Claims Processing Manager jobs in Riverside, CA
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)
Recently Added Claims Processing Manager jobs
- Inland Empire Health Plan
-
Rancho Cucamonga, CA
FULL_TIME
-
Overview
What you can expect!
Find joy in serving others with IEHP! We welcome you to join us in “healing and inspiring the human spirit” and to pivot from a “job” opportunity to an authentic experience!
The Manager, Claims Processing - Covered California is responsible for oversight and direction of claims and auditing activities of the Covered California (CCA) vendor and personnel. This position requires excellent communication, collaboration and leadership skills and the ability to provide detailed instructions to vendor and staff while monitoring inventory and compliance metrics within the department to ensure that our provider and member needs are met in a timely manner.
Additional Benefits
Perks
IEHP is not only committed to healing and inspiring the human spirit of our Members; we also aim to match our Team Members with the same energy by providing prime benefits and more.
- CalPERS retirement
- 457(b) option with a contribution match
- Generous paid time off- vacation, holidays, sick
- State of the art fitness center on-site
- Medical Insurance with Dental and Vision
- Paid life insurance for employees with additional options
- Short-term, and long-term disability options
- Pet care insurance
- Flexible Spending Account – Health Care/Childcare
- Wellness programs that promote a healthy work-life balance
- Career advancement opportunities and professional development
- Competitive salary with annual merit increase
- Team bonus opportunities
Qualifications
Education & Experience
- Five (5) years of claims processing experience, at least (3) three of which was in a management capacity
- Three (3) years of experience in an HMO or managed care environment.
- Experienced in benefit and interpretation, regulatory payment appeals, and claim adjudication
- The Manager must have past Covered California or Commercial claims processing experience
- Bachelor’s degree from an accredited institution required, degree preferably in Business Administration, Accounting or Healthcare from an accredited institution required
Key Qualifications
- Excellent communication, collaboration, and leadership skills.
Start your journey towards a thriving future with IEHP and apply TODAY!
Pay Range
USD $50.02 - USD $66.27 /Hr. - 1 Month Ago
- TheBest Claims Solutions
-
Riverside, CA
FULL_TIME
- We are currently sourcing candidates for a Claims Examiner position. This position is direct-hire and remote. For this position we are looking for candidates with 3 years of experience handling Califo...
- 15 Days Ago
- Solar Manager LLC
-
Elsinore, CA
FULL_TIME
- About Us: Solar Manager specializes in providing comprehensive billing services tailored for the solar industry. With our expertise in solar billing, we ensure accurate invoicing and streamline billin...
- 21 Days Ago
- Solar Manager LLC
-
Elsinore, CA
FULL_TIME
- Company: Solar Manager, LLC Location: 18451 Collier Ave. Lake Elsinore, CA 92530 About Solar Manager, LLC: Solar Manager, LLC is a leading provider of solar energy solutions committed to sustainabilit...
- 14 Days Ago
- Solar Manager LLC
-
Elsinore, CA
FULL_TIME
- Solar Manager LLC is a small business in Lake Elsinore, CA. We are professional, agile and our goal is to revolutionize solar billing, streamline processes, and optimize financial efficiencies for our...
- 16 Days Ago
- Solar Manager LLC
-
Elsinore, CA
FULL_TIME
- Solar Manager LLC is a small business in Lake Elsinore, CA. We are professional, agile and our goal is to revolutionize solar billing, streamline processes, and optimize financial efficiencies for our...
- 16 Days Ago
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0 Claims Processing Manager jobs found in Riverside, CA area
- National Healthcare & Housing Advisors
-
Santa Ana, CA
- NHHA is seeking a experienced Grants Director, Director of Grants, Grants Officer, Grants Manager! National Healthcare &...
- 4/26/2024 12:00:00 AM
- Michaels Stores, Inc.
-
Mira Loma, CA
- Store - LA-MIRA LOMA, CA Lead the operational processes to deliver sales and profits while protecting our assets. Provid...
- 4/26/2024 12:00:00 AM
- Ventura foods
-
Brea, CA
- Job Description Job Description Location: Remote Exemption: Exempt OUR COMPANY: Ventura Foods is a leading global manufa...
- 4/25/2024 12:00:00 AM
- Triple H Food Processors, Inc.
-
Riverside, CA
- About us: ¤ Triple H Foods is your best choice in the food processing industry. Our combination of speed and service del...
- 4/24/2024 12:00:00 AM
- Gulfstream Strategic Placements
-
Riverside, CA
- Job Description Job Description Job Title: Controls Project Manager Location: Riverside, CA Job Summary: We are in searc...
- 4/24/2024 12:00:00 AM
- Domino's Franchise
-
Riverside, CA
- Job Description Job Description Job DescriptionABOUT THE JOBYou were born to be the boss. We know. You get up in the mor...
- 4/23/2024 12:00:00 AM
- Yorke Engineering
-
Riverside, CA
- Job Description Job Description Join Yorke Engineering, LLC, an Environmental Consulting leader in California that imple...
- 4/22/2024 12:00:00 AM
- 99 Cents Only
-
Corona, CA
- At The 99 Store you'll find a career that is more than just a job. We promise to provide you with the opportunity, and w...
- 4/22/2024 12:00:00 AM
About Riverside, California
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