Medical Claims Review Manager jobs in Huntington Beach, 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

121 Medical Claims Review Manager jobs found in Huntington Beach, CA area

Case Manager
  • Mission Recovery
  • Aliso Viejo, CA
  • ... to review treatment, discharge plans and other patient and clinical concerns. Completes weekly ... Maintains regular charting and notes in the company's electronic medical records system (Sigmund ...
  • 6 hours ago

Full Time Experienced Medical Assistant to start ASAP!
  • Oceans Medical Staffing
  • Laguna Hills, CA
  • Employee should possess strong time management, communication, and organizational skills. Employee ... Ensure medications, allergies, and surgical history are reviewed with the patient at EVERY visit ...
  • 10 hours ago

  • PIH Health
  • Whittier, CA
  • We're a nonprofit, regional healthcare network with two hospitals, numerous outpatient medical ... Experience in Managed Care is preferred. Beyond the benefits that come with working for the area ...
  • yesterday

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

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

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 ...
  • 6 days ago

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 ...
  • 6 days ago

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

Huntington Beach is a seaside city in Orange County in Southern California. The city is named after American businessman Henry E. Huntington. The population was 189,992 during the 2010 census, making it the most populous beach city in Orange County and the seventh most populous city in the Los Angeles-Long Beach-Anaheim, CA Metropolitan Statistical Area.[citation needed] Its estimated 2014 population was 200,809. It is bordered by Bolsa Chica Basin State Marine Conservation Area on the west, the Pacific Ocean on the southwest, by Seal Beach on the northwest, by Westminster on the north, by Fou...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$98,294 to $125,317
Huntington Beach, California area prices
were up 3.0% from a year ago