Medical Claims Review Manager jobs in Modesto, 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)

36 Medical Claims Review Manager jobs found in Modesto, CA area

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EHS Manager
  • Building Material Distributors, Inc.
  • Stockton, CA
  • Gather and review accident information and report workers compensation and vehicle claims to ... Track all driver credentials (License, Medical Cards, etc.) and send renewal notification reports ...
  • 3 days ago

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Patient Account Representative
  • The Plus Group
  • Atwater, CA
  • Process and manage patient claims * Collect payments from patients for processing * Resolve any ... Experience in medical billing and collections in a clinical setting * Proficient in computer ...
  • 3 days ago

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Case Management-Utilization Review Registered Nurse Job
  • Advanced Travel Nursing
  • Modesto, CA
  • Great facility in Modesto, CA is in need of a qualified Travel Case Management-Utilization Review ... Comprehensive Medical Dental and Vision Insurance * Meals and Incidentals Stipend * Generous ...
  • 3 days ago

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ER & ICU Registered Nurses RN - Up to $2,768/week
  • InSync Consulting Services
  • Ceres, CA
  • Unit managers are reviewing and interviewing quickly after receiving profiles in order to secure ... l/HR Access · Medical benefits Sick pay, Retirement options · Boutique company where our ...
  • 4 days ago

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ER & ICU Registered Nurses RN - Up to $2,768/week
  • InSync Consulting Services
  • Turlock, CA
  • Unit managers are reviewing and interviewing quickly after receiving profiles in order to secure ... l/HR Access · Medical benefits Sick pay, Retirement options · Boutique company where our ...
  • 4 days ago

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ER & ICU Registered Nurses RN - Up to $2,768/week
  • InSync Consulting Services
  • Modesto, CA
  • Unit managers are reviewing and interviewing quickly after receiving profiles in order to secure ... l/HR Access · Medical benefits Sick pay, Retirement options · Boutique company where our ...
  • 4 days ago

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Travel ICU RN - Intensive Care Unit RN
  • Focus Staff
  • Turlock, CA
  • ... medical necessity reviews in alignment with Federal, State, Plan, and Accreditation standards. The UM reviewer serves as a liaison between providers/ facilities and Care Management Division. Earn up ...
  • 5 days ago

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Travel ICU RN - Intensive Care Unit RN
  • Focus Staff
  • Manteca, CA
  • ... medical necessity reviews in alignment with Federal, State, Plan, and Accreditation standards. The UM reviewer serves as a liaison between providers/ facilities and Care Management Division. Earn up ...
  • 5 days ago

Modesto /məˈdɛstoʊ/ (Spanish for "modest"), officially the City of Modesto, is the county seat and largest city of Stanislaus County, California, United States. With a population of approximately 201,165 at the 2010 census, it is the 18th largest city in the state of California and forms part of the Modesto–Merced combined statistical area. The Modesto Census County Division, which includes the cities of Ceres and Riverbank, had a population of 312,842 as of 2010[update]. Modesto is located in the Central Valley, 90 miles (140 km) north of Fresno, 40 miles (64 km) north of Merced, California, ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$93,569 to $119,292
Modesto, California area prices
were up 2.5% from a year ago