Top 85 Claims manager Jobs in West Palm Beach, Fl

Manager, Business Office-Skilled Nursing Center
Health Care District of Palm Beach County —Palm Beach, FL
- Full-time
- Skilled nursing facility
- Office
- Finance
4d
Senior Manager, Risk Management
Carrier —Palm Beach Gardens, FL
- $117,500 - $234,500 a year
- Full-time
- Customer service
- 5 years
- Office
- Wellness program
- Paid jury duty
Manager, Treasury
Carrier —Palm Beach Gardens, FL
- $96,000 - $192,000 a year
- Full-time
- Customer service
- Office
- 3 years
- Wellness program
- Paid jury duty
Compliance Manager, SE Florida
Waste Pro —West Palm Beach, FL
- Microsoft Outlook
- 5 years
- Office
Quick Apply
3d
Assumed Reinsurance Claims Account Manager
NextEra Energy, Inc. —North Palm Beach, FL
- Full-time
- Writing skills
- Mid-level
- Office
Supervisor, Denials - Resolution Management
Aspirion —Delray Beach, FL
- $55,000 - $70,000 a year
- Full-time
- Remote
- HIPAA
- Mid-level
- Supervising experience
Quick Apply
3d
Project Manager
Dane Street, LLC —West Palm Beach, FL
- Remote
- Mid-level
- Bachelor's degree
- Children
- Disability insurance
- Health insurance
Quick Apply
Licensed Community Association Manager
Triton Property Management —West Palm Beach, FL
- $65,000 - $70,000 a year
- Extended hours
- Microsoft Excel
- Microsoft Outlook
- Management
- Health insurance
- Dental insurance
Quick Apply
Human Resources Manager
Nepa Wholesale —West Palm Beach, FL
- From $1 a month
- Extended hours
- Microsoft Word
- Background check
- Microsoft Excel
- Health insurance
Quick Apply
5h
Construction Safety Manager
BDI Marine Contractors, LLC —Jupiter, FL
- From $75,000 a year
- Full-time
- Construction site
- Driver's License
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
14d
Asset Manager (Affordable Housing)
IMPROSYNERGIES —West Palm Beach, FL
- Weekends as needed
- Background check
- Office
- Bachelor's degree
- Health insurance
- Dental insurance
Quick Apply
3d
Collections Manager
NRG MGMT LLC —Boca Raton, FL
- HIPAA
- Office
- Residential
- Health insurance
- Paid time off
Quick Apply
Purchased Skilled Care Case Manager - Registered Nurse
US Veterans Health Administration —West Palm Beach, FL
- $69,430 - $128,571 a year
- Online Application
- Hybrid work
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
6d
Assistant Manager
Affinity Management Services —Riviera Beach, FL
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Disability insurance
- Health insurance
Quick Apply
Property Manager -HOA
Castle Group —Jupiter, FL
- Extended hours
- Public speaking
- Mid-level
- Ability to climb stairs
12d
HVACR Training Manager
Air-Ref Co. Inc. —Delray Beach, FL
- Full-time
- Classroom
- Clean driving record
- Residential
Quick Apply
Operations Manager
Hope Center for Behavior Change Inc —West Palm Beach, FL
- $65,000 - $75,000 a year
- Email
- Background check
- HIPAA
- Mid-level
- 401(k)
Quick Apply
3d
Property Manager - Condo
Castle Group —West Palm Beach, FL
- Extended hours
- Microsoft Excel
- Microsoft Outlook
- Public speaking
5d
Account Manager (South Florida area)
ParetoHealth —West Palm Beach, FL
- 5 years
- Mid-level
- Presentation skills
- Health insurance
- Dental insurance
Quick Apply
General Manager, Aviation
Suffolk Construction Company, Inc. —West Palm Beach, FL
- Full-time
- Construction site
- 11+ years
- Office
- Commuter assistance
- Fuel card

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Manager, Business Office-Skilled Nursing Center

Health Care District of Palm Beach County -
Palm Beach, FL

Apply Now

Job Details

Full-time
4 days ago

Qualifications

High school diploma or GED
Health insurance knowledge
Centers for Medicare and Medicaid Services (CMS)
Industry knowledge of financial regulations
Centers for Medicare & Medicaid Services (CMS) billing regulations

Full Job Description

General Statement of Job:

Responsible for management of Business Office, which includes but is not limited to: billing, credit and collections as well as implementation of third party payer contracts. Also, studies and evaluates patient financial services procedures to improve methods of ensuring efficient claims processing, prompt collections, reducing costs of associated operations, and expediting work flow.

Essential Functions:

Manages the daily function of the billing and collections and insures accounts are processed.
Manages Self Pay and Collections and serves as facilitator.
Coordinate process development in payment posting, refund, customer services, collection and claims processing areas.
Working knowledge of regulations governing SNF (Skilled Nursing Facility) billing.
Provides annual audit documentation to both internal and external auditors.
Responsible for ensuring that the Medicare Bad Debt logs are sent to District Finance Department to be included in the annual Cost Report.
Responsible for the management, maintenance, and submission of the Annual Quality Assurance Indigent Census to the State.
Responsible for the management, maintenance, and submission of the Monthly census reports to the State and Managed Medicaid plans.
Review adjustments and write offs for appropriate documentation and reasonability to present to Healey Center Administrator and the V.P. of Field Operations for approval.
MatrixCare Financial facilitator and trainer. Manages systems software in reference to all billing, payments, and credit and collection functions. Troubleshoot problems as well as instruct all staff as to the proper use of that software.
Maintain a working knowledge with an accurate and timely system for billing and reimbursement for all third party payers. Develop internal control safeguards over accounts receivable records and collection of cash.
Responsible for the administration and filing of probate caveats with the local Palm Beach County Court House concerning probate estates until outstanding accounts have been satisfied.
Participates in revenue cycle, denial management work teams where appropriate.
Responsible for Healey Center Month End Close and providing all information to Corporate Finance for logging and reporting.
Manage and report daily Census.
Keeps abreast of compliance regulations, standards and directives regarding governmental/regulatory agencies and/or third-party payers. Ensure communication and education of such to the Social Services department, Director of Clinical Services, Healey Administrations well as the Districts Finance Department.
Implements financial policies and procedures as developed in conjunction with the District Finance Department. Establishes and maintains procedures which ensure that appropriate submission, billing and payment cycle of patient accounts can be maintained.
Coordinates completion and review of daily and monthly accounts receivable reporting.
Ensures accounts receivable indicators meet District performance levels
Maintains regular contact with various third parties in order to resolve problems which could not be routinely handled by staff.
Reviews and interprets prepared reports and analyses and regularly presents trends, movements and status to management.
Compiles and reviews records to determine department productivity, quality of output and cost of service. Develop methods to continually improve results.
Reviews department performance and institutes changes in techniques or procedures to improve services, safety, simplify work flow and promotes more efficient operation of the Business Office.

Additional Duties:

This job description reflects the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a complete description of all the work requirements and expectations that may be inherent in the position. The omission of specific statements of duties does not exclude them from the position. Management of the Health Care District of Palm Beach County reserves the right to assign duties not listed herein as necessary to accomplish the goals of the organization.

Education:

High school diploma or GED required. Bachelor's degree in Accounting, Finance, Business or related field preferred, or equivalent work experience.

Experience:

Seven (7) to ten (10) years progressively experience in the Patient Accounting/Business Office areas. This individual should possess knowledge of Medicare compliance, Florida Medicaid, and third party insurance guidelines.

Certification:

Certification in Patient Account Management preferred.

Licensure:

N/A

Registrations:

N/A

Apply Now

Refine Your Search

claims manager jobs in west palm beach, fl

Manager, Business Office-Skilled Nursing Center

Senior Manager, Risk Management

Manager, Treasury

Compliance Manager, SE Florida

Assumed Reinsurance Claims Account Manager

Supervisor, Denials - Resolution Management

Project Manager

Licensed Community Association Manager

Human Resources Manager

Construction Safety Manager

Asset Manager (Affordable Housing)

Collections Manager

Purchased Skilled Care Case Manager - Registered Nurse

Assistant Manager

Property Manager -HOA

HVACR Training Manager

Operations Manager

Property Manager - Condo

Account Manager (South Florida area)

General Manager, Aviation

I want to receive the latest job alert for claims manager in west palm beach, fl

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