for working collaboratively with the Director of Network Management and Medical Management team to ensure network growth and development initiatives are being met and are networks are ...

Medical Management Specialist I

Mason, OH · On-site

$20.70 - $31.04/hr

Medical Management Specialist I Medical Management Specialist I Location: This role enables ... Provides information regarding network providers or general program information when requested.

As a trusted leader in the medical device industry, we design, manufacture, and support products ... This includes Territory Manager roles for individuals with experience selling capital equipment ...

Medical Management Specialist, LVN

$28.25 - $37.75/hr

Founded in 1977 as the Senior Care Action Network, SCAN began with a simple but radical idea: that ... Remote role - CA LVN required The Job The Medical Management Specialist-LVN promotes and supports ...

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Network Medical Management information

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$22K

$106.6K

$162.5K

How much do network medical management jobs pay per year?

As of Jun 6, 2026, the average yearly pay for network medical management in the United States is $106,570.00, according to ZipRecruiter salary data. Most workers in this role earn between $80,500.00 and $128,000.00 per year, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Network Medical Management professional, and why are they important?

To excel in Network Medical Management, a strong background in healthcare administration, provider relations, and knowledge of managed care principles is essential, often supported by a degree in healthcare management or a related field. Familiarity with healthcare information systems, claims processing software, and regulatory compliance tools such as HIPAA and HEDIS is typically required. Excellent negotiation, problem-solving, and interpersonal communication skills help professionals build strong provider networks and resolve issues efficiently. These abilities are crucial for ensuring high-quality, cost-effective patient care and maintaining smooth operations in managed care organizations.

What is Network Medical Management?

Network Medical Management (NMM) refers to organizations or companies that provide administrative and management services to healthcare providers, such as independent physician associations (IPAs) and medical groups. NMM companies handle functions like claims processing, provider credentialing, contract negotiations, and care coordination to help streamline operations and improve patient care. Their goal is to support healthcare networks in delivering efficient, cost-effective, and high-quality services.

What is the difference between Network Medical Management vs Medical Office Manager?

AspectNetwork Medical ManagementMedical Office Manager
CredentialsTypically requires healthcare administration or related certificationsOften requires medical office administration or related certifications
Work EnvironmentHealthcare networks, insurance companies, or large medical organizationsMedical clinics, outpatient offices, or small healthcare practices
Employer & Industry UsageUsed in healthcare management, insurance, and network organizationsCommon in individual medical practices and clinics
Primary FocusOverseeing network operations, provider relations, and complianceManaging daily office operations, staff, and patient scheduling

While both roles involve healthcare management, Network Medical Management focuses on overseeing healthcare networks and provider relations, often within larger organizations. In contrast, Medical Office Managers handle daily administrative tasks within individual medical practices. Understanding these differences helps job seekers identify the right career path based on their skills and interests.

What are some of the typical daily challenges faced by professionals in Network Medical Management roles?

Professionals working in Network Medical Management often encounter challenges related to coordinating care among diverse providers, ensuring compliance with healthcare regulations, and optimizing provider network performance. A typical day may involve analyzing provider data, resolving credentialing issues, and addressing concerns from both providers and patients. Effective communication and strong organizational skills are essential, as the role frequently involves cross-functional collaboration with clinical staff, insurance companies, and IT teams to improve patient outcomes and ensure network efficiency.
More about Network Medical Management jobs
What cities are hiring for Network Medical Management jobs? Cities with the most Network Medical Management job openings:
What states have the most Network Medical Management jobs? States with the most job openings for Network Medical Management jobs include:
What job categories do people searching Network Medical Management jobs look for? The top searched job categories for Network Medical Management jobs are:
Infographic showing various Network Medical Management job openings in the United States as of May 2026, with employment types broken down into 1% As Needed, 76% Full Time, 16% Part Time, and 7% Contract. Highlights an 92% Physical, 2% Hybrid, and 6% Remote job distribution, with an average salary of $106,570 per year, or $51.2 per hour.
Out of Network Medical Biller

Out of Network Medical Biller

Jobs By Joely

Garden City, NY • On-site

$50K - $70K/yr

Full-time

PTO

Posted 9 days ago

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Job description

Out-of-Network Medical Biller

We are seeking an experienced Out-of-Network Medical Biller to join our growing medical practice. The ideal candidate must have strong experience handling out-of-network claims, insurance follow-up, appeals, and reimbursement processes.

Responsibilities:

  • Submit and manage out-of-network insurance claims accurately and timely
  • Follow up on unpaid or denied claims with insurance carriers
  • Handle appeals, reconsiderations, and payment disputes
  • Verify patient benefits and out-of-network coverage
  • Post payments, reconcile accounts, and monitor accounts receivable
  • Communicate with patients regarding balances, billing questions, and payment arrangements
  • Work closely with providers and administrative staff to maximize reimbursements
  • Maintain accurate documentation and ensure HIPAA compliance

Qualifications:

  • Minimum 2–3 years of out-of-network medical billing experience required
  • Strong understanding of insurance claims, EOBs, denials, appeals, and reimbursement methodologies
  • Experience with commercial insurance plans and out-of-network negotiations preferred
  • Knowledge of CPT, ICD-10, and medical terminology
  • Familiarity with EMR/EHR and billing software
  • Strong attention to detail, organizational skills, and ability to multitask
  • Excellent communication and problem-solving skills

We offer a competitive salary, a professional work environment, and opportunities for growth. Candidates with proven out-of-network billing experience are encouraged to apply.


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About Jobs by Joely

Sourced by ZipRecruiter

Today, many companies turn to staffing agencies when they have positions to fill. The time involved in sifting through resumes and interviewing is just too intensive for busy managers and human resource departments. That is why Jobs by Joely maintains a roster of highly skilled, thoroughly screened professionals who are available at a moment’s notice and will arrive on time for daily, weekly, or monthly projects Our mission is to place skilled candidates in a well-matched position that is beneficial to both candidate and employer. We value our privileged partnership in your career pursuits and want to help propel you toward the next level of your professional development. That is why we focus on placing you in a position that will challenge your skills, achieve your goals, and provide the greatest potential for career satisfaction Beyond the scope of traditional staffing agencies, JBJ offers a variety of benefits to aid in your career search. From resume preparation to interview tips, we provide valuable services that will help to prepare you for achieving your career goals. We have placed hundreds of candidates, just like you, in part-time, full-time, temporary, temp-to-perm, and long-term positions. We can find the perfect fit for you too!

Industry

Recruiting and staffing services

Company size

1 - 10 Employees

Headquarters location

Melville, NY, US

Year founded

2015

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