Medical Claims Review Manager jobs in Louisiana

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)

C
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

  • 16 Days Ago

R
Medical Billing/Claims/Collections
  • Robert Half
  • Metairie, LA PER_DIEM
  • You may be right for this Medical Collections Specialist role, if you have a strong sense of ownership and attention to detail. If fostering your skills as a healthcare professional is of importance, ...
  • 8 Days Ago

K
Homeowner Property Litigation Claims Manager
  • KING'S INSURANCE STAFFING LLC
  • Orleans, LA FULL_TIME
  • Our client, a leading Property & Casualty Insurance Carrier, is seeking to add a Homeowner Property Litigation Claims Manager. This person would be responsible for overseeing a team of Inside Property...
  • 27 Days Ago

U
Start-Up Manager
  • Up Manager - Worley Careers
  • Cameron, LA FULL_TIME
  • Building on our past. Ready for the future Worley is a global professional services company of energy, chemicals and resources experts headquartered in Australia.? Right now, we’re bridging two worlds...
  • 29 Days Ago

T
Property Litigation Supervisor
  • TheBest Claims Solutions
  • Orleans, LA FULL_TIME
  • Our client is looking for a Property Litigation Supervisor to work in their New Orleans office. This candidate will need to have experience with litigated property claims in the state of Louisiana. #I...
  • 8 Days Ago

S
Property Claims Manager (State Risk Adjuster 6)
  • State of Louisiana
  • Baton Rouge, LA OTHER
  • The Division of Administration/Office of Risk Management has a vacancy. This job title has an assigned pay grade of AS-619. This vacancy will be filled by new hire or by promotion of a current permane...
  • 3 Days Ago

A
Head of Medical Writing
  • Aerovate Therapeutics Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 4/26/2024 12:00:00 AM

P
Veterinarian - Hospital Medical Leader
  • Petco Animal Supplies Inc
  • Montclair, NJ
  • Create a healthier, brighter future for pets, pet parents and people! If you want to make a real difference, create an e...
  • 4/26/2024 12:00:00 AM

H
Regional Medical Lead
  • HeartFlow, Inc
  • New York, NY
  • HeartFlow, Inc. is a medical technology company advancing the diagnosis and management of coronary artery disease, the #...
  • 4/26/2024 12:00:00 AM

P
US Pneumococcal Adult Medical Lead, MD
  • Pfizer
  • New York, NY
  • ROLE SUMMARY Provide pneumococcal franchise leadership on behalf of Asset Medical Affairs team. * Collaborates with Bran...
  • 4/26/2024 12:00:00 AM

I
Medical Director, Medical Management
  • Imperial Health Plan Of California Inc.
  • Pasadena, CA
  • People are the most important asset of Imperialfor this reason the difference and plurality of people, equality of oppor...
  • 4/26/2024 12:00:00 AM

A
Head of Medical Writing
  • Aerovate Therapeutics, Inc.
  • Waltham, MA
  • Aerovate (AVTE) is a clinical stage biopharmaceutical company focused on developing drugs that meaningfully improve the ...
  • 4/25/2024 12:00:00 AM

B
Assistant-Certified Medical Lead
  • Baptist Memorial
  • Memphis, TN
  • Summary Provides personal care assistance to patients under the direction of licensed personnel and /or Administrator. P...
  • 4/25/2024 12:00:00 AM

P
Hospital Medical Leader
  • Petco
  • Baldwin, NY
  • Create a healthier, brighter future for pets, pet parents and people!If you want to make a real difference, create an ex...
  • 4/23/2024 12:00:00 AM

Louisiana is bordered to the west by Texas; to the north by Arkansas; to the east by Mississippi; and to the south by the Gulf of Mexico. The state may properly be divided into two parts, the uplands of the north, and the alluvial along the coast. The alluvial region includes low swamp lands, coastal marshlands and beaches, and barrier islands that cover about 20,000 square miles (52,000 km2). This area lies principally along the Gulf of Mexico and the Mississippi River, which traverses the state from north to south for a distance of about 600 mi (970 km)) and empties into the Gulf of Mexico; ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Medical Claims Review Manager jobs
$92,791 to $118,310

Medical Claims Review Manager in Parkersburg, WV
This end-to-end e-billing and e-payment solution is fully integrated with DecisionPoint, which means it can be immediately and easily integrated with your providers, adjusters, IT infrastructure, and claims workflow—enabling you to.
January 01, 2020
Medical Claims Review Manager in Juneau, AK
Examples include a claims examiner’s view of a particular bill’s status in a claim record’s related bill screen, or a bill review analyst’s view of an available reserve amount for the claim record related to the bill they are processing.
December 03, 2019
Medical Claims Review Manager in Galveston, TX
Assists the Manager, Medical Review with performing duties to oversee day-to-day activities within the Medical Claims Review Department to facilitate the achievement of business goals and targets.
December 16, 2019