Claims Processing Director jobs in Benton Harbor, MI
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)
Recently Added Claims Processing Director jobs
- Corewell Health
-
Joseph, MI
FULL_TIME
-
Job SummaryResponsible for inspecting, disinfecting, assembling, processing and distributing patient care instruments, equipment and supplies in accordance with established policies, procedures and Association of Advancement of Medical Instrumentation (AAMI) standards. Acts as a role model and resource to peers and other members of the health care team related to processing of equipment, instruments, and supplies. Stores, rotates and ensures all instruments and supplies are correctly labeled.Essential Functions
- Cleans soiled instruments and equipment utilizing the appropriate personal protection equipment (PPE). Inspects and tests instruments and equipment to ensure proper functioning. Utilizes the insulation tester, leak tester (flex scopes) and other mechanical/digital validation tools to ensures that proper sterilization occurs.
- Strive for zero defects.
- Acts as a role model and resource to peers and other members of the health care team related to processing of equipment, instruments, and supplies.
- Ensures proper processing of equipment, instruments and supplies, including any vendor trays by prioritizing the work load to correspond with medical/surgical floor needs, surgical case loads and physician requirements.
- Accurately differentiates between instruments functionality and its specialty. Monitors performance of sterilizers, sonic, utensil washers and other equipment and fills out repair requisitions as necessary.
- Answer, interpret and fill phone requests and other issues according to departmental standards.
- Demonstrates proficiency in assembling highest complexity trays such as implant trays and ambulatory clinic tray turn-around process.
- Ensures all customer area requests are handled in an efficient, timely, and professional manner. Low error rate and high productivity rate.
Qualifications- Required High School Diploma or equivalent
- CRT-Certified in Sterile Processing Management (CSPM) - CBSPD Certification Board for Sterile Processing & Distribution 1 1/2 Yrs required Or
- CRT-Registered Central Services Technician, Certified (CRCST) - IAHCSMM International Association of Healthcare Central Service Material Management 1 1/2 Yrs required
Physical Demands- Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 35 lbs
- Waist to Waist > 5 lbs: Occasionally up to 35 lbs
- Waist to Chest (below shoulder) > 5 lbs: Seldom up to 25 lbs
- Waist to Overhead > 5 lbs: Seldom up to 10 lbs
- Bilateral Carry > 5 lbs: Occasionally up to 35 lbs
- Unilateral Carry > 5 lbs: Seldom up to 10 lbs
- Pushing Force > 5 lbs: Occasionally up to 25 lbs
- Pulling Force > 5 lbs: Occasionally up to 20 lbs
- Sitting: Seldom
- Standing: Frequently
- Walking: Frequently
- Forward Bend - Standing: Occasionally
- Forward Bend - Sitting: Seldom
- Trunk Rotation - Standing: Occasionally
- Trunk Rotation - Sitting: Seldom
- Squat: Seldom
- Stair Climbing: Seldom
- Crawling / Kneeling: Seldom
- Reach - Above Shoulder: Occasionally
- Reach - at Shoulder or Below: Occasionally
- Handling: Occasionally
- Forceful Grip > 5 lbs: Occasionally
- Forceful Pinch > 2 lbs: Occasionally
- Finger/Hand Dexterity: Frequently
- Visual Acuity ¹ [None = No; Seldom = Yes]: Seldom
- Color Vision (Ishihara) Test [None = No; Seldom = Yes]: Seldom
Primary Location
SITE - Lakeland Hospital St Joseph - 1234 Napier Ave - St JosephDepartment Name
Sterile Processing - St JosephEmployment Type
Full timeShift
Evening (United States of America)Weekly Scheduled Hours
40Hours of Work
03:00 p.m. to 11:30 p.m.Days Worked
Monday to FridayWeekend Frequency
Variable weekendsCURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
- Just Posted
- Corewell Health
-
Joseph, MI
FULL_TIME
- SummaryResponsible for inspecting, disinfecting, assembling, processing and distributing patient care instruments, equipment and supplies in accordance with established policies, procedures and AAMI s...
- 10 Days Ago
- Trustaff
-
Saint Joseph, MI
FULL_TIME
- As a Sterile Processing Technician, you are a critical part of ensuring a clean, pathogen-free patient environment. Sterile Processing Techs document, inspect, and decontaminate medical instruments an...
- 24 Days Ago
- Spectrum Health
-
Saint Joseph, MI
FULL_TIME
- Summary Responsible for inspecting, disinfecting, assembling, processing and distributing patient care instruments, equipment and supplies in accordance with established policies, procedures and AAMI ...
- 30 Days Ago
- Corewell Health
-
Joseph, MI
FULL_TIME
- Job SummaryResponsible for inspecting, disinfecting, assembling, processing and distributing patient care instruments, equipment and supplies in accordance with established policies, procedures and As...
- 1 Month Ago
- MileHigh Adjusters Houston Inc
-
Saint Joseph, MI
FULL_TIME
- ADJUSTERS NEEDED NOW FOR ALL STORM RELATED SEASONS!Independent Insurance Claims Adjusters Needed Now! This is a HUGE opportunity for you, since there is currently a HIGH DEMAND forNEW ADJUSTERS AND NE...
- 7 Days Ago
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0 Claims Processing Director jobs found in Benton Harbor, MI area
- Brown Agency
-
South Bend, IN
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- The Faulkner Agency
-
Saint Joseph, MI
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- The Diaz Agency
-
Notre Dame, IN
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- 4/23/2024 12:00:00 AM
- Alacrity Solutions
-
South Bend, IN
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- 4/23/2024 12:00:00 AM
- Cedarhurst
-
Mishawaka, IN
- Job Description Job Description Can you be a real, true friend? Is it your nature to be open, listen deeply, know your h...
- 4/22/2024 12:00:00 AM
- Graham Allen Partners
-
South Bend, IN
- Title: Business Development Representative, Labor Union Market Location: US Based Remote, in-person or hybrid (South Ben...
- 4/21/2024 12:00:00 AM
- Dayton Freight
-
Elkhart, IN
- Overview: Stable and growing organization Competitive weekly pay Quick advancement Professional, positive and people-cen...
- 4/21/2024 12:00:00 AM
- The Faulkner Agency
-
Saint Joseph, MI
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- 4/20/2024 12:00:00 AM
About Benton Harbor, Michigan
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