Medical Claims Review Manager jobs in Roseville, 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

112 Medical Claims Review Manager jobs found in Roseville, CA area

RN Utilization Management
  • A-Line Staffing Solutions
  • Sacramento, CA
  • Experience with medical decision support tools (i.e. Interqual, NCCN) and government sponsored ... Manager, Care Manager, Utilization Review, Utilization Management, STARS, HEDIS, Complex Case ...
  • 12 hours ago

Patient Account Representative - Claims Analyst
  • Wollborg Michelson Recruiting
  • Sacramento, CA
  • Medical Claims Examiner Sacramento, Ca Pay $18.00-$20.00/hour based on experience JOB ... review or claims processing practices in a managed care * Familiarity talking with members ...
  • 18 hours ago

National Manager Chargemaster
  • Dignity Health System Office
  • Rancho Cordova, CA
  • The National Manager of Chargemaster will: Oversees the Chargemaster to promote its accuracy and ... medical necessity, etc. edits Reviews changes in CPT codes, HCPCS codes and revenue codes for ...
  • yesterday

Medical Biller/Collector Representative - 07/20 Start
  • Wollborg Michelson Recruiting
  • Rancho Cordova, CA
  • Medical Biller/Claims Processor - Rancho Cordova, CA Pay $18.00/Hour Responsibilities for Patient ... Process and manage patient claims * Collect payments from patients for processing * Resolve any ...
  • 2 days ago

Payroll Specialist
  • Colorcaot, Inc.
  • West Sacramento, CA
  • ... claims · Provides payroll information by answering questions and completing employment ... Review payroll for reports for accuracy and correct issues · Work with Plant Managers, HR, and ...
  • 2 days ago

EHS Manager
  • Building Material Distributors, Inc.
  • Sacramento, 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 ...
  • 2 days ago

Travel OT - Occupational Therapist
  • Focus Staff
  • Sacramento, CA
  • Selects and accurately performs appropriate tests and measurements after reviewing and evaluating ... best medical management of patient's disabilities, disease, or wound. * Administers manual ...
  • 3 days ago

Medical Receptionist
  • Almonte Center for Facial Cosmetic Surgery
  • Roseville, CA
  • Annual Review will be conducted by Manager employment type: full-time Be part of a great team! Busy plastic surgeon office seeking experienced medical office receptionist individual who will perform ...
  • 3 days ago

Roseville (formerly, Roseville Junction, Junction, and Grider's) is the largest city in Placer County, California, United States, in the Sacramento metropolitan area. As of 2016, the US Census Bureau estimated the city's population to be 132,683. Interstate 80 runs through Roseville and State Route 65 runs through part of the northern edge of the city. According to the Roseville Civic Center, the city has a total area of 42.26 square miles (109.5 km2), of which, 42.24 square miles (109.4 km2) of it is land and 0.002 square miles (0.0052 km2) of it (0.00%) is water. Several streams flow through...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$95,041 to $121,169
Roseville, California area prices
were up 2.5% from a year ago