Medical Claims Review Manager jobs in Downey, 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)

505 Medical Claims Review Manager jobs found in Downey, CA area

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Account Manager/Processor
  • SRE MORTGAGE ALLIANCE INC.
  • El Segundo, CA
  • As a Loan Processor , you will be responsible for providing quality loan processing, reviewing ... A full comprehensive benefits package including medical, dental, vision, life insurance, 401k
  • 5 hours ago

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Medical Billing Specialist
  • SANO MEDICAL CLINIC INC
  • Costa Mesa, CA
  • Experienced with most medical practice management softwares. Worked with Epic, E-Clinical, Next Gen ... Expedite claims in a timely manner from oldest to newest. Review and abstract information from ...
  • 21 hours ago

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Medical Billing Specialist
  • Robert Half
  • Los Angeles, CA
  • The Medical Billing Specialist must be well versed with appeals, denials, EOB review and stop loss. The Medical Billing Specialist must have experience with processing and submitting claims to the ...
  • 2 days ago

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Manager, Reg Care Management - RN
  • Nextaff
  • Commerce, CA
  • ... review, case management or discharge planning. KNOWLEDGE, SKILLS, ABILITIES: * Computer literate. * Proficient in Microsoft applications (Word, Excel, Access). * Knowledge of medical/nursing ...
  • 3 days ago

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Claims Examiner Lead - MediCal Group - $22/hr
  • MediQuest Staffing
  • Orange, CA
  • Shared Risk Claims, Claims Receipt, Claims Adjudication for MediCal and MediCare Claims * Knowledge ... Managed Care, Health Plan, or IPA experience is preferred * High School Diploma Referral Bonus
  • 3 days ago

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Sr. Legal Medical Malpractice Examiner - Claims
  • ProEnlist, LLC
  • Pasadena, CA
  • Investigates pre-suit claims related to medical malpractice, professional liability, general ... Establishes and conducts quarterly review of reserve information. * Insurance Policy Management
  • 3 days ago

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Sr. Legal Medical Malpractice Examiner - Claims
  • Generis Tek Inc.
  • Pasadena, CA
  • We have a Permanent role Sr. Legal Medical Malpractice Examiner - Claims our client Pasadena, CA ... Establishes and conducts quarterly review of reserve information. * Insurance Policy Management
  • 4 days ago

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Claims Examiner
  • Randstad
  • Orange, 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 ...
  • 4 days ago

Downey is a city located in southeast Los Angeles County, California, United States, 13 mi (21 km) southeast of downtown Los Angeles. It is considered part of the Gateway Cities. The city is the birthplace of the Apollo space program. It is also the home of the oldest still operational McDonald's restaurant in the world. As of the 2010 census, the city had a total population of 111,779. According to the United States Census Bureau, the city has a total area of 12.6 square miles (33 km2). 12.4 square miles (32 km2) of it is land and 0.2 square miles (0.52 km2) of it (1.27%) is water. The cities...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$98,600 to $125,707
Downey, California area prices
were up 3.2% from a year ago