Claims Processing Manager jobs in Albany, GA

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)

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Manager - Central Sterile Processing
  • Phoebe Putney Health System
  • Albany, GA FULL_TIME
  • Description

    JOB SUMMARY
    • Manage the daily operations of the Sterile Processing Department at Phoebe Putney Health System (including planning, organizing, staffing, and monitoring of work quality). Provide leadership and direction in the development and implementation of organization-wide instrument sterilization policies, procedures, and processes. Effectively utilize available and developing technology to improve operations and reduce costs. This position reports to the Director, Surgical Services. The manager is responsible for assuring that instrumentation, supplies, and other resources are available in a timely manner to support surgical services and other areas dependent upon them. All activities will be performed in support of the strategy, vision, and values of Phoebe. Nothing in this job description restricts management's right to assign or reassign duties and responsibilities to this job at any time. All activities must be in compliance with Equal Employment Opportunity laws, HIPAA, ERISA, and other regulations, as appropriate.
    GENERAL REQUIREMENTS
    • Adheres to the hospital and departmental attendance and punctuality guidelines
    • Performs all job responsibilities in alignment with the core values, mission and vision of the organization
    • Performs other duties as required and completes all job functions as per departmental policies and procedures
    • Maintains current knowledge in present areas of responsibility (i.e., self education, attends ongoing educational programs)
    • Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
    • Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs. For non-clinical areas, has attended training and demonstrates usage of age- specific customer service skills.
    WORKING CONDITIONS
    • General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.
    • May be exposed to high noise levels and bright lights.
    • May be exposed to limited hazardous substances or body fluids, or infectious organisms.
    • May be required to change from one task to another of different nature without loss of efficiency or composure.
    • Periods of high stress and fluctuating workloads may occur.


    Qualifications

    EDUCATION REQUIREMENTS
    • High School Diploma or GED (Required)
    • 4 years / Bachelor's Degree in Nursing OR Bachelor of Science in the relevant healthcare field of study or 5 or more years of experience in a Perioperative setting including Central Sterile, Operating Room, or Ambulatory Care Center and completion of a 2-year degree in a healthcare related field within 2 years of hire. (Preferred)
    EXPERIENCE REQUIREMENTS
    • 3 years Management or supervisory experience within sterile processing required, preferable in a hospital setting (Required)
    • No Degree: 8 years of recent directly related experience in a Perioperative setting including Central Sterile Processing, Operating Room, or Ambulatory Care Center (Required).
    CERTIFICATIONS AND LICENSURES
    • Required Certifications/Licensures: Certification as CRCST or above through IAHCSMM OR certification as CSPDT or above through CBSPD
    GENERAL SKILLS
    • Organizational Skills
    • Communication Skills
    • Interpersonal Skills
    • Customer Relations
    • Read / Comprehend Written Instructions
    • Follow Verbal Instructions
    • Basic Computer Skills
    • General Clerical Skills
    PHYSICAL REQUIREMENTS
    • Have near normal vision - Clarity of vision (both near and far), ability to distinguish colors
    • Have good - manual dexterity and eye-hand-foot coordination
    • Ability to perform - repetitive tasks/motion
    PHYSICAL DEMANDS
    • Standing - Frequently within shift (34-66%)
    • Walking - Frequently within shift (34-66%)
    • Sitting - Occasionally within shift (1-33%)
    • Bending/Stooping - Frequently within shift (34-66%)
    • Twist at waist - Occasionally within shift (1-33%)
    • Pushing/Pulling - Frequently within shift (34-66%)
    • Lift/carry > 20 lbs with assistance - Occasionally within shift (1-33%)
    • Reaching above shoulder - Occasionally within shift (1-33%)
  • 16 Days Ago

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4248 - Central Sterile Processing Manager
  • Mission Box Solutions
  • Albany, GA FULL_TIME
  • The Sterile Processing Department Manager is responsible for managing the daily operations of the Sterile Processing Department for our client. This includes planning, organizing, staffing, and monito...
  • 16 Days Ago

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Processing representative
  • Bridgeway Credit Union
  • Albany, GA FULL_TIME
  • Title : Processing Representative II Reports to : Director of Backoffice Operations Position Purpose : Perform clerical duties involving electronic funds transfers (ETF) and automated clearing house (...
  • 1 Month Ago

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Claims Representative
  • Auto-Owners Insurance Company
  • Albany, GA FULL_TIME
  • A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Descriptio...
  • 1 Month Ago

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Auto Claims Representative
  • Auto-Owners Insurance Company
  • Albany, GA FULL_TIME
  • A career at Auto-Owners is challenging and rewarding. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs. Job Descriptio...
  • 25 Days Ago

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Poultry Processing Associate 1st Shift
  • Ag Jobs
  • Moultrie, GA FULL_TIME
  • PRIMARY FUNCTION: The Line Associate is responsible for the disassembly of poultry and may perform a wide variety of poultry processing related tasks as they rotate on the production line.RESPONSIBILI...
  • 7 Days Ago

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0 Claims Processing Manager jobs found in Albany, GA area

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Home Outlet Assistant Manager
  • E.C. Barton & Company
  • Albany, GA
  • **Home Outlet Assistant Manager** CAROUSEL_PARAGRAPH * Home Outlet of Albany, GA * 2525 Dawson Rd. * Albany, Georgia * C...
  • 3/28/2024 12:00:00 AM

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Cleaning Supervisor|Part-time| Flint River Entertainment Complex
  • AEG
  • Albany, GA
  • In order to be considered for this role, after clicking "apply now" above and being redirected, you must fully complete ...
  • 3/28/2024 12:00:00 AM

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Materials Manager
  • The Judge Group
  • Albany, GA
  • Our client is currently seeking a Materials Manager for their manufacturing facility near Vidalia, GA.Responsibilities:O...
  • 3/28/2024 12:00:00 AM

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Manufacturing Engineer
  • The Judge Group
  • Albany, GA
  • Manufacturing company outside of Valdosta GA looking for a Manufacturing Engineer in the Packaging industry. The Manufac...
  • 3/28/2024 12:00:00 AM

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Security Officer
  • Tower Eye Services LLC
  • Albany, GA
  • Job Description Job Description Tower Eye is a security company based in Marietta, GA. We are recruiting professional ar...
  • 3/28/2024 12:00:00 AM

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Assistant Director
  • Golden Triangle RC&D
  • Albany, GA
  • Job Description Job Description The Golden Triangle RC&D Council is a non-profit 501(c) 3 serving 18 counties in southwe...
  • 3/28/2024 12:00:00 AM

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Assistant General Manager C-Store
  • Enmarket
  • Cordele, GA
  • Description: The Assistant General Manager position will support the General Manager to meet store operational sales and...
  • 3/27/2024 12:00:00 AM

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Assistant Moving Center Supervisor
  • UHaul
  • Albany, GA
  • Full description Are you a people person who loves to help others? Then consider becoming U-Haul's newest Assistant Gene...
  • 3/26/2024 12:00:00 AM

Albany is a city in the U.S. state of Georgia. Located on the Flint River, it is the seat of Dougherty County. Located in southwest Georgia, it is the principal city of the Albany, Georgia metropolitan area. The population was 77,434 at the 2010 U.S. Census, making it the eighth-largest city in the state. It became prominent in the nineteenth century as a shipping and market center, first served by riverboats and then by railroads. Seven lines met in Albany, and it was a center of trade in the Southeast. It was part of the Black Belt, the extensive area in the Deep South of cotton plantations....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$87,065 to $112,451
Albany, Georgia area prices
were up 1.5% from a year ago

Claims Processing Manager in Austin, TX
These claims management platforms are often not well integrated with peripheral systems, which also results in more human involvement and an increased cost per transaction.
January 26, 2020
Claims Processing Manager in Topeka, KS
The claims have to be handled timely to ensure quick settlement leading to customer satisfaction.
January 12, 2020
Managers can review workflow queues and see what is in each processor’s queue.
January 13, 2020
Claims Processing Manager in Youngstown, OH
A common duty in this position is reviewing insurance policies after clients have submitted claims, in order to determine coverage.
December 11, 2019