Medical Claims Review Manager jobs in Long 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

118 Medical Claims Review Manager jobs found in Long Beach, CA area

Account Manager/Processor
  • 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
  • 6 hours ago

Medical Billing Specialist
  • 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 ...
  • 22 hours ago

Travel Nurse RN - Med Surg / Telemetry - $1,599 per week
  • NurseFly Travel Nursing
  • Orange, CA
  • Specialty: Med Surg / Telemetry * Discipline: RN * Start Date: 07/13/2020 * Duration: 13 weeks * 36 ... manager for review. **Please ensure all RTO is for the full 13 weeks for each submittal**No RTO the ...
  • yesterday

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

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

Sr Quality Engineer - Post Market Surveillance
  • Ultimate Staffing
  • Irvine, CA
  • ... by reviewing claims support of labeling against EU MDR regulation (SHEER & ROHS) for class I and ... Management, Design Controls, Usability Engineering, Quality Assurance/Control, Regulatory ...
  • 4 days ago

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

Medical Biller/Collections Specialist
  • Robert Half
  • Irvine, CA
  • ... eligibility, claims setup, prior authorizations, computing cost versus reimbursement, copay ... initiative, time management to allow completion of the goals and objectives. Training will be ...
  • 7 days ago

Long Beach is a city on the Pacific Coast of the United States, within the Los Angeles metropolitan area of Southern California. As of 2010, its population was 462,257. It is the 39th most populous city in the United States and the 7th most populous in California. Long Beach is the second-largest city in the Los Angeles metropolitan area and the third largest in Southern California behind Los Angeles and San Diego. Long Beach is a charter city. The Port of Long Beach is the second busiest container port in the United States and is among the world's largest shipping ports. The city also maintai...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$98,294 to $125,317
Long Beach, California area prices
were up 3.2% from a year ago