Medical Claims Review Manager jobs in Costa Mesa, 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

104 Medical Claims Review Manager jobs found in Costa Mesa, CA area

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 ...
  • 16 hours ago

Medical Quality Clinician-RN or MD (Complaint Handling)
  • Experis
  • Costa Mesa, CA
  • ... review and support with product medical device complaints. Clinician with cardiovascular or ... Takes active interest in ensuring efficiency in processes Quality Management System (SmartSolve ...
  • yesterday

Associate Product Quality Clinician-Med Device Complaints
  • Experis
  • Costa Mesa, CA
  • Top Skills: - Medical Device experience required, Adverse events and/or complaint handling ... May participate in review of/provide clinical guidance for new product development risk management ...
  • yesterday

Product Quality Clinician Manager
  • Ledgent Technology
  • Irvine, CA
  • ... manage Imaging ... reviews * Educate complaint staff and engineers to understand the medical aspects of complaint ...
  • yesterday

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 ...
  • yesterday

Behavioral Health Manager
  • A-Line Staffing Solutions
  • Cypress, CA
  • ... review, utilization management, med /surg, medical surgical, ICU, intensive care unit, family education, patient, patient health, healthcare, hospital discharges, telephonic, telephonic nursing jobs
  • yesterday

Integrated Absence Supervisor- NATIONAL REMOTE
  • Tristar Insurance Group
  • Long Beach, CA
  • ... absence management, claim personnel, and client satisfaction for all TRISTAR Absence and Claims ... Review performance data that includes activity reports and spreadsheets, to monitor and measure ...
  • 2 days ago

Medical Data Entry Clerk - Major Medi-Cal Plan
  • MediQuest Staffing
  • Orange, CA
  • Managed Care/Healthcare (Health Plan) experience is required * Knowledge of Medical Claims is preferred * Ability to type 40 WPM * High School Diploma Referral Bonus: * Not interested? Know someone
  • 3 days ago

Costa Mesa (/ˌkoʊstə ˈmeɪsə/) is a city in Orange County, California. Since its incorporation in 1953, the city has grown from a semi-rural farming community of 16,840 to a primarily suburban and edge city with an economy based on retail, commerce, and light manufacturing. The population was 109,960 at the 2010 United States Census. Costa Mesa is located 37 miles (60 km) southeast of Los Angeles, California, 88 miles (142 km) north of San Diego, California and 425 miles (684 km) south of San Francisco, Costa Mesa encompasses a total of 16 square miles (41 km2) with its southernmost border only...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$98,294 to $125,317
Costa Mesa, California area prices
were up 3.0% from a year ago