Medical Claims Review Manager jobs in Baton Rouge, LA

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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Loan Review Manager
  • Crescent Search, Inc.
  • Baton Rouge, LA FULL_TIME
  • Responsibilities

    The Loan Review Manager will assist the Chief Loan Review Officer in the daily tasks of the Loan Review Department to perform commercial loan reviews.

    • Review credit analysis
    • Prepare reports about errors
    • Review assigned risk ratings
    • Assess adherence to FGB Credit Policy - Bank Policy - and federal rules and regulations
    • Provide written reports of findings
    • Assist the Chief Loan Review Officer in other assigned duties.
    • Contribute solutions for remedy
    • Make recommendations for improvements
    • Assist in compiling and presenting Audit Committee Reports
    • Contribute to the development of systems and IT improvements.
    • Be responsible for activities in the Loan Review Department when Chief Review Officer is absent
    • Be available for consultative assistance with other departments as needed.
    • Provide assistance and consultation in all areas of loan review and credit management
    • Train staff

    Qualifications

    • Minimum of six years loan review Credit experience or other comparable experience
    • Strong written and verbal communication skills
    • Ability to manage multiple assignments as assigned
    • Manage self and staff
    • Very detail oriented
    • Ability to solve complex problems

    Benefits

    • Full health benefits
    • 401k
    • Paid Vacation

    Compensation

    • $75K to $90 DOE

    Job Type: Full-time

    Pay: $75,000.00 - $90,000.00 per year

    Benefits:

    • 401(k)
    • Dental insurance
    • Health insurance
    • Paid time off

    Schedule:

    • Monday to Friday

    Experience:

    • Loan processing: 6 years (Required)
    • Credit analysis: 6 years (Required)

    Ability to Commute:

    • Baton Rouge, LA (Required)

    Ability to Relocate:

    • Baton Rouge, LA: Relocate before starting work (Required)

    Work Location: In person

  • 10 Days Ago

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Appraisal Review Administrator
  • First Guaranty Bank
  • Hammond, LA FULL_TIME
  • Great employees are essential to maintaining the confidence our customers place in us. FGB believes that our employees are our greatest asset as demonstrated in their professionalism and dedication. W...
  • 16 Days Ago

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Utilization Review Coordinator - Outpatient
  • Oceans Healthcare
  • Baton Rouge, LA FULL_TIME
  • The Utilization Review Coordinator is responsible for management of all utilization review and case management activities for the facility’s inpatient, partial hospitalization, and outpatient programs...
  • Just Posted

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Loan Review Analyst III
  • First Guaranty Bank
  • Hammond, LA FULL_TIME
  • Great employees are essential to maintaining the confidence our customers place in us. FGB believes that our employees are our greatest asset as demonstrated in their professionalism and dedication. W...
  • 9 Days Ago

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Loan Review Analyst III
  • Crescent Search, Inc.
  • Baton Rouge, LA FULL_TIME
  • Position Summary The Loan Review Analyst III (LRA III) will assist the Loan Review Manager (LRM) in the daily tasks of the Loan Review Department, specifically, the department’s responsibility to perf...
  • 26 Days Ago

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Paid Product Tester
  • Product Review Jobs
  • PLATTENVILLE, LA 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 Baton Rouge, LA area

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Substation Engineering Manager
  • Infra-Rec
  • Baton Rouge, LA
  • We are on the hunt for an experienced Substation Engineering Manager to bolster our team. This role primarily involves o...
  • 4/20/2024 12:00:00 AM

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CASHIER (full-time & part-time opportunities)
  • Murphy USA
  • Baton Rouge, LA
  • As one of the largest national gasoline and convenience retailers with more than 1,650 stores in 27 states, we know that...
  • 4/20/2024 12:00:00 AM

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Postal Mail Processor
  • Postal Source
  • Baton Rouge, LA
  • POSTAL MAIL PROCESSOR NO EXPERIENCE REQUIRED PAID TRAINING PROVIDED JOB SECURITY The Postal Service is the largest gover...
  • 4/20/2024 12:00:00 AM

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Mail Processing Clerk
  • Postal Source
  • Baton Rouge, LA
  • POSTAL MAIL PROCESSOR NO EXPERIENCE REQUIRED PAID TRAINING PROVIDED JOB SECURITY The Postal Service is the largest gover...
  • 4/20/2024 12:00:00 AM

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Process Improvement Specialist
  • Centene Corporation
  • Baton Rouge, LA
  • You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Managem...
  • 4/19/2024 12:00:00 AM

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Remote Licensed Psychiatrist
  • Headway
  • Baton Rouge, LA
  • Remote Licensed Psychiatrist Wage: Between $148-$238 an hour Are you a licensed Psychiatrist looking to launch a private...
  • 4/18/2024 12:00:00 AM

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Remote Licensed Psychiatric Nurse Practitioner
  • Headway
  • Baton Rouge, LA
  • Remote Licensed Psychiatric Nurse Practitioner Wage: Between $147-$203 an hour Are you a licensed Psychiatric Nurse look...
  • 4/18/2024 12:00:00 AM

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RN - Perinatal Mental Health Unit - All Shifts - Part-time or Full-time
  • Woman's Hospital Foundation
  • Baton Rouge, LA
  • The Woman's Hospital Perinatal Mental Health Unit is the state's first inpatient pregnancy and postpartum psychiatric un...
  • 4/18/2024 12:00:00 AM

Baton Rouge (/ˌbætən ˈruːʒ/ BAT-ən ROOZH; from French bâton rouge [bɑtɔ̃ ʁuʒ] (listen), meaning 'red stick') is the capital of the U.S. state of Louisiana. Located on the eastern bank of the Mississippi River, it is the parish seat of East Baton Rouge Parish, the most populous parish in Louisiana. It is the 99th most populous city in the United States, and second-largest city in Louisiana after New Orleans. It is also the 16th most populous state capital. As of the U.S. Census Bureau's July 2017 estimate, Baton Rouge had a population of 227,549, down from 229,493 at the 2010 census. Baton Rou...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$92,693 to $118,185
Baton Rouge, Louisiana area prices
were up 1.2% 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