Claims Processing Manager jobs in Summerville, SC

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)

M
Manager, Central Sterile Processing
  • MUSC
  • Charleston, SC FULL_TIME
  • Job Description Summary

    Entity

    Medical University Hospital Authority (MUHA)

    Worker Type

    Employee

    Worker Sub-Type​

    Regular

    Cost Center

    CC000676 CHS - SPD (Sterile Processing) (ART)

    Pay Rate Type

    Salary

    Pay Grade

    Health-31

    Scheduled Weekly Hours

    40

    Work Shift

    Job Description

    Manages one or more functional areas of a department. Manages two or more professional and support staff including subordinate supervisors. Typically has hire, fire, or promotion authority. Evaluates and makes improvements to department processes while ensuring compliance with organizational policies and applicable laws and regulations. More discretion and greater financial authority than other lower management levels. Manages initiatives, strategic priorities and programs which have an impact on the organization. Works independently and in collaboration with leadership to support the budget process and meeting key operational goals. Plans, organizes, facilitates, monitors, and evaluates activities and functions of the department/functional business area based employee/organizational goals. Collaborates with leaders to establish operating procedures, enhance clinical/non-clinical workflows, increase productivity, and improve overall quality outcomes and operational efficiencies within a variety of delivery settings.

    Additional Job Description

    Education: Bachelor's Degree or Equivalent Work Experience: 7 years progressive work experience and 2 years management experience

    If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

    The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

    Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees

  • 17 Days Ago

M
Claims Clerk
  • MSC Mediterranean Shipping Company SA
  • Charleston, SC FULL_TIME
  • Claims ClerkMSC USA - Charleston JOB SUMMARY Processes marine cargo claims.KEY RESPONSIBILITIES & DUTIES Closely tracks and reports on cargo claims files as they develop.Keeps and maintains records in...
  • 1 Month Ago

W
Processing I
  • W International
  • Goose Creek, SC FULL_TIME
  • Job Title: Processing I Job Category: Manufacturing Department/Group: Manufacturing Job Description About Us: W International is dedicated to recruiting and developing diverse, high-performing talent ...
  • 10 Days Ago

D
Processing Technician
  • Default Board
  • Charleston, SC FULL_TIME
  • GENERAL DONOR CENTER — ENTRY-LEVEL Want to Expand your career-development potential, your ability to help donors and patients, and your access to professional opportunities? We’re growing fast. [You c...
  • 25 Days Ago

O
Processing Technician
  • Octapharma Plasma, Inc.
  • Charleston, SC FULL_TIME
  • GENERAL DONOR CENTER — ENTRY-LEVEL Want to Expand your career-development potential, your ability to help donors and patients, and your access to professional opportunities? We’re growing fast. [You c...
  • 26 Days Ago

T
Sterile Processing Technician Sterile Processing
  • Triage Staffing
  • Charleston, SC OTHER
  • Start Date: ASAP Shift: 8H Days ( 10:00 AM-6:30 PM )Location: Charleston, SCLength: 13 weeksWeekly Hours: 40.0Beds: At least 2 years’ experience
  • 22 Days Ago

Filters

Clear All

  • Filter Jobs by companies
  • More

0 Claims Processing Manager jobs found in Summerville, SC area

C
Assistant Superintendent
  • C. Herman Construction, LLC
  • Summerville, SC
  • C.Herman Construction is looking for an experienced assistant superintendent with a minimum of 5 year’s experience in gr...
  • 4/26/2024 12:00:00 AM

A
Senior Program Manager
  • Advanced Technology International
  • Summerville, SC
  • Vacancy Name Senior Program Manager Vacancy No VN495 Employee Type Full-time Location City Summerville Education Level B...
  • 4/26/2024 12:00:00 AM

R
Senior Operations Manager
  • Ryder System
  • Ladson, SC
  • Job Seekers can review the Job Applicant Privacy Policy by clicking HERE. (https://ryder.com/job-applicant-privacy-polic...
  • 4/25/2024 12:00:00 AM

B
Manager Trainee - Operations (Travel Program; Relocation Required)
  • Biolife Plasma Services
  • Summerville, SC
  • By clicking the Apply button, I understand that my employment application process with Takeda will commence and that the...
  • 4/24/2024 12:00:00 AM

T
Team Lead, Petsense
  • Tractor Supply Company
  • North Charleston, SC
  • GardaWorld is shaping the future of cash management! We provide our clients with solutions in every phase of their cash ...
  • 4/23/2024 12:00:00 AM

C
General Manager
  • Community Choice Financial Family of Brands
  • Summerville, SC
  • Overview: As a General Manager ("GM"), you will lead the success of your store and team by setting the bar high for perf...
  • 4/22/2024 12:00:00 AM

Z
Quality Engineer
  • ZF Group
  • North Charleston, SC
  • About the Team We are looking for a Quality Engineer to work at our North Charleston, SC location. What you can look for...
  • 4/22/2024 12:00:00 AM

M
Assistant Community Manager
  • Meridian Residential Group, LLC
  • North Charleston, SC
  • Job Description Job Description Are you exceptional at project management, customer service and love helping people? We ...
  • 4/22/2024 12:00:00 AM

Summerville is a town in the U.S. state of South Carolina situated mostly in Dorchester County with small portions in Berkeley and Charleston counties. It is part of the Charleston-North Charleston-Summerville Metropolitan Statistical Area. The population of Summerville at the 2010 census was 43,392, and the estimated population was 50,213 as of June 1, 2018. The center of Summerville is in southeastern Dorchester County; the town extends northeast into Berkeley and Charleston counties. It is bordered to the east by the town of Lincolnville and to the southeast by the city of North Charleston....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Manager jobs
$89,758 to $115,928
Summerville, South Carolina 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