Claims Processing Manager jobs in Columbus, OH

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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Sterile Processing Manager
  • SpecialtyCare
  • Lancaster, OH OTHER
  • Passionate, driven people dedicated to making a difference in healthcare.

    SpecialtyCare sterile processing teams play a vital role in the health and well-being of our patients. By tracking and sterilizing vital surgical instruments, we reduce the risk of infection, lost instruments, incomplete trays, and surgeon frustration. Our certified technicians provide the expertise, quality control, and strict regulatory compliance to keep the operating room running smoothly. Our SPM supervisors and managers are also instrumental in overseeing operations, conducting in-service training, and working with hospital administrators and staff to find and implement efficiencies that provide on-time service delivery, reduce costs, and ensure patient safety.

    Job Summary
    As a Sterile Processing Manager you are responsible for leading and managing the day to day efforts of the sterile processing team at your facility. It is your responsibility to ensure client satisfaction while also adhering to the highest quality and compliance standards.
    • Assure that the standards of operation of the department comply with the standards set by regulatory agencies, such as the state Department of Health, Joint Commission and other regulatory agencies.
    • Manage all staff to include scheduling, time approval, hiring and corrective action as needed.
    • Provides a comprehensive departmental orientation to all new personnel and ensure existing staff receives training on an ongoing basis.
    • Develops and implements departmental performance improvement activities and assures ongoing staff participation.
    • Establishes internal inventory levels and maintains levels in accordance with set standards and in coordination within using units within the hospital; establishes par level stocks and monitors them for proper utilization.
    • Participates as an active member of hospital committees as assigned.
    • Establish/maintain a preventative maintenance program for sterile processing equipment in coordination with appropriate departments within the hospital.
    • Provides instructions and in-service in new products, procedures and equipment in a manner that will identify and prevent resource loss and maintain safety.
    • Responsible for implementing and reinforcing SpecialtyCare’s Vision, Mission and Values.
    • Meet regularly with SpecialtyCare regional management team to discuss any issues, successes and opportunities to provide better service to clients.
    • Performs other duties and works on special projects as assigned.


    Requirements
    • Associate’s Degree or equivalent, preferred.
    • Three years of sterile processing management experience.
    • CRCST certification or CBSPDS certification required.
    • Must have the ability to teach and have demonstrated ability in written and oral communications and interpersonal skills.

    The Successful Candidate
    The successful candidate must bring a high level of ethical, intellectual, professional and personal values that complement the team and company vision. The following competencies are highly valued:
    • Strong relationship builder with exceptional interpersonal skills that can influence perceptions, decisions and actions of others through effective communications both within the organization and externally.
    • Proven self-starter who works well both independently and in a team environment.
    • High energy, self-motivated individual whose style is effective in working with all levels of the organization to drive performance and continuous improvement using an analytical and metrics based approach.
    • Ability to effectively review and synthesize medical literature for the purpose of writing clinical procedure guidelines, clinical policies and peer review scientific publications.
    • Works well in a fast-paced environment and with a sense of urgency.
    • Lives the SpecialtyCare Values – Integrity, Care, Urgency, and Improvement.
    Benefits
    SpecialtyCare is committed to supporting professional growth for our associates. Each associate is allocated funds for continuing education, membership fees, and dues for professional associations. We also provide tuition reimbursement or tuition repayment assistance. We provide a full benefits package including a matching 401K and generous PTO plan. We also cover the cost of maintaining certification.

    SpecialtyCare is an Equal Opportunity and Affirmative Action Employer
    Employment with SpecialtyCare is at-will

    SC SPM
  • 30 Days Ago

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Manager - Multi-Line Claims
  • The Wendy's Company
  • Dublin, OH FULL_TIME
  • Overview: When our square shaped burgers made their first sizzle on the scene more than 50 years ago, people knew our approach wasn’t like any other. Same goes for the way we support our employees. Ou...
  • 13 Days Ago

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Commercial Property Claims Manager
  • Universal Fire & Casualty Insurance Company
  • Dublin, OH FULL_TIME
  • Universal Fire & Casualty Insurance Company is seeking a manager for its commercial first-party property claims unit. The position will involve: Managing commercial first-party property claim associat...
  • 1 Month Ago

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Assistant Store Manager - Garage Clothing - Polaris Fashion Place - Columbus, OH
  • Garage Clothing - Assistant Store Manager -...
  • Columbus, OH FULL_TIME
  • Seize the opportunity to join a global fashion retailer with two brands at the heart of its success, Garage and Dynamite, selected as one of Montreal's Top Employers 2020 and as one of Canada’s Top em...
  • 20 Days Ago

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Garage Clothing - Assistant Store Manager - Easton Town Center - Columbus, OH
  • Garage Clothing - Assistant Store Manager - Easton...
  • Columbus, OH FULL_TIME
  • Seize the opportunity to join a global fashion retailer with two brands at the heart of its success, Garage and Dynamite, selected as one of Montreal's Top Employers 2020 and as one of Canada’s Top em...
  • 20 Days Ago

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Co Manager - Garage Clothing - Easton Town Center - Columbus, OH
  • Garage Clothing - Co Manager - Easton Town Center...
  • Columbus, OH FULL_TIME
  • Seize the opportunity to join a global fashion retailer with two brands at the heart of its success, Garage and Dynamite, selected as one of Montreal's Top Employers 2020 and as one of Canada’s Top em...
  • 20 Days Ago

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0 Claims Processing Manager jobs found in Columbus, OH area

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Senior Project Manager
  • Manifest Solutions
  • Columbus, OH
  • Job Description Job Description Manifest Solutions is currently seeking a Senior Project Manager for a hybrid position i...
  • 4/24/2024 12:00:00 AM

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Operational Performance Mgr - OE - Westerville, OH
  • VetJobs
  • Westerville, OH
  • Job Description ATTENTION MILITARY AFFILIATED JOB SEEKERS - Our organization works with partner companies to source qual...
  • 4/23/2024 12:00:00 AM

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Accounts Payable Manager
  • Ferretti Search
  • Columbus, OH
  • The Accounts Payable (AP) Manager will play a pivotal role in our Dynamic Finance team, leading the efficient and compli...
  • 4/23/2024 12:00:00 AM

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Director of Operations
  • Book+street
  • Columbus, OH
  • Book+Street is seeking a roll-up your sleeves, whatever it takes, get things done, Consulting Operations Manager to work...
  • 4/23/2024 12:00:00 AM

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Branch Manager- Columbus, OH
  • EMCOR
  • Columbus, OH
  • DeBra-Kuempel Inc. is a wholly owned subsidiary of EMCOR Group, Inc.EMCOR is the world's leading provider of mechanical ...
  • 4/21/2024 12:00:00 AM

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Senior Operations Manager
  • Cencora, Inc.
  • Lockbourne, OH
  • Our team members are at the heart of everything we do. At Cencora, we are united in our responsibility to create healthi...
  • 4/21/2024 12:00:00 AM

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Construction Manager - Food Processing
  • Perry Construction Management
  • West Jefferson, OH
  • Job Description Job Description Position: Construction Manager - Food Processing Has Contact with: Subcontractors, Proje...
  • 4/20/2024 12:00:00 AM

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Vice President Data Sciences amp Analytics
  • Careerbuilder
  • Columbus, OH
  • Vice President Data Sciences amp Analytics Location Columbus, OH, United States Employment Type Full-Time Posted on Sep ...
  • 4/20/2024 12:00:00 AM

The confluence of the Scioto and Olentangy rivers occurs just north-west of Downtown Columbus. Several smaller tributaries course through the Columbus metropolitan area, including Alum Creek, Big Walnut Creek, and Darby Creek. Columbus is considered to have relatively flat topography thanks to a large glacier that covered most of Ohio during the Wisconsin Ice Age. However, there are sizable differences in elevation through the area, with the high point of Franklin County being 1,132 ft (345 m) above sea level near New Albany, and the low point being 670 ft (200 m) where the Scioto River leaves...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$93,272 to $120,467
Columbus, Ohio area prices
were up 1.3% 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