Claims Processing Director jobs in West Virginia

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)

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Medical Biller - Beckley WV
  • Priority Medical Claims
  • Beckley, WV FULL_TIME
  • About us

    Priority Medical Claims is a medical billing company focused on EMS and Ambulance claim processing. We are looking for a full time medical biller with strong skills in the claim follow up area.

    Candidate must have a dedicated, and private home office AND live in or near the Beckley WV area.

    Responsibilities may include:

    • Identify and research insurance claim issues.
    • Evaluate patient insurance coverage and inform customer of any outstanding fees or unpaid balances.
    • Research and contact third party payers to collect payment.
    • Ensure that all documentation is complete and accurate.
    • Respond to customer inquiries; collect payments, and reconcile accounts.
    • Communicate with insurance carriers, providers, and patients regarding claim status.

    Job Type: Full-time

    Pay: $16.00 - $18.00 per hour

    Expected hours: 38 – 42 per week

    Benefits:

    • Flexible schedule
    • Health insurance
    • Life insurance
    • Paid time off

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Experience:

    • insurance claim processing: 1 year (Required)

    Work Location: In person

  • 1 Month Ago

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Processing technician
  • CSL
  • Parkersburg, WV FULL_TIME
  • Description 1 In compliance with Standard Operating Procedures (SOPs), responsible for collecting plasma samples and moving plasma units to freezer to ensure product quality. 2 Ensures plasma units ar...
  • Just Posted

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Personal Injury Claims Handler
  • Elevation Recruitment Group
  • Location, WV FULL_TIME
  • Job Title : Personal Injury Claims HandlerLocation : Bradford / Work from homeWork type : Temporary 6 monthsHours : Monday Friday 37 hours per week (flex start / finish times) Salary : £30,000 - £35,0...
  • 18 Days Ago

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Insurance Claims Spec HB
  • SYSTEM West Virginia University Health System
  • Monongalia County WV (Local), WV FULL_TIME
  • Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. B...
  • 24 Days Ago

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Claims File Review Specialist
  • Jan Dils, Attorneys at Law
  • UNKNOWN, WV CONTRACTOR
  • ** During the 4 to 6 months of training/probation, your schedule will be Monday through Friday 8am - 4:30pm EST. After training/probation is completed, you can make your own schedule. **Jan Dils, Atto...
  • 1 Month Ago

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Sterile Processing Technician
  • Trustaff
  • Wheeling, WV FULL_TIME
  • As a Sterile Processing Technician, you are a critical part of ensuring a clean, pathogen-free patient environment. Sterile Processing Techs document, inspect, and decontaminate medical instruments an...
  • 16 Days Ago

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Casualty Claims Director
  • Plymouth Rock Assurance
  • Boston, MA
  • Reporting directly to the Vice President of Claims of the Independent Agent Channel, the Director will oversee our MA an...
  • 4/25/2024 12:00:00 AM

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Director of Claims Quality
  • Tandym Group
  • Jersey City, NJ
  • A health services organization in New York City is currently seeking an experienced professional to join their staff as ...
  • 4/24/2024 12:00:00 AM

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Director of Claims Management
  • MoveUp Consulting
  • Wooster, OH
  • Job Description Job Description Job Title: Director of Claims Management Location: REMOTE - Wooster, OH Company: MoveUp ...
  • 4/23/2024 12:00:00 AM

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Director of Claims
  • Masis Professional Group
  • Charlotte, NC
  • SUMMARY: Assists with the management of the claims department. Manages complex claim files and manages personnel in the ...
  • 4/22/2024 12:00:00 AM

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Claims Director - Maritime Liability
  • Chubb
  • Wilmington, DE
  • The Chubb North American Marine team services several business units within Chubb with a diverse book of marine business...
  • 4/22/2024 12:00:00 AM

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Director of Claims
  • Masis Professional Group
  • Charlotte, NC
  • SUMMARY: Assists with the management of the claims department. Manages complex claim files and manages personnel in the ...
  • 4/21/2024 12:00:00 AM

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Casualty Claims Director
  • Plymouth Rock Assurance
  • Boston, MA
  • Reporting directly to the Vice President of Claims of the Independent Agent Channel, the Director will oversee our MA an...
  • 4/21/2024 12:00:00 AM

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Complex Claims Director, Excess
  • AIG
  • Jersey City, NJ
  • Complex Director- Excess Major Claims | Primary Severity Unit Who we are American International Group, Inc. (AIG) is a l...
  • 4/21/2024 12:00:00 AM

West Virginia (/vərˈdʒɪniə/ (listen)) is a state located in the Appalachian region in the Southern United States and is also considered to be a part of the Middle Atlantic States. It is bordered by Pennsylvania to the north, Maryland to the east and northeast, Virginia to the southeast, Kentucky to the southwest, and Ohio to the northwest. West Virginia is the 41st largest state by area, and is ranked 38th in population. The capital and largest city is Charleston. West Virginia became a state following the Wheeling Conventions of 1861, after the American Civil War had begun. Delegates from so...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$142,749 to $191,827

Claims Processing Director in Cedar Rapids, IA
The Manager-Claims Process evaluates existing business processes, procedures, and results to identify variance, recommend best practices that ensure high quality/low cost outcomes, and gain alignment across the business.
January 22, 2020
Getting a clear picture of your claims processes is key to containing future costs.
December 23, 2019
Claims Processing Director in Salem, OR
To file a claim, you would need to call the claims department or stop by your local agent’s office.  Some insurance companies also accept claims filed over the Internet.  Regardless of how you submit the claim, the information required will be similar.
February 17, 2020
Claims Processing Director in Baltimore, MD
Officials said the advance work will allow the files to be assigned immediately to claims processors for a decision within 30 days.
February 21, 2020