Medical Claims Review Manager jobs in Chico, 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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Medical Claims Examiner
  • SPI
  • Anderson, CA FULL_TIME
  • We train and promote from within
    Excellent low-cost health benefits
    Retirement plan with employer-paid contributions
    Paid vacation and 10 holidays


    Sierra Pacific Industries has an opening in our Health Benefits Department, located at our main office in Anderson, California. This is an excellent opportunity for someone who is either a Medical Biller or Claims Examiner or wants to train to become one.

    About The Position
    • Review, research, and resolve a variety of health and wellness claims using multiple computer systems based on applicable plans, policies, and legal requirements
    • Process claims in a fast, accurate, and efficient manner
    • Provide high level of customer service to medical providers and plan participants
    • Work with, and maintain, highly confidential information
    • Work in a fast-paced, professional, team environment

    The position is full-time with great benefits. Our Health Plan is self-insured and self-administered, in operation since 1972, and covers approximately 10,000 lives. The Health Benefits Department handles the day-to-day responsibilities connected with the administration of the health benefits for all the Company's crew members and their families.

    Qualifications
    Successful candidate will possess:
         • 1 year of recent and verifiable work experience in an office environment
         • Keyboard and 10-key ability with accuracy
         • Ability to handle highly confidential information
         • Excellent written and verbal skills

    Preference will be given to candidates with:
         • Education and/or experience as a medical biller, medical claims examiner, or claim adjustor
         • Working knowledge of CPT, ICD-10, and HCPCs codes
         • Working knowledge of medical terminology
         • Bilingual English/Spanish

    Why Join Our Team?
    Because this is more than an invitation, it's a commitment to offer opportunities for personal and professional growth to everyone! We ask people to grow with us and make the company even better.

    We provide an excellent benefit package including a full Health Benefits Plan (including medical, dental, and vision) with low-cost premiums, a 401(k) with Company Match, additional Retirement Contributions, and company-paid Life Insurance. Each year, the Sierra Pacific Foundation has provided an average of $500,000 in scholarships to help the children of our crew members with education expenses.

    How To Apply
    If you are qualified and would like to join our team,
    please send a cover letter referencing this position and a resume to:

    Sierra Pacific Industries
    Human Resources
    PO Box 496011
    Redding, CA 96049
    (866) 378-8001

    or apply online and view all our career opportunities at: spi.careers


    Sierra Pacific is an (EOE) Equal Opportunity Employer, including those with a disability and veterans.
    The general wage range for this position at Sierra Pacific Industries is from $22 to $28 per hour, and is dependent upon a number of factors, including, but not limited to: relevant work experience, skill, knowledge, and/or education.
  • 2 Days Ago

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Medical Claims Examiner (FT)
  • K&S Staffing Solutions, Inc
  • Anderson, CA FULL_TIME
  • Immediate opening in the Health Benefits Department. This is an excellent opportunity for someone who is either a Medical Biller or Claims Examiner or wants to train to become one.About the position:R...
  • 3 Days Ago

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Nursing Manager - Medical/Surgical/Telemetry
  • Saint Joseph Medical Center
  • Redding, CA FULL_TIME
  • Nursing Manager - Medical/Surgical/Telemetry Facility Shasta Regional Medical Center Location US-CA-Redding ID 2024-156055 Category Manager RN Position Type Full Time Shift Days Job Type Exempt Overvi...
  • 21 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • SMITH RIVER, CA FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 22 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • STONYFORD, CA FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 22 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • HONEYDEW, CA FULL_TIME
  • Compensation: Varies per assignment. Up to $500 per week.Location: Remote (USA)Company: ProductReviewJobsThank you for your interest in becoming a Paid Product Tester. This opportunity is for completi...
  • 22 Days Ago

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

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(Advanced Practitioner) Nurse Practitioner - Pediatric & NICU focus
  • Enloe Medical Center
  • Chico, CA
  • Pay Range: $ 64.64/hr - $87.27/hr *Please note, the highest starting rate as a new hire is $80.80/hr, based on applicabl...
  • 4/19/2024 12:00:00 AM

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Caregiver - PM Availability
  • Country Village
  • Chico, CA
  • Country Village Assisted Living for the elderly is looking for a positive person who is patient, caring and enjoys assis...
  • 4/19/2024 12:00:00 AM

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Operations Associate - Chico Mall
  • JCPenney
  • Chico, CA
  • General Description The Operations Associate's role is to create an outstanding customer experience by performing operat...
  • 4/18/2024 12:00:00 AM

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Customer Advocate
  • Community Choice Financial Family of Brands
  • Chico, CA
  • Overview: As a Customer Service Representative, you will play an essential part in ensuring that our loyal and new custo...
  • 4/16/2024 12:00:00 AM

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Office Manager, $90K Plus
  • Private
  • Chico, CA
  • OFFICE MANAGER $60K-$70K+ Opportunity + Great Benefits! Relocation Assistance Domestic and Import Brands Fully Paid Medi...
  • 4/15/2024 12:00:00 AM

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Auto Sales, Earn $100,000 Plus
  • Wittmeier Auto Group
  • Chico, CA
  • 2288 Forest Ave., Chico, CA 95928 AUTOMOTIVE SALES CONSULTANT $100,000+ Opportunity! Aggressive Lenders Ready To Get You...
  • 4/15/2024 12:00:00 AM

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General Dentist
  • Western Dental & Orthodontics
  • Chico, CA
  • Overview: Our General Dentists perform a variety of preventative, restorative, endodontic, and surgical procedures that ...
  • 3/30/2024 12:00:00 AM

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Home Care Service Coordinator
  • Addus Homecare
  • Chico, CA
  • To apply via text, text 5306 to 334-518-4376. Position Summary: Responsible for scheduling and supervising in-home care ...
  • 2/21/2024 12:00:00 AM

Chico is the most populous city in Butte County, California, United States. As of the 2010 United States Census, the population was 86,187, reflecting an increase of 26,233 from the 59,954 counted in the 2000 Census. The city is the cultural, economic, and educational center of the northern Sacramento Valley and home to both California State University, Chico and Bidwell Park, the country's 26th largest municipal park and the 13th largest municipally-owned park. Bidwell Park makes up over 17% of the city. Other cities in close proximity to the Chico Metropolitan Area (population 212,000) incl...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$100,597 to $128,262
Chico, California area prices
were up 2.5% 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