Medical Claims Review Manager jobs in Houston, TX

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)

T
Medical Only Adjuster
  • TheBest Claims Solutions
  • Houston, TX OTHER
  • Medical Only Adjuster
    HOUSTON, TX 77040 | DIRECT HIRE
    $20.00 TO $25.00 PER HOUR, DEPENDING ON EXPERIENCE
    Job Description

    Our client, a National Insurance Company, is looking for a Worker's Compensation Medical Only Adjuster to work a remote basis. The ideal candidate will have experience handling Medical Only claims in the state of TX.

    #INDR

    Required Qualifications

      »3 years of Medical Only or Lost Time claims experience
      »Provides proactive ongoing medical case management to promote injured worker recovery and return to pre-injury status
      »Maintains accurate records and handles administrative responsibilities associated with processing and payment of claims
      »Texas Adjuster License

    Preferred Qualifications

      »Public Entity Experience
      »Bachelor's Degree
    ABOUT THEBEST CLAIMS SOLUTIONS

    TheBest Claims Solutions is the leading provider of insurance jobs for Claims Adjusters concentrating in Workers’ Compensation, Property, Auto, Commercial Lines, Personal Lines and Catastrophe. TheBest Claims Solutions has been placing insurance professionals in direct hire, temporary and temp-to-hire opportunities with insurance carriers, self-insurance companies and third party administrators for nearly 2 decades and are adding new clients every day.

    EQUAL OPPORTUNITY EMPLOYER

    TheBest Claims Solutions is committed to creating a diverse environment and is proud to be an equal opportunity employer. Qualified applicants will be considered for employment without regard to race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, sex or gender (including pregnancy, childbirth and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws.

  • 16 Days Ago

P
Senior Claims Insurance Manager - Medical Professional Liability Claims *Remote
  • Providence
  • Houston, TX FULL_TIME
  • Description Providence caregivers are not simply valued - they're invaluable. Join our team and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutu...
  • 24 Days Ago

C
Physician Neurologist Medical Review Stream
  • Concentra Career Choice
  • Houston, TX OTHER
  • Overview Are you an accomplished Board Certified Neurologist in one of the below specialties? Preferred candidates will have a TX license. Are you passionate about your work/life balance? We are seeki...
  • 2 Months Ago

C
Physician Neurologist Medical Review Stream
  • Concentra
  • Houston, TX OTHER
  • Overview Are you an accomplished Board Certified Neurologist in one of the below specialties? Preferred candidates will have a TX license. Are you passionate about your work/life balance? We are seeki...
  • 2 Months Ago

T
Workers Compensation Claims Adjuster
  • TheBest Claims Solutions
  • Houston, TX FULL_TIME
  • Workers Compensation Claims Adjuster HOUSTON, TX 77040 | DIRECT HIRE $75,000 TO $83,000 ANNUALLY, DEPENDING ON EXPERIENCE Job Description Our client, a leading insurance company, is currently seeking ...
  • 17 Days Ago

A
Workers Compensation Claims Assistant
  • AS&G Claims Administration, Inc.
  • Houston, TX FULL_TIME
  • Job Description We have an excellent opportunity available for a Claims Assistant. This position is located in Houston, TX – Downtown. The necessary skills include: Attention to Detail Strong Computer...
  • 12 Days Ago

Filters

Clear All

Filter Jobs By Location
  • Filter Jobs by companies
  • More

0 Medical Claims Review Manager jobs found in Houston, TX area

H
Remote Licensed Mental Health Counselor
  • Headway
  • Houston, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/23/2024 12:00:00 AM

A
Appeals and Grievances Coordinator
  • Apex Health Solutions
  • Houston, TX
  • Description Job Title: Appeals & Grievances Coordinator Department: Appeals and Grievances Supervisor: Manager, Appeals ...
  • 4/22/2024 12:00:00 AM

W
Pharmacist In Charge (PIC)
  • Wells American Inc
  • Houston, TX
  • Job Description Job Description We seek a Pharmacist In Charge (PIC) to join our team! You will be responsible for dispe...
  • 4/20/2024 12:00:00 AM

H
Remote Licensed Clinical Psychologist
  • Headway
  • Houston, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

H
Remote Licensed Psychiatrist
  • Headway
  • Houston, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

H
Remote Licensed Professional Counselor
  • Headway
  • Houston, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

H
Remote Licensed Clinical Psychologist
  • Headway
  • Tomball, TX
  • Mental health clinicians use Headway in a number of ways, ranging from conducting psychotherapy sessions with patients t...
  • 4/20/2024 12:00:00 AM

A
Physician Assistant or NP - Pain Management Private Practice
  • Advanced Pain Management Specialists of Baytown
  • Baytown, TX
  • Job Description Job Description We are seeking a Physician Assistant or Nurse Practitioner to join our team! You will pr...
  • 4/19/2024 12:00:00 AM

Houston is located 165 miles (266 km) east of Austin, 88 miles (142 km) west of the Louisiana border, and 250 miles (400 km) south of Dallas. The city has a total area of 627 square miles (1,620 km2); this comprises 599.59 square miles (1,552.9 km2) of land and 22.3 square miles (58 km2) covered by water. The Piney Woods are north of Houston. Most of Houston is located on the gulf coastal plain, and its vegetation is classified as temperate grassland and forest. Much of the city was built on forested land, marshes, swamp, or prairie and are all still visible in surrounding areas.[citation need...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$97,865 to $124,779
Houston, Texas area prices
were up 2.3% 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