Medical Claims Review Manager jobs in Fullerton, 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)

102 Medical Claims Review Manager jobs found in Fullerton, CA area

V
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 ...
  • 17 hours ago

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Pre-Litigation Case Manager - Personal Injury
  • Vaziri Law Group
  • Los Angeles, CA
  • Has thorough understanding of the various types of personal injury claims and working knowledge of ... Coordinates client medical treatment methodically with lien medical providers as needed, such as ...
  • 17 hours ago

D
Medical Biller
  • Dr John Hernandez Optometry
  • Huntington Park, CA
  • ... review all accounts to keep records of payments up-to-date Job Requirements Two (2) years of ... Able to multitask, prioritize, and manage time efficiently Self-motivated and self-directed; able ...
  • yesterday

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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 ...
  • yesterday

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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 ...
  • yesterday

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Remote, Manager Case Management
  • A-Line Staffing Solutions
  • Commerce, CA
  • Minimum of 3 years of clinical nursing experience ( Med surg, ICU, etc) * 3 years experience in Case Management * 2 to 3 years management experience in utilization review, case management or ...
  • 2 days ago

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Technology Project Manager
  • CMTS LLC
  • Los Angeles, CA
  • ... · Review and develop IT related contract documents and ensure deliverables are complete and ... company-paid medical, dental, vision, life and long-term disability insurance coverage for ...
  • 3 days ago

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Manager, Medical Claims
  • Accounting Principals
  • Los Angeles, CA
  • Medical Claims Manager Glendale/Pasadena, CA Salaried Position Full Health Benefits Full- serve Healthcare Provider is seeking a Medical Claims Manager to oversee their Claims Program. This ...
  • 3 days ago

Fullerton (/ˈfʊlərtən/) is a city located in northern Orange County, California, United States. As of the 2010 census, the city had a total population of 135,161. Fullerton was founded in 1887. It secured the land on behalf of the Atchison, Topeka and Santa Fe Railway. Historically it was a center of agriculture, notably groves of Valencia oranges and other citrus crops; petroleum extraction; transportation; and manufacturing. It is home to numerous higher educational institutions, particularly California State University, Fullerton and Fullerton College. From the mid-1940s through the late 19...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$98,514 to $125,598
Fullerton, California area prices
were up 3.2% from a year ago