Medical Claims Review Manager jobs in Altoona, PA

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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Field Technician
  • Hancock Claims Consultants
  • Lock Haven, PA CONTRACTOR
  • CLIMB to New Heights…

    And live the_ American Dream. _Become part of something bigger by contracting with the nation’s top provider of roof and property inspection services working with insurance carriers and adjusters in your area. This is an independent contractor position.

    We are seeking professional inspectors to join our dynamic field team. Hancock offers a great opportunity for entrepreneurial minded, independent contractors to work on a variety of assignments including steep and high roof damage assessments, exterior and interior damage evaluations and underwriting property inspections. Using technology, our roof and exterior inspectors help assess the extent of damage to a property and help prevent further damage until permanent repairs can be completed.

    Hancock leads the way in claims resolution services by complete nationwide coverage, fast, full-services claims inspections, and superior quality and accuracy. Our proven process is your assistance of high-quality claims support from rapid catastrophe response to direct inspections. We want your future to start here.

    Successful Technicians possess:

    · Ability to safely navigate and inspect any type of roof, specifically steep and high roofs

    · Technical ability to complete inspections in varied weather conditions

    · Strong customer service skills

    · Empathy when dealing with insureds

    · An entrepreneurial spirit

    · Roofing and construction related backgrounds and/or insurance claims experience are a plus but not required

    Requirements:

    · Reliable truck or SUV with the ability to transport and carry at least a 32’ ladder

    · Ability to complete inspection documentation via a Hancock approved device

    · Demonstrated knowledge of MS Office applications including Outlook and Teams

    · HAAG Certification is a plus

    · The ability to get any required certifications or credentials to become a part of our contractor pool

    Sub-Contractor Incentives:

    · Access to health, dental, vision and additional benefit opportunities through our partnership with ICBA

    · Fleet partnerships that offer discounts on parts and services

    Job Type: Contract

    Pay: $32.00 - $40.00 per hour

    Work Location: On the road

  • 11 Days Ago

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Utilization Review Specialist
  • White Deer Run
  • Williamsburg, PA FULL_TIME
  • Cove Forge is actively hiring a Utilization Review Specialist to act as a liaison between managed care organizations and the facility professional clinical staff. Benefits: Comprehensive Benefit Packa...
  • 16 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • Karthaus, PA 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...
  • 1 Day Ago

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Paid Product Tester
  • Product Review Jobs
  • Blairs Mills, PA 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...
  • 1 Day Ago

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Paid Product Tester
  • Product Review Jobs
  • Shade, PA 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...
  • 2 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • NEEDMORE, PA 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...
  • 28 Days Ago

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0 Medical Claims Review Manager jobs found in Altoona, PA area

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Facilities Management Director
  • Encompass Health
  • Altoona, PA
  • The Facilities Management Director is responsible for ensuring that the company Rehabilitation Hospital, satellite clini...
  • 4/25/2024 12:00:00 AM

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Pharmacy Technician Trainee
  • Giant Eagle
  • Altoona, PA
  • Job Summary As a Pharmacy Technician Trainee, you’ll be a key part of our collaborative team. You’ll bring your skills a...
  • 4/25/2024 12:00:00 AM

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Patient Transport Asst
  • University of Pittsburgh Medical Center
  • Altoona, PA
  • Patient Transport Assistant with UPMC Altoona Hospital Fulltime evening position with rotation. Weekends/Holidays includ...
  • 4/25/2024 12:00:00 AM

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Delivery Driver (Non-CDL)
  • Hajoca Corporation
  • Altoona, PA
  • Hajoca Corporation is one of the country's largest privately-held wholesale distributors of plumbing, heating & cooling,...
  • 4/25/2024 12:00:00 AM

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Endocrinologist
  • University of Pittsburgh Medical Center
  • Altoona, PA
  • Job Description/Summary/Objectives: UPMC Altoona Regional Health Services, Inc. seeks an Endocrinologist in Altoona, PA ...
  • 4/24/2024 12:00:00 AM

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Cashier
  • Dunkin'
  • Altoona, PA
  • **Cashier** Here at Dunkin, weve created something truly uniquea fun place to work as a Team, where all of our employees...
  • 4/24/2024 12:00:00 AM

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Rehab Nursing Tech I
  • Encompass Health
  • Altoona, PA
  • REHABILITATION NURSE TECHNICIAN I FULL-TIME, PART-TIME AND PRN/POOL OPPORTUNITIES (12-HOUR SHIFTS) Your role as a full-t...
  • 4/24/2024 12:00:00 AM

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Diesel Mechanic
  • Ryder System
  • ALTOONA, PA
  • Position Description Torque by Ryder is Immediately hiring a Permanent Full Time Experienced Mobile Diesel Technician to...
  • 4/23/2024 12:00:00 AM

Altoona is a city in Blair County, Pennsylvania, United States. It is the principal city of the Altoona Metropolitan Statistical Area (MSA). The population was 46,320 at the time of the 2010 Census, making it the eleventh most populous city in Pennsylvania. The Altoona MSA includes all of Blair County and was recorded as having a population of 127,089 at the 2010 Census, around 100,000 of whom live within a 5-mile (8.0 km) radius of the Altoona city center according to U.S. Census ZIP Code population data. This includes the adjacent boroughs of Hollidaysburg and Duncansville, adjacent township...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$89,669 to $114,329
Altoona, Pennsylvania area prices
were up 1.5% 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