Claims Processing Director jobs in Johnstown, PA

Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

I
Central Processing Technician - Central Processing - Full Time
  • IRMC
  • Indiana, PA FULL_TIME
  • Nationally Recognized by Newsweek one of “America’s Greatest Workplaces 2023”.   We offer competitive wages and benefits, community involvement, opportunities for career advancement, tuition reimbursement. Join a growing independent, community healthcare system.

    Job Summary

    Receive and decontaminate all items requiring processing, including but not limited to OR instrumentation/Case Carts, small equipment and facility and departmental needs.
    High Level Disinfection of non-sterilized items for use.
    Run machine test strips for instruments on cart wash and ultrasonic washers to show proper function of machine. Document results.
    Wrap, peel pack and place in rigid containers all instrumentation for sterilization.
    Sterilization of all peel packaging, rigid and wrapped instrumentation for use.
    Empty all autoclave (instrumentation) racks of processed instrumentation for designated storage.
    Sign off on indicator check sheet every A.M. to assure sterilization /HLD of all items before delivery.
    After sterilization, deliver processed items to appropriate areas (Storeroom/Outreach, floors).
    Collect dirty instrumentation/small equipment on nursing units for processing and return to unit.
    In addition – the central processing technician is responsible for replenishing medical equipment required on nursing units and refurbishing specialty carts. CPT must maintain current knowledge in the sterilization process.


    Job Specification

    • Minimum Education Required
      •  High School Diploma
    • Minimum Experience Required
      •  1 year hospital experience, Central Processing experience preferred.
    • Licensure/Certification Required
      •  National certification – Certification must be obtained within first year of employment.

    Skills

    • Must possess interpersonal skills to effectively communicate with O.R. staff and other members of the healthcare team.
    • Work in all areas must be performed with precision and accuracy.
  • 1 Month Ago

E
Casualty Claims Adjuster II
  • EMC Insurance Companies
  • Indiana, PA FULL_TIME
  • At EMC, you'll put your skills to good use as an important member of our team. You can count on gaining valuable experience while contributing to the company's success. EMC strives to hire and retain ...
  • 1 Day Ago

A
Claims Adjuster- Workers' Compensation
  • Argo Group
  • Rockwood, PA FULL_TIME
  • Responsibilities: Direct handling of small to medium size Workers’ Compensation claims Timely insured and claimant communication Coverage Analysis File documentation and diary management Claim entry a...
  • 5 Days Ago

A
Claims Adjuster- Workers' Compensation
  • Argonaut Management Services, Inc
  • Rockwood, PA FULL_TIME
  • Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity. We're an innovative organization that's small enough to be agile and big enou...
  • 5 Days Ago

A
Claims Adjuster-Workers' Compensation
  • Argo Group
  • Rockwood, PA FULL_TIME
  • Responsibilities: Direct handling of small to medium size Workers’ Compensation claims Timely insured and claimant communication Coverage Analysis File documentation and diary management Claim entry a...
  • 7 Days Ago

A
Claims Adjuster-Workers' Compensation
  • Argonaut Management Services, Inc
  • Rockwood, PA FULL_TIME
  • Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunity. We're an innovative organization that's small enough to be agile and big enou...
  • 7 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Claims Processing Director jobs found in Johnstown, PA area

E
Associate Director - Site Quality & Compliance QA for QC
  • Eli Lilly And Company
  • Indiana, PA
  • Associate Director - Site Quality & Compliance QA for QC page is loaded Associate Director - Site Quality & Compliance Q...
  • 4/24/2024 12:00:00 AM

P
Compliance Specialist - Remote
  • PCNA
  • New Kensington, PA
  • Who are we? Polyconcept North America (PCNA) is the industry's biggest and most diverse offering of promotional products...
  • 4/24/2024 12:00:00 AM

P
Auto Claims Adjuster - Early Response
  • Pleasant Holidays, LLC
  • Greensburg, PA
  • **Auto Claims Adjuster Early Response** **Primary Location:** Greensburg , PA **Other Locations:** **Job ID #:** JR20212...
  • 4/24/2024 12:00:00 AM

W
Operations Supervisor
  • Ward Transport & Logistics
  • Altoona, PA
  • Job Title: Operations Supervisor Advertising Title: Req #: 11952 Company: Ward Trucking, LLC Job Code: SVCTROPS Location...
  • 4/23/2024 12:00:00 AM

R
Insurance Associate
  • Rampur Portal
  • Indiana, PA
  • Apply now Apply nowDate Posted: Apr 10, 2024Location(s): Noida, INCompany: MetLifeProcess DescriptionThe process consist...
  • 4/23/2024 12:00:00 AM

E
SCA Claims Team Lead
  • Elevance Health
  • Indiana, PA
  • SCA Claims Team LeadLocations: Preferred locations of employment are locations near an FHPS office will be considered IN...
  • 4/23/2024 12:00:00 AM

M
Underwriter II (UW), Merchant Underwriting & Risk
  • Merrick Bank
  • Woodbury, PA
  • Job Description Job Description Merrick Bank employees share in our mission to delight our customers and empower underse...
  • 4/23/2024 12:00:00 AM

A
Loss Control Representative, Minerals
  • Argo Group
  • Rockwood, PA
  • Argo Group is a leader in specialty insurance with a vibrant culture built on respect, equality, wellness and opportunit...
  • 4/21/2024 12:00:00 AM

Johnstown is a city in Cambria County, Pennsylvania, United States, 43 miles (69 km) west-southwest of Altoona and 67 miles (108 km) east of Pittsburgh. The population was 20,978 at the 2010 census and estimated to be 20,402 in 2013. It is the principal city of the Johnstown, Pennsylvania, Metropolitan Statistical Area, which includes Cambria County. Johnstown is located in southwestern Cambria County at 40°19′31″N 78°55′15″W / 40.32528°N 78.92083°W / 40.32528; -78.92083 (40.325174, -78.920954). According to the United States Census Bureau, the city has a total area of 6.1 square miles (15....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$142,908 to $192,041
Johnstown, Pennsylvania area prices
were up 1.5% from a year ago

Claims Processing Director in Portsmouth, NH
Insurance claims and processing clerks work closely with insurance brokers and agents, handling the administrative duties behind insurance policy renewals, claims processing and new policies.
December 28, 2019
Claims Processing Director in Santa Barbara, CA
Complete with new dashboards, reporting functionality, business intelligence tools, and improved security, FileHandler Enterprise is the new benchmark for Claims Management Software.
February 08, 2020
Claims Processing Director in San Diego, CA
Pulpstream makes it possible for you to have one system for tracking all claims.
January 07, 2020