Medical Claims Review Manager jobs in Longview, 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)

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Field Claims Assistant – Tyler/Longview, TX
  • Brezina Claims
  • Tyler, TX FULL_TIME
  • Field Claims Assistant - Tyler/Longview, TX

    3/4/2024

    As a Field Assistant for Brezina Claim Associates, Inc., you will serve as a field damage appraiser knowledgeable of auto body mechanics and residential construction. You will provide customer service and accurate documentation of physical damage losses. You will evaluate first and third party total or repairable losses in accordance with the terms and conditions of corporate guidelines, policy contracts and existing insurance laws and regulations.

    Qualified candidates need to possess:

    1. High school diploma or equivalent.
    2. 2 years of relevant physical damage appraisal experience.
    3. Experience and/or working knowledge of estimating evaluation systems.
    4. Computer literacy in a Windows operating environment.
    5. Ability to acquire and maintain applicable appraisal/adjuster’s license.
    6. Ability to meet all Brezina Claims safety driving requirements.
    7. Driving record verifiable through MVR.
    8. Ability to regularly lift 30 lbs.

    Preferred experience includes:

    1. Knowledgeable of CCC Pathways and/or Xactimate estimating platform.
    2. Ability to complete appraisals on site, in most weather conditions.
    3. Willingness to handle volume in outlying areas that may deem extended hours.
    4. ICAR certification.

    Qualified applicants must successfully complete a pre-employment background.

    Brezina Claim Associates, Inc. is an Equal Opportunity Employer.

  • 16 Days Ago

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Claims Manager
  • Team Worldwide
  • Winnsboro, TX FULL_TIME
  • Team Worldwide has a career opportunity open for a Claims Manager at our corporate office located in Winnsboro, TX. The ideal candidate will have a minimum of 5-7 years of experience processing freigh...
  • 8 Days Ago

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Medical Claims Specialist (30988)
  • RPMStaffing Professionals
  • Paris, TX FULL_TIME
  • Hiring for a Payment Specialist in Paris, TXPay $16 Hours 8 am-5 pmJob Details:The Claims Payment Specialist is responsible for keeping all patient account up to date with all payments and refunds. Th...
  • 2 Days Ago

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Utilization Review Coordinator
  • Oceans Healthcare
  • Longview, TX 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...
  • 20 Days Ago

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Image review clerk remote
  • TTEC
  • Sulphur, TX FULL_TIME
  • Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to b...
  • Just Posted

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Image review clerk remote
  • TTEC
  • Paris, TX FULL_TIME
  • Be the spark that brightens days and ignite your career with TTEC's award-winning employment experience. As an Image Review Clerk working remotely in Texas , you'll be a part of bringing humanity to b...
  • Just Posted

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

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Radiology Tech
  • Ardent Health Services
  • Carthage, TX
  • Overview Join our team as a day shift, full-time, Radiology Tech in Carthage, TX. Fulfilling your purpose begins here: P...
  • 3/28/2024 12:00:00 AM

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Certified Medical Assistant / CMA Cardiovascular Consultants
  • Ardent Health Services
  • Tyler, TX
  • Overview Join our team as a day shift, full-time, Cardiovascular Consultants Medical Assistant in Tyler, TX. Fulfilling ...
  • 3/28/2024 12:00:00 AM

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Physician - Internal Medicine
  • Christus Health
  • Longview, TX
  • Description CHRISTUS Health is seeking a board certified or board eligible Internal Medicine Physician to join an establ...
  • 3/28/2024 12:00:00 AM

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Np/Pa - Internal Medicine
  • Christus Health
  • Longview, TX
  • Description CHRISTUS Trinity Clinic, home to one of the largest multispecialty groups in Texas, is seeking a NP/ PA to j...
  • 3/28/2024 12:00:00 AM

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Physician - Vascular Surgeon
  • Christus Health
  • Longview, TX
  • Description CHRISTUS Trinity Clinic, home to one of the largest multispecialty groups in Texas, is seeking a Vascular Su...
  • 3/28/2024 12:00:00 AM

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Neonatal NP - Nicu
  • Christus Health
  • Longview, TX
  • Description Summary: PRN Neonatal Nurse Practitioner- CHRISTUS-Longview Malpractice Insurance Epic EMR CHRISTUS Trinity ...
  • 3/28/2024 12:00:00 AM

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Radiology Tech
  • Ardent Health Services
  • Kilgore, TX
  • Overview Join our team as a day shift, full-time, Radiology Tech in Kilgore, TX. Fulfilling your purpose begins here: Pe...
  • 3/27/2024 12:00:00 AM

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Licensed Vocational Nurse / LVN Device Tech Cardio Clinic
  • Ardent Health Services
  • Tyler, TX
  • Overview Join our team as a full-time, day shift, Cardiology Clinic, Device Tech LVN in Tyler, TX. You may be eligible f...
  • 3/25/2024 12:00:00 AM

Longview is the forty-fifth largest city in the state of Texas. The city is mostly located in Gregg County, of which it is the county seat; a small part of Longview extends into the western part of neighboring Harrison County. Longview is located in East Texas, where Interstate 20 and U.S. Highways 80 and 259 converge just north of the Sabine River. According to the 2010 U.S. census, the city had a population of 80,455. The estimated population in 2017 was 81,522. Longview is the principal city of the Longview metropolitan statistical area, comprising Gregg, Upshur, and Rusk counties. The popu...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$88,885 to $113,329
Longview, Texas 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