Claims Processing Manager jobs in New Orleans, LA

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 - Endoscopy
  • Ochsner Health
  • Orleans, LA FULL_TIME
  • Sterile Processing Manager - Endoscopy
    Ochsner Medical Center - New Orleans

    This job oversees staffing of the sterile processing team, including hiring, completing evaluations, and training. Handles budget planning regarding FTE, instrument, supply and equipment expenses. Manages regulatory compliance and quality initiatives to ensure appropriate patient care and maintain cost efficiency for the organization.

    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties.
    This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company’s discretion.

    Education:
    • Required - Associate's degree in health science or related field.
    • Preferred - Bachelor's degree in health science or related field.

    Work Experience:
    • Required - 3 years of clinical or leadership experience.
    • Preferred - 5 years of clinical or leadership experience.

    Certifications:
    • Required - Certified Surgical Technologist (CST) upon hire;
    OR
    • Certified Sterile Processing Department Technician (CSPDT) through the IAHCSMM (International Association of Healthcare Central Service Material Management) or the CBSPD (Certification Board for Sterile Processing and Distribution (CBSPD) within 6 months of hire.
    OR
    • Certified Flexible Endoscope Reprocessor (CFER) through the CBSPD (Certification Board for Sterile Processing and Distribution) when if working in GI/Endo department that only handles the processing of endoscopes and like equipment.

    Knowledge Skills and Abilities (KSAs):
    • Proficiency in using computers, software, and web-based applications.
    • Effective verbal and written communication skills and ability to present information clearly and professionally.
    • Strong interpersonal skills.
    Job Duties:
    • Manages hiring, onboarding, orientation, annual performance evaluations, coaching, counseling, and progressive discipline for the sterile processing team.
    • Participates in financial management through budget planning preparations, FTE allotments, and monitoring overtime, equipment & supply expenses.
    • Manages instrument ordering, maintenance, and inventory.
    • Provides guidance over quality initiatives and drives improvement plans concentrating on metrics and quality indicators.
    • Oversees regulatory compliance.
    • Adapts behavior to the specific patient population, including but not limited to respect for privacy, method of introduction to the patient, adapting explanation of services or procedures to be performed, requesting permissions and communication style.
    • Performs other related duties as required.
    The above statements describe the general nature and level of work only. They are not an exhaustive list of all required responsibilities, duties, and skills. Other duties may be added, or this description amended at any time.

    Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.

    This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

    The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.
  • 3 Days Ago

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Property Litigation Supervisor
  • TheBest Claims Solutions
  • Orleans, LA FULL_TIME
  • Our client is looking for a Property Litigation Supervisor to work in their New Orleans office. This candidate will need to have experience with litigated property claims in the state of Louisiana. #I...
  • 8 Days Ago

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TEST ADMINISTRATOR
  • U.S. Military Entrance Processing Command
  • Orleans, LA FULL_TIME
  • Duties Conducts specified aptitude examination sessions ranging in size from 1 to 40 person (enlistment tests), and 1 to 250 persons (student tests). Instruct applicants on testing procedures and star...
  • 26 Days Ago

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Claims Specialist
  • Amwins Group, Inc.
  • Metairie, LA FULL_TIME
  • COMPANY SUMMARY The American Equity Underwriters, Inc. (AEU) (An Amwins company) is the program administrator of the American Longshore Mutual Association, Ltd. (ALMA), a group self-insurance fund aut...
  • 22 Days Ago

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Claims Coordinator
  • ServiceMaster Restore 2775 - Metairie
  • Metairie, LA FULL_TIME
  • Position Overview As the hub of all claims, the coordinator is responsible for speaking with the customer, ongoing customer follow up, handling service complaints, logistics of dispatching field perso...
  • 10 Days Ago

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Processing Technician
  • Octapharma Plasma, Inc.
  • Metairie, LA FULL_TIME
  • Requisition Number19-6008Post Date12/16/2019TitleProcessing TechnicianCityMetairieStateLAPosition Typefull-timeDescriptionWant to Expandyour career-development potential,your ability to help donors an...
  • 9 Days Ago

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0 Claims Processing Manager jobs found in New Orleans, LA area

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Associate Program Manager - Education Specialist Schools - K-12 Focus
  • Ochsner Health
  • New Orleans, LA
  • We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve,...
  • 4/25/2024 12:00:00 AM

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Marketing Manager
  • Rngd
  • New Orleans, LA
  • About the Company RNGD (a Palmisano Company) is a rapidly scaling organization emerging as a nationally recognized leade...
  • 4/25/2024 12:00:00 AM

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Assistant Community Manager
  • Allied Orion Group
  • New Orleans, LA
  • Job Details Level Entry Job Location 200 Carondelet One - New Orleans, LA Position Type Full Time Job Category Onsite Ma...
  • 4/25/2024 12:00:00 AM

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RN Coordinator - Pediatric Heart Failure & Transplant Program
  • Ochsner Health System
  • New Orleans, LA
  • We've made a lot of progress since opening the doors in 1942, but one thing has never changed - our commitment to serve,...
  • 4/24/2024 12:00:00 AM

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Event Technical Supervisor Audio Visual - Four Seasons Hotel New Orleans
  • Encore
  • New Orleans, LA
  • Position Overview- Must have technical audio, video, or lighting experience The Technical Supervisor leads floor operati...
  • 4/24/2024 12:00:00 AM

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Infrastructure Project Manager III (business Development) (class Code 3417)
  • City of New Orleans, LA
  • New Orleans, LA
  • Kind of Work Planning, development and implementation of comprehensive air service development strategies to increase ai...
  • 4/24/2024 12:00:00 AM

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Marketing Manager
  • RNGD
  • New Orleans, LA
  • About the Company RNGD (a Palmisano Company) is a rapidly scaling organization emerging as a nationally recognized leade...
  • 4/23/2024 12:00:00 AM

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Project Scheduler (Remote Option)
  • Crest Industries
  • New Orleans, LA
  • Beta Engineering is currently looking for a Project Scheduler to join our team. The Project Scheduler (PS) is responsibl...
  • 4/22/2024 12:00:00 AM

New Orleans (/ɔːrˈliːnz, ˈɔːrl(i)ənz/, locally /ˈɔːrlənz/; French: La Nouvelle-Orléans [la nuvɛlɔʁleɑ̃] (listen)) is a consolidated city-parish located along the Mississippi River in the southeastern region of the U.S. state of Louisiana. With an estimated population of 393,292 in 2017, it is the most populous city in Louisiana. A major port, New Orleans is considered an economic and commercial hub for the broader Gulf Coast region of the United States. New Orleans is world-renowned for its distinct music, Creole cuisine, unique dialect, and its annual celebrations and festivals, most notably ...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$91,657 to $118,381
New Orleans, Louisiana area prices
were up 1.2% 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