Medical Claims Review Manager jobs in Reading, 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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Roof technician
  • Hancock Claims Consultants Technicians
  • Reading, PA FULL_TIME
  • CLIMB to New Heights And live the American Dream.

    Become part of something bigger by contracting with the nations 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.

    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

    Powered by JazzHR

    Last updated : 2024-04-23

  • Just Posted

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Travel RN Registered Nurse LTC Long Term Care-Unit Manager
  • OneStaff Medical
  • READING, PA FULL_TIME
  • We. Are. OneStaff. Medical. An independently - owned, nationally - recognized and amazingly awesome staffing firm ready to work for you! A work ethic forged in the Midwest, we are here to stand by you...
  • 1 Month Ago

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Medical Office Manager
  • Center for Pain Control
  • Wyomissing, PA FULL_TIME
  • SUMMARY:Medical Practice Manager needed to oversee the day-to-day operations of our Pain Control Center with two physicians and 2 mid-levels. The Manager ensures the delivery of care through implement...
  • Just Posted

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LVN/LPN Medical Case Manager
  • Equiliem
  • Reading, PA FULL_TIME
  • Equiliem specializes in staffing clinical, non-clinical, and allied personnel. We excel in all levels, disciplines, and specialties within the healthcare spectrum. Our projects range from short to lon...
  • 7 Days Ago

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Logistics Claims Administrator
  • The Evans Network of Companies
  • Boyertown, PA FULL_TIME
  • DescriptionJoin our team as a Logistics Insurance Claims Administrator, where you'll play a pivotal role in ensuring swift and effective responses to drivers involved in accidents or incidents. You'll...
  • Just Posted

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Liability Claims Examiner
  • Penske
  • Reading, PA FULL_TIME
  • Position Summary: The role of the Liability Claims Examiner is to investigate, document, manage, direct and resolve liability, property, cargo, brokerage and subrogation claims. This includes the gath...
  • 11 Days Ago

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

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Licensed Clinical Therapist
  • Optum
  • Wyomissing, PA
  • For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health...
  • 4/25/2024 12:00:00 AM

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Psychiatrist
  • Spring Health
  • Reading, PA
  • Spring Health is the leading comprehensive mental health benefit for employers. We help employees understand their menta...
  • 4/24/2024 12:00:00 AM

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Nurse Practitioner - Child/Adolescent Psychiatric
  • Hiring Now!
  • Reading, PA
  • Full and Part-time positions available! We are currently looking to add certified Child/Adolescent Psychiatric-Mental He...
  • 4/24/2024 12:00:00 AM

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Travel Nurse RN - Long Term Care - $1,246 per week
  • Hiring Now!
  • Reading, PA
  • Solomon Page is seeking a travel nurse RN Long Term Care for a travel nursing job in West Reading, Pennsylvania. Job Des...
  • 4/24/2024 12:00:00 AM

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TRAVEL NURSE RN - LONG-TERM CARE - $1,910 PER WEEK IN WEST READING, PA
  • Core Medical Group
  • Reading, PA
  • Client in PA seeking Registered Nurse (RN) to work 23:00 - 07:30 Pennsylvania, the home of history, entertainment, and p...
  • 4/24/2024 12:00:00 AM

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TRAVEL NURSE RN - $2,050 PER WEEK IN WEST READING, PA
  • CareerStaff Unlimited
  • Reading, PA
  • Registered Nursing- RN - Long Term Care/Skilled Nursing Facility Invest in your future by discovering a facility in West...
  • 4/23/2024 12:00:00 AM

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Licensed Clinical Therapist
  • Optum
  • Reading, PA
  • For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health...
  • 4/22/2024 12:00:00 AM

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Special Education Teacher - Emotional Support 24/25 School Year
  • New Story Schools
  • Reading, PA
  • New Story Schools in Reading, PA (Perkiomen Ave) is seeking a qualified Emotional Support Teacher for the 24/25 school y...
  • 4/22/2024 12:00:00 AM

Reading (/ˈrɛdɪŋ/ RED-ing; Pennsylvania German: Reddin) is a city in and the county seat of Berks County, Pennsylvania, United States. With a population of 87,575, it is the fifth-largest city in Pennsylvania. Located in the southeastern part of the state, it is the principal city of the Greater Reading Area, and is furthermore included in the Philadelphia-Reading-Camden PA-NJ-DE-MD Combined Statistical Area. The city, which is approximately halfway between the state's most populous city, Philadelphia, and the state capital, Harrisburg (as well as about halfway between Allentown and Lancaster)...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$97,084 to $123,784
Reading, 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