Top 1868 Claims Operations Manager Jobs

Supervisor, Claims Operations
Allied Benefit Systems —Chicago, IL
- $60,000 - $65,000 a year
- Full-time
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
Manager, Carrier Operations and Capacity Procurement
Jitsu —Remote
- $95,000 - $115,000 a year
- Full-time
- Remote
- Contracts
- Senior level
Quick Apply
Manager, Benefit Operations Testing & QA
SmithRx —Plano, TX
- Overtime
- Remote
- Bachelor's degree
- Continuous improvement
- Mentoring
- Commuter assistance
- Paid parental leave
Quick Apply
Manager Professional Billing Coding Operations - Remote
Boston Medical Center —Remote
- $78,000 - $113,000 a year
- Full-time
- Remote
- Anatomy knowledge
- 5 years
- HIPAA
- Health insurance
- Dental insurance
Operations Supervisor - Claims
Delta Dental of Washington —Spokane, WA
- $56,145 - $78,532 a year
- Mid-level
- Mentoring
- Experience equivalent to degree accepted
- Health insurance
- Dental insurance
Senior Manager, CX Services Operations
GitLab —Remote
- $139,200 - $208,800 a year
- Full-time
- Remote
- Senior level
- Employee stock purchase plan
- Health insurance
Specialty Operations Manager Pharmacist - Remote
Optum —Durham, NC
- $112,700 - $193,200 a year
- Full-time
- Remote
- Microsoft Outlook
- Bachelor of Science
- Pass drug screening
Quick Apply
Senior Manager - Clinical Operations
MySleep, Inc —Remote
- $65,000 - $90,000 a year
- Extended hours
- Background check
- Nursing
- RN License
- Health savings account
- Health insurance
Quick Apply
8d
ABA Therapy Operations Manager
House of Hearts Florida —Hollywood, FL
- $45,000 - $60,000 a year
- Full-time
- Remote
- Google Workspace
- Applied behavior analysis
- Management
- Paid holidays
- Health insurance
Quick Apply
Senior Operations Manager
VBG (Veteran Benefits Guide) —Las Vegas, NV
- $110,000 a year
- Monday to Friday
- 8 years
- Analysis skills
- Bachelor's degree
- Paid holidays
- Health insurance
Quick Apply
National Channel Operations Manager
FUJIFILM —Remote
- $98,000 - $118,000 a year
- Remote
- Microsoft Excel
- Oracle
- Microsoft Outlook
- Health insurance
- 401(k)
Manager, Managed Care Contracting & Operations
Northbay Healthcare —Fairfield, CA
- $130,000 - $150,000 a year
- Full-time
- Hybrid work
- Writing skills
- 3 years
- Analysis skills
- 403(b) matching
- Health insurance
Finance Operations Senior Manager (Value-Based)
Devoted Health —Remote
- $110,500 - $155,000 a year
- Full-time
- Remote
- 5 years
- Finance
- Continuous improvement
- Dental insurance
- 401(k)
Payer Back Office Strategy / Technology / Operations Consultant, Manager
PRICE WATERHOUSE COOPERS —Cleveland, OH
- $99,000 - $232,000 a year
- 5 years
- Master's degree
- Bachelor's degree
- Paid holidays
- Health insurance
Financial Operations Manager
Holy Trinity —Glenn Dale, MD
- $75,000 - $95,000 a year
- Full-time
- Mid-level
- 3 years
- Finance
- Retirement plan
Quick Apply
Renewal Operations Manager
Sapiens —Remote
- Email
- Remote
- 7 years
- Analysis skills
- Senior level
Revenue Cycle Client Manager, Network Operations-FQHC, 5+ Years of experience
Orchard Medical Management —Manchester, NH
- Full-time
- CPR Certification
- 5 years
- BLS Certification
- Health savings account
- Health insurance
Quick Apply
Billing/ Operations Manager
Jackson Siegelbaum —Camp Hill, PA
- Full-time
- 5 years
- Mid-level
- Office
- Health insurance
- Dental insurance
Quick Apply
Pharmacy Operations Supervisor - 2nd Shift
Confidential —Las Vegas, NV
- From $66,500 a year
- Overtime
- Background check
- Ability to walk for extended periods
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
5d
Operations Manager - Claims and Research
Phillips & Cohen Associates Ltd. —Wilmington, DE
- $72,000 a year
- Overtime
- Hybrid work
- Microsoft Word
- Mid-level
- Office
Quick Apply

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Supervisor, Claims Operations

Allied Benefit Systems -
Chicago, IL

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Job Details

Full-time
$60,000 - $65,000 a year

Benefits

Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance

Qualifications

Medical claims processing
High school diploma or GED
ICD-9
Computer skills
Medical terminology

Full Job Description

POSITION SUMMARY

The Supervisor, Claim Operations will help the Management team monitor the daily work within the Claims department. The Supervisor, Claim Operations, is responsible for the training and development of new hires and existing department staff. The Supervisor, Claim Operations will plan and maintain workflows, procedures and policies that enable and encourage the optimum performance of the team.

ESSENTIAL FUNCTIONS

Lead employees to meet Allied’s expectations for productivity, quality, and goal accomplishment
Assist with the development and implementation of detailed workflows to improve the consistency and accuracy of the staff
Adhere to and apply all applicable privacy and security laws, including HIPAA, HITECH and any regulations promulgated thereto
Assist other departments on questions related to the payment of claims
Monitor all reports including the Workflow Manager, Pended claims, Suspended claims, Inventory listings, Audits and Automation to ensure that all workflows are followed
Attend continuing education classes as required, including HIPAA training
Lead, coach, motivate and develop. Responsible for one-on-one meetings, performance appraisals, growth opportunities and attracting new talent
Clearly communicate expectations, provide employees with the training, resources, and information needed to succeed
Actively engage, coach, counsel and provide timely, and constructive performance feedback
Other related duties as assigned

EDUCATION

High school diploma required, Bachelor’s degree or equivalent work experience in the healthcare industry required preferred.

EXPERIENCE AND SKILLS

3 -5 years of experience in healthcare and/or insurance industry preferred.
1-3 years prior supervisory experience preferred.
All applicants must have strong analytical skills and knowledge of computer systems and CPT and ICD-9 coding terminology.
Applicants must demonstrate the ability to supervise tasks and contribute to the Team atmosphere and concept.
Applicants must have a minimum of 5 years of medical claims analysis and adjudication experience (including dental and vision claims analysis).
Prior experience in management and training is preferred but not required.

POSITION COMPETENCIES

Accountability
Coaching and Feedback
Collaboration
Customer Focus
Decision Making
Execution Management
People Leadership

PHYSICAL DEMANDS

This is a standard desk role that requires extended periods of sitting and computer work

WORK ENVIRONMENT:

Remote

Here at Allied, we believe that great talent can thrive from anywhere. Our remote friendly culture offers flexibility and the comfort of working from home, while also ensuring you are set up for success. To support a smooth and efficient remote work experience, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 100Mbps download/25Mbps upload. Reliable internet service is essential for staying connected and productive.

The company has reviewed this job description to ensure that essential functions and basic duties have been included. It is not intended to be construed as an exhaustive list of all functions, responsibilities, skills, and abilities. Additional functions and requirements may be assigned by supervisors as deemed appropriate.

Compensation is not limited to base salary. Allied values our Total Rewards, and offers a competitive Benefit Package including, but not limited to, Medical, Dental, Vision, Life and Disability Insurance, Generous Paid Time Off, Tuition Reimbursement, EAP, and a Technology Stipend.

Allied reserves the right to amend, change, alter, and revise, pay ranges and benefits offerings at any time. All applicants acknowledge that by applying to the position you understand that the specific pay range is contingent upon meeting the qualification and requirements of the role, and for the successful completion of the interview selection and process. It is at the Company's discretion to determine what pay is provided to a candidate within the range associated with the role.

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Refine Your Search

Claims Operations Manager jobs

Supervisor, Claims Operations

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Senior Operations Manager

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Financial Operations Manager

Renewal Operations Manager

Revenue Cycle Client Manager, Network Operations-FQHC, 5+ Years of experience

Billing/ Operations Manager

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Operations Manager - Claims and Research

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