Claims Processing Director jobs in Anaheim, CA

Claims Processing Director plans and directs one or more departments responsible for administration of health insurance claims, payment processing, billing research, and responding to inquiries. Establishes and implements organizational policies and procedures; may offer guidance on the appropriate handling of complex or high-value claims. Being a Claims Processing Director develops and executes strategic business plans for the department. Coordinates operations with other areas of the organization. Additionally, Claims Processing Director requires a bachelor's degree. Typically reports to top management. The Claims Processing Director manages a departmental sub-function within a broader departmental function. Creates functional strategies and specific objectives for the sub-function and develops budgets/policies/procedures to support the functional infrastructure. To be a Claims Processing Director typically requires 5+ years of managerial experience. Deep knowledge of the managed sub-function and solid knowledge of the overall departmental function. (Copyright 2024 Salary.com)

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Call Center Representative - Claims Processing
  • Providence Health
  • Anaheim, CA FULL_TIME
  • Description

    Under the direction of the Supervisor, Call Center, the Call Center Rep supports the Call Center Team and internal departments by advocating on behalf of members, and helps them navigate through the managed care system. This position is responsible for the resolution of customer inquiries through multiple channels; data entry to maintain computer systems; upkeep of resources to remain current; and coordination of special projects and events.

    Providence caregivers are not simply valued – they’re invaluable. Join our team at Providence Medical Foundation and thrive in our culture of patient-focused, whole-person care built on understanding, commitment, and mutual respect. Your voice matters here, because we know that to inspire and retain the best people, we must empower them.

    Required qualifications:

    • 2 years of Customer service environment.
    • Basic MS Windows, Excel, Word, and Outlook experience.

    Preferred qualifications:

    • Experience in a Healthcare setting.
    • Customer service experience in a managed care environment.
    • IDX experience.

    Why Join Providence?

    Our best-in-class benefits are uniquely designed to support you and your family in staying well, growing professionally, and achieving financial security. We take care of you, so you can focus on delivering our Mission of caring for everyone, especially the most vulnerable in our communities.

    About Providence

    At Providence, our strength lies in Our Promise of “Know me, care for me, ease my way.” Working at our family of organizations means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. Together, our 120,000 caregivers (all employees) serve in over 50 hospitals, over 1,000 clinics and a full range of health and social services across Alaska, California, Montana, New Mexico, Oregon, Texas and Washington. As a comprehensive health care organization, we are serving more people, advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

    The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

    Check out our benefits page for more information about our Benefits and Rewards.

    About the Team

    Providence Physician Enterprise (PE) is a service line within Providence serving patients across seven states with quality, compassionate, coordinated care. Collectively, our medical groups and affiliate practices are the third largest group in the country with over 11,000 providers, 900 clinics and 30,000 caregivers.

    PE is comprised of Providence Medical Group in Alaska, Washington, Montana and Oregon; Swedish Medical Group in Washington’s greater Puget Sound area, Pacific Medical Centers in western Washington; Kadlec in southeast Washington; Providence’s St. John’s Medical Foundation in Southern California; Providence Medical Institute in Southern California; Providence Facey Medical Foundation in Southern California; Providence Medical Foundation in Northern and Southern California; and Covenant Medical Group and Covenant Health Partners in west Texas and eastern New Mexico.

    Providence is proud to be an Equal Opportunity Employer. We are committed to the principle that every workforce member has the right to work in surroundings that are free from all forms of unlawful discrimination and harassment on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law. We believe diversity makes us stronger, so we are dedicated to shaping an inclusive workforce, learning from each other, and creating equal opportunities for advancement.

    Requsition ID: 274235

    Company: Providence Jobs

    Job Category: Customer Service

    Job Function: Administration

    Job Schedule: Full time

    Job Shift:

    Career Track: Admin Support

    Department: 7520 CLAIMS PROCESSING CA HERITAGE SERVICES

    Address: CA Anaheim 200 W Center St Promenade

    Work Location: St Joseph Home Health-Anaheim

    Pay Range: $19.03 - $29.08

    The amounts listed are the base pay range; additional compensation may be available for this role, such as shift differentials, standby/on-call, overtime, premiums, extra shift incentives, or bonus opportunities.

    Check out our benefits page for more information about our Benefits and Rewards.

  • 10 Days Ago

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Test Administrator
  • U.S. Military Entrance Processing Command
  • Anaheim, CA 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...
  • 3 Days Ago

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Helper/Laborer 1
  • ALL METALS PROCESSING OF ORANGE COUNTY LLC
  • Stanton, CA FULL_TIME
  • POSITION SUMMARY: Under the direction of the department Supervisor/Manager, the Helper/Laborer is responsible for putting parts on and off the racks so that they may be prepped and ready for plating p...
  • 22 Days Ago

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Painter 1
  • ALL METALS PROCESSING OF ORANGE COUNTY LLC
  • Stanton, CA FULL_TIME
  • POSITION SUMMARY: Under the direction of the department Supervisor/Manager, the Painter is responsible for coating surface parts, assembling and finishing products with protective or decorative materi...
  • 22 Days Ago

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Quality Assurance Support Clerk 1
  • ALL METALS PROCESSING OF ORANGE COUNTY LLC
  • Stanton, CA FULL_TIME
  • POSITION SUMMARY: Under general supervision, the primary responsibility of the Quality Assurance Support Clerk is to assist the Quality Assurance Department. Essential Duties & Responsibilities: Essen...
  • 1 Day Ago

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Claims Manager
  • Ultimate
  • Diamond, CA FULL_TIME
  • Job Description Responsibilities/Duties:Provide an environment that allows staff members to flourish in their work duties. Quality levels of 99% maintained throughout the department.Continuous trainin...
  • 1 Day Ago

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0 Claims Processing Director jobs found in Anaheim, CA area

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Director of Workers' Compensation Claims
  • Amtrust Financial Services Inc.
  • Irvine, CA
  • OVERVIEW: AmTrust Financial Services, a fast-growing commercial insurance company, is currently seeking an experienced a...
  • 4/26/2024 12:00:00 AM

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Medical Claims Examiner III
  • Ultimate Staffing
  • Long Beach, CA
  • Job Responsibilities: Manage and ensure compliance with provider contract obligations. Conduct quality audits of claims ...
  • 4/26/2024 12:00:00 AM

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Sr. Trade Compliance Specialist
  • Fabletics
  • El Segundo, CA
  • Fabletics Inc. is currently looking for a Sr. Trade Compliance Specialist. How Do You Fit In? The Sr. Trade Compliance S...
  • 4/24/2024 12:00:00 AM

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Sr. Trade Compliance Specialist
  • Fabletics
  • El Segundo, CA
  • Job Description Fabletics Inc. is currently looking for a Sr. Trade Compliance Specialist. How Do You Fit In? The Sr. Tr...
  • 4/24/2024 12:00:00 AM

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Director of Workers' Compensation Claims
  • AmTrust Financial Services, Inc.
  • Irvine, CA
  • OVERVIEW: AmTrust Financial Services, a fast-growing commercial insurance company, is currently seeking an experienced a...
  • 4/23/2024 12:00:00 AM

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Medical Claims Examiner III
  • Ultimate Staffing
  • Long Beach, CA
  • Job Responsibilities: Manage and ensure compliance with provider contract obligations. Conduct quality audits of claims ...
  • 4/22/2024 12:00:00 AM

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Quality Compliance Nurse and Compliance Coordinator
  • Preferred IPA of California
  • Los Angeles, CA
  • Job Description Job Description Openings for both a Quality Compliance Nurse and a Compliance Coordinator. QUALITY COMPL...
  • 4/22/2024 12:00:00 AM

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Sr. Trade Compliance Specialist
  • Fabletics
  • El Segundo, CA
  • Fabletics Inc. is currently looking for a Sr. Trade Compliance Specialist. How Do You Fit In? The Sr. Trade Compliance S...
  • 4/22/2024 12:00:00 AM

Anaheim (/ˈænəhaɪm/) is a city in Orange County, California, part of the Los Angeles metropolitan area. As of the 2010 United States Census, the city had a population of 336,265, making it the most populous city in Orange County and the 10th-most populous city in California. Anaheim is the second-largest city in Orange County in terms of land area, and is known for being the home of the Disneyland Resort, the Anaheim Convention Center, and two major sports teams: the Anaheim Ducks ice hockey club and the Los Angeles Angels baseball team. Anaheim was founded by fifty German families in 1857 and...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Director jobs
$175,899 to $236,374
Anaheim, California area prices
were up 3.2% from a year ago

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