Medical Claims Review Manager jobs in Pomona, 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)

443 Medical Claims Review Manager jobs found in Pomona, CA area

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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 ...
  • 20 hours ago

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Medical Biller Collector
  • Robert Half
  • Los Angeles, CA
  • Attention Medical Billing and Insurance Collectors! A Healthcare Organization located in Los ... claims and resolving status- EOB review and claims submission- Work with all HMO, PPO and ...
  • yesterday

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Travel RN-Case Manager
  • All Medical Personnel
  • Riverside, CA
  • ASAP Job Details: * Responsible for coordinating medical care, and matching patient needs and ... Case Management or Utilization Review Certification - Highly Preferred * MediTech - Highly ...
  • 2 days ago

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Tax Manager for Top LA Accounting Firm
  • Cybercoders
  • Los Angeles, CA
  • ... tax review and approval of all tax returns assigned to them. - Participates actively in client ... Our benefits include paid Medical, PTO, a 401(k) plan with Profit Sharing, employer paid STD/LTD ...
  • 3 days ago

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RN Case Manager Needed Full Time | ASAP Start (153105)
  • All Medical Personnel
  • Riverside, CA
  • Case Management or Utilization Review Certification - Highly Preferred * MediTech - Highly preferred Company Description All Medical Personnel is an industry leader in permanent healthcare staffing
  • 3 days 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 ...
  • 4 days ago

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Medical Records Technician
  • Episource LLC
  • Eastvale, CA
  • ... managed care plans improve and support accurate reimbursement in a post-Affordable Care Act market. Our services include retrospective chart reviews, medical record retrieval, HEDIS/ACO quality ...
  • 5 days ago

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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 ...
  • 5 days ago

Pomona (/pəˈmoʊnə/) is a city in Los Angeles County, California, United States. Pomona is located in the Pomona Valley, between the Inland Empire and the San Gabriel Valley. As of the 2010 United States Census, the city's population was 149,058. Pomona is 30 miles (48 km) east of the Los Angeles area of Los Angeles County in the Pomona Valley, located at 34°3′39″N 117°45′21″W / 34.06083°N 117.75583°W / 34.06083; -117.75583 (34.060760, -117.755886). According to the United States Census Bureau, the city has a total area of 22.964 square miles (59.48 km2), over 99% of it land. Pomona is appro...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$98,303 to $125,328
Pomona, California area prices
were up 3.2% from a year ago