Claims Processing Director jobs in Dubuque, IA

Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Claims Processing Representative
  • Grand River Medical Group
  • Dubuque, IA FULL_TIME
  • Claims Processing Representative

    Position located in Dubuque, IA; telecommuting options available

    Grand River Medical Group is seeking an experienced Claims Processing Representative to join our Revenue Cycle Team. You will provide a key role in reviewing and analyzing claims rejections, corrections and running financial reports.

    The ideal candidate would understand medical terminology, anatomy and physiology, possess strong computer skills, be detail oriented, able to multi-task, work independently or part of a team and be able to communicate effectively.

    This is a full-time position, 40 hours per week. This position has a flexible schedule, with the ability to work a hybrid model after introductory period of some work from home and some in office days, with no evening or weekend requirements

    Duties include but are not limited to:

    • Answer incoming Revenue Cycle calls from patients and staff.
    • Assist patients courteously with billing questions, payments, and complaints over the phone.
    • Review and update patient information, making necessary changes and capturing correct patient demographics and insurance information.
    • Prepare commercial insurance checks to be posted.

    Education/Experience/Skills:

    • High school diploma or general education degree (GED); and two to three years' of similar or related experience; or equivalent combination of education and experience.
    • Knowledge of insurance billing - preferred.
    • Ability to use computer, office equipment, including keyboard skills.
    • Ability to work under multiple priorities.
    • Ability to work independently, as a team and with staff and/or patients as needed for insurance purposes.
    • Must possess knowledge of billing for services and reimbursement in compliance with CPT and ICD guidelines.
    • Must possess strong interpersonal and communication skills - verbal and written.

    We offer: A competitive hourly wage plus a very attractive benefits package including vacation, generous company provided benefits, and much more.

    Grand River Medical Group is an independent physician owned practice located in Dubuque, IA. We provide a wide range of healthcare services from primary care to subspecialty care for adults and children. We currently employ over 300 team members who help support the practices and clinical operations of over 65 physicians, nurse practitioners and physician assistant clinics, our urgent care network, and four dialysis units located in Iowa (Manchester and Dubuque) and Wisconsin (Platteville and Richland Center).

    Grand River Medical Group is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to, among other things, race, religion, color, national origin, sex, age, sexual orientation, gender identity or expression, status as a protected veteran, or status as a qualified individual with disability.

  • 1 Month Ago

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Disability Representative
  • Sedgwick Claims Management Services Inc.
  • Dubuque, IA FULL_TIME
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex...
  • 26 Days Ago

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Entry- Level, Care Team Representative
  • Sedgwick Claims Management Services Inc.
  • Rapids, IA FULL_TIME
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex...
  • 26 Days Ago

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Entry- Level, Care Team Representative
  • Sedgwick Claims Management Services Inc.
  • Dubuque, IA FULL_TIME
  • Taking care of people is at the heart of everything we do, and we start by taking care of you, our valued colleague. A career at Sedgwick means experiencing our culture of caring. It means having flex...
  • 27 Days Ago

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Processing associate
  • TEKsystems
  • Fairfield, IA FULL_TIME
  • Description : Index and assit processing brokerage paperwork Help open new accounts, 401K adjustments, update licensing, beneficiaries, investment, and retirement accounts Must be comfortable with cus...
  • 19 Days Ago

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Processing Associate
  • Stuff Etc
  • Rapids, IA FULL_TIME
  • DescriptionAre you looking for a fun, exciting, and rewarding retail job? Do you have a flair for fashion? Do you know current styles and brands? Are you up on the current home decor trends? If you an...
  • 1 Month Ago

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0 Claims Processing Director jobs found in Dubuque, IA area

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Accountant
  • UnityPoint Health
  • Dubuque, IA
  • Overview Reporting to the VNA Director, the VNA Senior Staff Accountant provides all financial oversight of VNA agency b...
  • 4/19/2024 12:00:00 AM

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IBMI System admin
  • Programmers.io
  • Dubuque, IA
  • One of our Global Client is Looking for IBMI Admin for Dubuque Iowa/Onsite If you are willing to Relocate, you can apply...
  • 4/19/2024 12:00:00 AM

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Supply Management Planner II
  • US Tech Solutions
  • Dubuque, IA
  • Title: Supply Management Planner II Location: Dubuque, IA Duration: 24 Months Open to recent graduates. This position is...
  • 4/19/2024 12:00:00 AM

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Supply Management Planner
  • EPITEC
  • Dubuque, IA
  • Description: Performs the duties of a Supply Management Planner I. Communicates with suppliers on a day-to-day basis reg...
  • 4/19/2024 12:00:00 AM

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Travel Nurse-Telemetry RN -Cardiovascular Unit
  • Phaxis
  • Dubuque, IA
  • Phaxis Travel Healthcare has an immediate opening for a Tele Nurse in Dubuque, IA. Recruiters at Phaxis will work with y...
  • 4/19/2024 12:00:00 AM

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Travel Nurse RN - Virtual Care - $2,376 per week
  • Trinity Health FirstChoice
  • Dubuque, IA
  • Trinity Health FirstChoice is seeking a travel nurse RN Virtual Care for a travel nursing job in Dubuque, Iowa. Job Desc...
  • 4/19/2024 12:00:00 AM

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Machinists
  • Access Dubuque
  • Dubuque, IA
  • Machinists **Express Employment Professionals** 1 Positions ID: dmEwL2M4T2JMRkVmMllh Posted On 03/24/2024 **Job Overview...
  • 4/15/2024 12:00:00 AM

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Bartender
  • Access Dubuque
  • Dubuque, IA
  • Bartender **Q Casino** 1 Positions ID: 58252 Posted On 03/29/2024 **Job Overview** **Job Details** **Job Location** Q Ca...
  • 4/15/2024 12:00:00 AM

Dubuque /dəˈbjuːk/ (listen) is the county seat of Dubuque County, Iowa, United States, located along the Mississippi River. In 2017, the population of Dubuque was 57,637. This city lies at the junction of Iowa, Illinois, and Wisconsin, a region locally known as the Tri-State Area. It serves as the main commercial, industrial, educational, and cultural center for the area. Geographically, it is part of the Driftless Area, a portion of North America that escaped all three phases of the Wisconsinian Glaciation. It is one of the few cities in Iowa with bluffs, and a tourist destination featuring ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$149,728 to $201,206
Dubuque, Iowa area prices
were up 0.8% from a year ago

Claims Processing Director in Portsmouth, NH
Insurance claims and processing clerks work closely with insurance brokers and agents, handling the administrative duties behind insurance policy renewals, claims processing and new policies.
December 28, 2019
Claims Processing Director in Santa Barbara, CA
Complete with new dashboards, reporting functionality, business intelligence tools, and improved security, FileHandler Enterprise is the new benchmark for Claims Management Software.
February 08, 2020
Claims Processing Director in San Diego, CA
Pulpstream makes it possible for you to have one system for tracking all claims.
January 07, 2020