Medical Claims Review Manager jobs in Carson, CA

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)

119 Medical Claims Review Manager jobs found in Carson, CA area

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Claims Analyst
  • Cynet Systems
  • Los Angeles, CA
  • Reviews and monitors employee medical records to ensure scope and duration of treatment are ... Manages litigated cases and non-litigated cases with complex issues. * Focuses on cost-effective ...
  • 4 hours ago

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Claims Analyst
  • inSync Staffing
  • Los Angeles, CA
  • Reviews and monitors employee medical records to ensure scope and duration of treatment are ... Manages litigated cases and non-litigated cases with complex issues. Focuses on cost effective ...
  • 5 hours ago

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Claims Examiner
  • Randstad
  • Santa Ana, CA
  • ... of Managed Care, and the Claims Department polices and procedures. * Review and process all ... Experience in an IPA, Medical Group or Health Plan setting (Required) * Experience as a Claims ...
  • yesterday

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Medical Biller Collector
  • Robert Half
  • Los Angeles, CA
  • Attention Medical Billing and Insurance Collectors! A Healthcare Organization located in Los ... claims and resolving status- EOB review and claims submission- Work with all HMO, PPO and ...
  • 2 days ago

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Medical Collections Specialist
  • Vaco LLC
  • Irvine, CA
  • Medical Collector follows-up on the status of submitted claims and invoices; requests medical ... managed care groups. * Review files to determine if amounts should be written off based on ...
  • 5 days ago

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Medical Collections Representative
  • Ajilon
  • Santa Monica, CA
  • Responsible for reviewing claims to ensure maximum collection by providing follow-up and documenting actions. * Functions include managing a portfolio of accounts that are high balance, aged accounts ...
  • 5 days ago

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Medical Device Quality Clinician Manager
  • Johnson Service Group
  • Costa Mesa, CA
  • Author and/or review complaint conclusions/closure statements and customer letters. And may assist with and help manage Imaging * Educate complaint staff and engineers to understand the medical ...
  • 6 days ago

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Surgery Medical Collector
  • Robert Half
  • Los Angeles, CA
  • The Surgery Medical Collector must have experience reviewing claims, EOBs, appeals and denials management. In addition, the Surgery Medical Collector will follow up with insurance companies via phone ...
  • 6 days ago

Carson is a city in Los Angeles County, California, located 13 miles (21 km) south of downtown Los Angeles and approximately 14 miles away from the Los Angeles International Airport. Incorporated on February 20, 1968, Carson is the newest municipality in the South Bay region of Metropolitan Los Angeles. As of the 2010 census, it had a population of 91,714. According to the United States Census Bureau, Carson has an area of 19.0 square miles (49 km2). 18.7 square miles (48 km2) of it is land and 0.2 square miles (0.52 km2) of it (1.29%) is water. Carson is bordered by West Rancho Dominguez on ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$98,294 to $125,317
Carson, California area prices
were up 3.2% from a year ago