Medical Claims Review Manager jobs in Berkeley, 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 2024 Salary.com)

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Claims manager
  • Five Star Cleaners
  • Richmond, CA FULL_TIME
  • Claims Manager

    Are you ready for a new career?

    One that will allow you to help people on a daily basis

    One that will challenge you every day.

    One that will require you to constantly learn and grow as an employee and an individual.

    One that will make you an integral member of a team of like-minded individuals with a common goal

    The Company: 5 Star Textile Restoration is a fast-paced, restoration dry cleaner in Northern California. Our unique company helps thousands of families recover from the devastating effects of catastrophes such as fire, water, and mold damage. We aid homeowners during these traumatic experiences by picking up, deodorizing, cleaning, and returning all of their soft good items.

    · We are constantly in pursuit of dedicated and self-motivated team members who share our values and passion for helping people.

    The Position: We’re looking for a Project Manager Trainee that is self-motivated, enjoys being on the road and stands up to challenges.

    · We offer:

    • Competitive Salary
    • Paid Time off
    • Holiday Fun
    • And many other exciting extras!

    Skills:

    · Geographical knowledge

    · Clean driving record & Valid Drivers License

    · Professional Appearance and a positive attitude

    · “Turn on a dime” mentality

    · “Can Do “ Attitude

    · Eagerness to learn and acquire new skills

    · Critical thinking

    · Communicating at a high level

    · Tech-savvy

    · Detail orientated and motivated

    · Punctual and Reliable

    · Bilingual a plus

    · Sales background plus

    Responsibilities:

    · Driving to loss in company vehicle

    · Provide “above and beyond” customer service

    · Content Removal and cataloging

    · Delivering of jobs

    · Follow project to completion to the customers satisfaction

    · Meeting w/ HO and adjuster and/or cleaning company

    · Accurately complete all paperwork and documentation

    · Uploading pictures

    Why Should You Apply?

    · Training from industry leaders

    · One-on-one mentoring

    · Fulfillment in the servicing of families

    · Discovering your hidden talent!

    Job Type: Full-time

    Pay: $18.00 - $25.00 per hour

    Schedule:

    • Day shift

    Work Location: In person

  • 3 Days Ago

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Claims Manager
  • Health Services & Benefit Administrators - (HS&BA, Inc.)
  • Dublin, CA FULL_TIME
  • ```Job Overview```We are seeking a highly skilled and experienced Claims Manager to join our team. As a Claims Manager, you will be responsible for overseeing the entire claims process and ensuring ef...
  • 23 Days Ago

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Claims manager
  • Five Star Cleaners
  • Berkeley, CA FULL_TIME
  • Claims Manager Are you ready for a new career? One that will allow you to help people on a daily basis One that will challenge you every day. One that will require you to constantly learn and grow as ...
  • 24 Days Ago

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RN, RN - Utilization Management/Review - Travel
  • Excel Medical Satffing
  • Walnut Creek, CA FULL_TIME
  • Details Travel Job Type RN Profession RN - Utilization Management/Review Specialty Shift Details 08:00 AM - 05:00 PM Shift Job Order Details 03/28/2022 Start Date 06/25/2022 End Date 13 Week(s) Durati...
  • 12 Days Ago

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Manager, Medical Specialties
  • Sutter Bay Medical Foundation
  • Orinda, CA FULL_TIME
  • We are so glad you are interested in joining Sutter Health! Organization: SEBMF-East Bay Medical Foundation Position Overview: Manages and provides operational leadership to assigned areas of the Medi...
  • 14 Days Ago

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CA - Field Representative
  • Hancock Claims Consultants
  • Oakland, CA FULL_TIME
  • With a 20-year history supporting property insurers, Hancock Claims Consultants provides a nationwide network of inspectors, contractors, and engineers who help adjusters quickly process claims. All 5...
  • 10 Days Ago

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0 Medical Claims Review Manager jobs found in Berkeley, CA area

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Head of Engineering | Next Gen Biosensor/Proteomics Start-Up | Report to Founder/CEO | San Francisco-based | Retained Search
  • Cornerstone Search Group
  • Head of Engineering | Next Gen Biosensor/Proteomics Start-Up | Report to Founder/CEO | San Francisco-based | Retained Se...
  • 4/18/2024 12:00:00 AM

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Executive Director/ Sr. Director of Medical Affairs
  • Adicet Bio
  • Redwood City, CA
  • JOIN US! Adicet Bio, Inc. is a clinical stage biotechnology company discovering and developing allogeneic gamma delta T ...
  • 4/18/2024 12:00:00 AM

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Executive Director/ Sr. Director of Medical Affairs
  • Adicet Bio, Inc.
  • Redwood City, CA
  • JOIN US! Adicet Bio, Inc. is a clinical stage biotechnology company discovering and developing allogeneic gamma delta T ...
  • 4/18/2024 12:00:00 AM

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Remote Licensed Clinical Social Worker
  • Headway
  • Oakland, CA
  • Remote Licensed Clinical Social Worker (LCSW) Wage: Between $86-$130 an hour Are you a Licensed Clinical Social Worker l...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Marriage and Family Therapist
  • Headway
  • Oakland, CA
  • Remote Licensed Marriage and Family Therapist (LMFT) Wage: Between $86-$130 an hour Are you a Licensed Marriage and Fami...
  • 4/16/2024 12:00:00 AM

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Remote Licensed Clinical Psychologist
  • Headway
  • Oakland, CA
  • Remote Licensed Clinical Psychologist Wage: Between $95-$166 an hour Are you a Licensed Clinical Psychologist looking to...
  • 4/16/2024 12:00:00 AM

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Senior Director, Global Pharmacovigilance & Risk Management Head of Medical Safety
  • Vir Biotechnology, Inc.
  • Vir Biotechnology, Inc. is an immunology company focused on combining cutting-edge technologies to treat and prevent inf...
  • 4/15/2024 12:00:00 AM

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Associate Residential Treatment Program Director (LCSW, LMFT, LPCC)
  • UHC Solutions
  • Berkeley, CA
  • Associate Residential Program Director Location: Berkeley, CA 9470 Are you a compassionate licensed clinician passionate...
  • 4/14/2024 12:00:00 AM

Berkeley (/ˈbɜːrkli/ BURK-lee) is a city on the east shore of San Francisco Bay in northern Alameda County, California. It is named after the 18th-century Irish bishop and philosopher George Berkeley. It borders the cities of Oakland and Emeryville to the south and the city of Albany and the unincorporated community of Kensington to the north. Its eastern border with Contra Costa County generally follows the ridge of the Berkeley Hills. The 2010 census recorded a population of 112,580. Berkeley is home to the oldest campus in the University of California system, the University of California, B...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$119,038 to $151,775
Berkeley, California area prices
were up 4.5% from a year ago

Medical Claims Review Manager in Paramus, NJ
Support management with leading Medical Review team to ensure all types of claims requiring medical reviews are completed in compliance with State, Federal, accreditation standards and other applicable regulations.
February 01, 2020
Medical Claims Review Manager in Nashua, NH
By truly combining claims and bill review, the two systems are kept in sync utilizing the scheduled jobs of the aforementioned standard model; however, for real-time data updates, claims examiners are granted access to the entire live bill review system.
January 13, 2020
Medical Claims Review Manager in Davenport, IA
Complex claim errors can only be caught by physician reviewers with the clinical experience to spot mistakes that automated systems can’t detect.
January 03, 2020