Claims Processing Manager jobs in California
Claims Processing Manager manages the administration of health insurance claims, payment processing, billing research, and responding to inquiries. Ensures timely and proper disposition of claims in accordance with coverage amounts. Being a Claims Processing Manager trains staff on organizational policies and ensures procedures are followed at all times. Provides guidance on more complex or high-value claims. Additionally, Claims Processing Manager typically requires a bachelor's degree. Typically reports to a head of a unit/department. The Claims Processing 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. To be a Claims Processing Manager typically requires 5 years experience in the related area as an individual contributor. 1 - 3 years supervisory experience may be required. Extensive knowledge of the function and department processes. (Copyright 2024 Salary.com)
Recently Added Claims Processing Manager jobs
- Inland Empire Health Plan
-
Rancho Cucamonga, CA
FULL_TIME
-
Overview
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
The Manager, Claims Processing - Covered California is responsible for oversight and direction of claims and auditing activities of the Covered California (CCA) vendor and personnel. This position requires excellent communication, collaboration and leadership skills and the ability to provide detailed instructions to vendor and staff while monitoring inventory and compliance metrics within the department to ensure that our provider and member needs are met in a timely manner.
Additional Benefits
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.
- CalPERS retirement
- 457(b) option with a contribution match
- Generous paid time off- vacation, holidays, sick
- State of the art fitness center on-site
- Medical Insurance with Dental and Vision
- Paid life insurance for employees with additional options
- Short-term, and long-term disability options
- Pet care insurance
- Flexible Spending Account – Health Care/Childcare
- Wellness programs that promote a healthy work-life balance
- Career advancement opportunities and professional development
- Competitive salary with annual merit increase
- Team bonus opportunities
Qualifications
Education & Experience
- Five (5) years of claims processing experience, at least (3) three of which was in a management capacity
- Three (3) years of experience in an HMO or managed care environment.
- Experienced in benefit and interpretation, regulatory payment appeals, and claim adjudication
- The Manager must have past Covered California or Commercial claims processing experience
- Bachelor’s degree from an accredited institution required, degree preferably in Business Administration, Accounting or Healthcare from an accredited institution required
Key Qualifications
- Excellent communication, collaboration, and leadership skills.
Start your journey towards a thriving future with IEHP and apply TODAY!
Pay Range
USD $50.02 - USD $66.27 /Hr. - 30 Days Ago
- Providence
-
Mission Hills, CA
OTHER
- DescriptionClaims Representative - Claims Processing$1,000 Hiring Bonus for eligible external candidates who meet all conditions for payment - this is in addition to the fantastic benefits and compens...
- 4 Days Ago
- Providence Health
-
Mission Hills, CA
FULL_TIME
- Description The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per diem, case rate etc.) and adjudication and claims...
- 27 Days Ago
- Providence
-
Mission Hills, CA
FULL_TIME
- Description The Senior Claims Specialist is responsible for the processing of complex institutional claims (stop loss, contracted, non-contracted, per diem, case rate etc.) and adjudication and claims...
- 28 Days Ago
- Community Memorial Healthcare
-
Ventura, CA
OTHER
- Compensation Salary Range: $18.36 - $27.67 / hour The pay range above represents the lowest possible rate for the position and the highest possible rate. Factors that may be used to determine where ne...
- 3 Days Ago
- Sedgwick Claims Management Services Inc.
-
Sacramento, CA
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...
- 25 Days Ago
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