Medical Claims Review Manager jobs in California

Medical Claims Review Manager oversees the performance, productivity, and quality of the medical claims review staff. Responsible for hiring, training, and firing medical claims review staff. Being a Medical Claims Review Manager evaluates medical claims review processes and recommends process improvements. Serves as a technical resource for all medical review workers. Additionally, Medical Claims Review Manager typically requires an RN or BSN. Requires a bachelor's degree. Typically reports to a head of a unit/department. The Medical Claims Review Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Claims Review Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2020 Salary.com)

C
Workers Compensation Claims Examiner - Remote
  • Canon Recruiting Group
  • Sacramento, CA
  • ... review. * Maintains professional client relationships. REQUIREMENTS: * Two to (4) years of claims ... Working knowledge of regulations, offsets and deductions, disability duration, medical management ...
  • 15 hours ago

M
RN - Hospice
  • Mercy San Juan Medical Center
  • Carmichael, CA
  • The medical director meets with the team to review care plans, giving direction and advice as ... manager, clinical coordinator, supervisor, home health, hospice, in home care, palliative care ...
  • yesterday

N
Pre Billing Claims Review
  • Nexus Staffing Group
  • Pasadena, CA
  • Performs charge review of claims, including but not limited to; ICD-10/CPT Codes and Modifiers ... Other duties as assigned by management. DESIRED QUALIFICATIONS / REQUIREMENTS Education and ...
  • 2 days ago

C
Community Health & Testing Manager
  • Community Medical Centers
  • Stockton, CA
  • The Mobile Medical and Testing Manager is responsible for managing operational aspects of the ... Completes Paycom timesheets, reviews requests for time off, makes necessary staffing adjustments in ...
  • 3 days ago

J
Auto Claims Adjuster
  • Job Juncture
  • Los Angeles, CA
  • ... fraud indicators  Review and evaluate medical and loss wage documentation  Identify ... management Required Skills and Experience:  Minimum of two (2) years of Claims experience ...
  • 3 days ago

W
Office Manager
  • Wesley Reviews, Inc
  • Los Angeles, CA
  • We review the medical files and summarize the records into a document that is submitted to the ... RESPONSIBILITIES · The primary function of the Office Manager is to oversee and orchestrate ...
  • 3 days ago

A
Travel RN-Case Manager
  • All Medical Personnel
  • Quincy, CA
  • ASAP Job Details: * Responsible for coordinating medical care, and matching patient needs and ... Case Management or Utilization Review Certification - Highly Preferred * MediTech - Highly ...
  • 3 days ago

O
Travel Registered Nurse RN Director - South Lake Tahoe
  • OneStaff Medical
  • Long Beach, CA
  • They supervise and review nursing staff, oversee the department budgets, and report to high-level staff members. They also, maintain high standards of care, manage patient data and medical records ...
  • 4 days ago

California is a state in the Pacific Region of the United States. With 39.6 million residents, California is the most populous U.S. state and the third-largest by area. The state capital is Sacramento. The Greater Los Angeles Area and the San Francisco Bay Area are the nation's second and fifth most populous urban regions, with 18.7 million and 9.7 million residents respectively. Los Angeles is California's most populous city, and the country's second most populous, after New York City. California also has the nation's most populous county, Los Angeles County, and its largest county by area, S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$98,648 to $125,770