Claims Processing Manager jobs in Washington
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
Field Case Manager
- Sedgwick Claims Management Services Inc.
-
Seattle, WA
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 flexibility and time for all the things that are important to you. It’s an opportunity to do something meaningful, each and every day. It’s having support for your mental, physical, financial and professional needs. It means sharpening your skills and growing your career. And it means working in an environment that celebrates diversity and is fair and inclusive. A career at Sedgwick is where passion meets purpose to make a positive impact on the world through the people and organizations we serve. If you are someone who is driven to make a difference, who enjoys a challenge and above all, if you’re someone who cares, there’s a place for you here. Join us and contribute to Sedgwick being a great place to work. Great Place to Work® Most Loved Workplace® Forbes Best-in-State Employer Field Case Manager This Field Case Manager will cover our Seattle, WA region. PRIMARY PURPOSE OF THE ROLE: Sedgwick Field Case Managers work face to face with their injured workers and medical providers to facilitate; though advocacy, progressive medical treatment, and timely return to work; while acting as a liaison and providing communication between all involved parties. While frequent travel is required, you will maintain a home based office. ARE YOU AN IDEAL CANDIDATE? We are looking for enthusiastic candidates who thrive in a collaborative environment, who are driven to deliver great work. Apply your medical/clinical or rehabilitation knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness or injury. Work in the best of both worlds - a rewarding career making an impact on the health and lives of others, and a remote work environment that allows face to face interaction with injured workers and medical professionals. . Enjoy flexibility and autonomy in your daily work, your location, and your career path while advocating for the most effective and efficient medical treatment for injured employees in a non-traditional setting. Enable our Caring counts® mission supporting injured employees from some of the world’s best brands and organizations. Be a part of a rapidly growing, industry-leading global company known for its excellence and customer service. Celebrate your career achievements and each other through professional development opportunities, continuing education credits, team building initiatives and more. Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs. . ESSENTIAL RESPONSIBLITIES MAY INCLUDE Serve as patient advocate to support, guide and coordinate care for injured workers, families and caregivers as they navigate through the recovery process. Assist injured workers in achieving recovery and autonomy through advocacy, communication, education, identification of service resources and service facilitation. Identify appropriate providers and facilities throughout the continuum of services, while ensuring that available resources are being used in a timely and cost-effective manner in order to obtain optimum value for both the client and the reimbursement source EDUCATION AND LICENSING RN licensure preferred; or graduate degree in health or human services field required with a one of the following certifications: CCM, CDMS, or CRC. Valid driver’s license required. High speed internet required. TAKING CARE OF YOU BY Offering flexibility and autonomy. Supporting meaningful work that promotes critical thinking and problem solving. Providing on-going learning and professional growth opportunities. Promoting a strong team environment and a culture of support. Recognizing your successes and celebrating your achievements. We offer a diverse and comprehensive benefits including medical, dental vision, 401K, PTO and more beginning your first day. NEXT STEPS If your application is selected to advance to the next round, a recruiter will be in touch. #nurse #fieldcasemanager #CRC As required by law, Sedgwick provides a reasonable range of compensation for roles that may be hired in (Colorado, CA, WA or New York City). Actual compensation is influenced by a wide range of factors including but not limited to skill set, level of experience, and cost of specific location. For the state noted in this job posting only, the range of starting pay for this role is ($85,000 - $92,250). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits.d in this job posting only, the range of starting pay for this role is ($85,000 - $92,250). A comprehensive benefits package is offered including but not limited to, medical, dental, vision, 401k and matching, PTO, disability and life insurance, employee assistance, flexible spending or health savings account, and other additional voluntary benefits. Sedgwick is an Equal Opportunity Employer and a Drug-Free Workplace. If you're excited about this role but your experience doesn't align perfectly with every qualification in the job description, consider applying for it anyway! Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience. You may be just the right candidate for this or other roles. Taking care of people is at the heart of everything we do. Caring counts Sedgwick is a leading global provider of technology-enabled risk, benefits and integrated business solutions. Every day, in every time zone, the most well-known and respected organizations place their trust in us to help their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our more than 30,000 colleagues across 80 countries embrace our shared purpose and values as they demonstrate what it means to work for an organization committed to doing the right thing – one where caring counts. Watch this video to learn more about us.
- 25 Days Ago
EEOICPA Claims Processing and Verification Specialist
- ProSidian Consulting, LLC
-
Richland, WA
FULL_TIME
- Company DescriptionProSidian is looking for “Great People Who Lead” at all levels in the organization. Are you a talented professional ready to deliver real value to clients in a fast-paced, challengi...
- 1 Day Ago
Processing Manager
- Willamette Egg Farm
-
Moses Lake, WA
FULL_TIME
- Job Description Position Title: Processing Manager About Us: Joining the Versova family of companies is more than just starting a new job. When you are employed by Versova, you immediately are part of...
- 3 Days Ago
Senior Workers Compensation Claims Adjuster
- TheBest Claims Solutions
-
Seattle, WA
TEMPORARY
- Senior Workers Compensation Claims Adjuster SEATTLE, WA 98039 | TEMPORARY $35.00 TO $40.00 PER HOUR, DEPENDING ON EXPERIENCE Job Description Our client, a national insurance company, is looking to add...
- 6 Days Ago
Patient Support Medical Biller/Claims Processing Representative (Home-Based)
- IQVIA INC (US10)
-
Seattle, WA
FULL_TIME
- As the only global provider of commercial solutions, IQVIA understands what it takes to deliver nationally and internationally. Our teams help biopharma, medical device and diagnostic companies get th...
- 1 Month Ago
Manager, Report Processing CoE
- Grant Thornton Careers
-
Bellevue, WA
FULL_TIME
- The Report Processing Center of Excellence Manager is responsible for providing leadership as part of a leadership group for a specialized team focused on scheduling, proofing, editing, and formatting...
- 12 Days Ago
Claims Processing Manager jobs at Popular Companies
About Washington
Washington (/ˈwɒʃɪŋtən/), officially the State of Washington, is a state in the Pacific Northwest region of the United States. Washington is the northwestern-most state of the contiguous United States. It borders Idaho to the east, bounded mostly by the meridian running north from the confluence of the Snake River and Clearwater River (about 116°57' west), except for the southernmost section where the border follows the Snake River. Oregon is to the south, with the Columbia River forming the western part and the 46th parallel forming the eastern part of the Oregon-Washington border. To the wes...
Source: Wikipedia (as of 04/17/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$102,390 to $132,244
Most Popular Cities in Washington for Claims Processing Manager Jobs
What does a Claims Processing Manager do?
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