Claims Processing Manager jobs in Virginia

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)

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Drug Claims Processing SME
  • CGI
  • Fairfax, VA FULL_TIME
  • CGI Federal is among the largest IT and business consulting firms in the world, and as member of CGI Federal you will have the opportunity to participate in major IT transformation initiatives and become a shareholder in our 90,000-member strong organization spanning 40 countries. If you’re looking for a challenge that stretches your talents, grows your skills, and takes digital transformation to the next level, CGI is a great place for you. Reach your full potential thanks to training opportunities, mentoring, and coaching, as well as ongoing recognition and feedback programs that will help you grow your career and network.

    CGI Federal is seeking a Drug Claims Processing SME that will report to the CGI Federal Health and Social Services business unit and will assist strategic initiatives for the CMS IRA program.

    Our benefits include a share purchase plan, a profit-sharing program, wellness credits, and flexible schedules that promote excellent work-life balance.

    ***Candidates within a 50 miles radius of a CGI Federal office will have to report to the office 2 days per week***
  • 1 Month Ago

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Freight Bill Audit Manager (Implementation and Transition)
  • Infinity International Processing Services, Inc.
  • Newport, VA FULL_TIME
  • Company DescriptionFor the past 18 years Infinity has been providing specialized back-office related services to the Freight Payment, NVOCC, 3PL companies providing them ‘End to End’ Back-office suppo...
  • 1 Month Ago

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Sales and Telemarketing Executive/Manager – with MBA qualification
  • Infinity International Processing Services, Inc.
  • Newport, VA FULL_TIME
  • Company DescriptionInfinity International Processing Services, Inc. is a leading provider of Broker Price Opinion (BPO) Quality Assurance ( Clerical Review)services to BPO/ppraisal Management Companie...
  • 1 Month Ago

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Claims Manager
  • OST, Inc.
  • Mc Lean, VA FULL_TIME
  • Position: Claims Manager Location: Remote Job Id: 7029-RCAT 2 # of Openings: 1 Optimal Solutions & Technologies (OST, Inc.) is focused on excellence. We specialize in providing Management Consulting, ...
  • Just Posted

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Manager, Claims
  • A E M Inc
  • Springfield, VA FULL_TIME
  • SUMMARYManages, supervises and coordinates activities of the Claims Department to provide reasonable claims adjudication in compliance with all laws, regulations and contractual commitments. Oversees,...
  • 4 Days Ago

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Signal Processing Program Manager
  • JobRapido
  • chantilly, VA FULL_TIME
  • Signal Processing Program ManagerJob Category: Project and Program ManagementTime Type: Full timeMinimum Clearance Required to Start: TS/SCIEmployee Type: RegularPercentage of Travel Required: Up to 2...
  • 1 Day Ago

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Manager - Sterile Processing
  • Ascension
  • Murfreesboro, TN
  • Details Department: Sterile Processing Schedule: Full Time Hospital: Ascension Saint Thomas Rutherford Location: Murfree...
  • 4/22/2024 12:00:00 AM

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Processing Manager
  • Diageo plc
  • Plainfield, IL
  • Title: Processing Manager. Our performance ambition is to be one of the best performing, most trusted and respected cons...
  • 4/22/2024 12:00:00 AM

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Sterile Processing Manager
  • Ascension
  • Racine, WI
  • Details Department: Sterile Processing Schedule: Varied Shifts Hospital: All Saints Location: Racine, WI Benefits Paid t...
  • 4/21/2024 12:00:00 AM

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Manager, Business Process Management - (REMOTE)
  • American Homes 4 Rent
  • Las Vegas, NV
  • Since 2012, we've grown to become one of the leading single-family rental companies and homebuilders in the country, rec...
  • 4/21/2024 12:00:00 AM

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Processing Manager
  • Chobani
  • New Berlin, NY
  • Summary We are seeking a dynamic and experienced Manufacturing leader to oversee and manage our dairy processing facilit...
  • 4/21/2024 12:00:00 AM

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Processing Manager
  • LHH
  • LHH Recruitment Solutions is currently seeking a Processing Manager in Cumberland County, NJ. This position assumes resp...
  • 4/20/2024 12:00:00 AM

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Process Manager
  • Zobility
  • Christiansburg, VA
  • This is a Direct Placement Job Opportunity Position - Technical Process Manager Location - Christiansburg, VA. Salary - ...
  • 4/20/2024 12:00:00 AM

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Management Trainee - Processing
  • Mountaire
  • Lumber Bridge, NC
  • Primary Purpose To gain experience and knowledge in all aspects of vertical integration with special emphasis on Operati...
  • 3/11/2024 12:00:00 AM

Virginia (/vərˈdʒɪniə/ (listen)), officially the Commonwealth of Virginia, is a state in the Southeastern and Mid-Atlantic regions of the United States located between the Atlantic Coast and the Appalachian Mountains. Virginia is nicknamed the "Old Dominion" due to its status as the first English colonial possession established in mainland North America and "Mother of Presidents" because eight U.S. presidents were born there, more than any other state. The geography and climate of the Commonwealth are shaped by the Blue Ridge Mountains and the Chesapeake Bay, which provide habitat for much of ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$95,266 to $123,043

Claims Processing Manager in Topeka, KS
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Claims Processing Manager in Pittsburgh, PA
Depending on the employer’s needs, insurance claims and processing clerks may also be responsible for interviewing clients to obtain the information required on new insurance policy applications.
January 27, 2020
Claims Processing Manager in Medford, OR
Claims Manager Plus ingests a hospital’s daily claims file and runs it through a sophisticated rules engine to modify claims based on the hospital’s defined configurations, as well as parse out claims not meeting criteria for payment.
December 11, 2019