PFS/SBO Manager
Delaware City, DE · On-site
... Claim Rates, and Bad Debt Develop and implement strategies to reduce denials and improve ... Manage department budgets, staffing, productivity, and performance metrics Lead, mentor, and ...
Delaware City, DE · On-site
... Claim Rates, and Bad Debt Develop and implement strategies to reduce denials and improve ... Manage department budgets, staffing, productivity, and performance metrics Lead, mentor, and ...
Delaware City, DE · On-site
... Claim Rates, and Bad Debt Develop and implement strategies to reduce denials and improve ... Manage department budgets, staffing, productivity, and performance metrics Lead, mentor, and ...
Delaware City, DE · On-site
... Claim Rates, and Bad Debt Develop and implement strategies to reduce denials and improve ... Manage department budgets, staffing, productivity, and performance metrics Lead, mentor, and ...
Quick apply
Delaware City, DE · On-site
... Claim Rates, and Bad Debt Develop and implement strategies to reduce denials and improve ... Manage department budgets, staffing, productivity, and performance metrics Lead, mentor, and ...
Delaware City, DE · On-site
... Claim Rates, and Bad Debt * Develop and implement strategies to reduce denials and improve ... Manage department budgets, staffing, productivity, and performance metricsLead, mentor, and develop ...
Delaware City, DE · On-site
... Claim Rates, and Bad Debt * Develop and implement strategies to reduce denials and improve ... Manage department budgets, staffing, productivity, and performance metricsLead, mentor, and develop ...
Wilmington, DE · On-site
$19.75 - $26/hr
... research claim status and resolve unpaid claims. * Document every account touch with clear ... practice management system policies. * Submit refund requests, recoupment responses, and ...
Wilmington, DE · On-site
$19.75 - $26/hr
... research claim status and resolve unpaid claims. * Document every account touch with clear ... practice management system policies. * Submit refund requests, recoupment responses, and ...
Wilmington, DE · On-site
$18.25 - $24.25/hr
Track all third party payment issues that affect division revenues and report trends to manager 7. Communicate regularly with the Central Business Office on claim issues 8.Advise divisions ...
Wilmington, DE · On-site
$18.25 - $24.25/hr
Track all third party payment issues that affect division revenues and report trends to manager 7. Communicate regularly with the Central Business Office on claim issues 8.Advise divisions ...
Wilmington, DE · On-site
$18.25 - $24.25/hr
Track all third party payment issues that affect division revenues and report trends to manager 7. Communicate regularly with the Central Business Office on claim issues 8.Advise divisions ...
Wilmington, DE · On-site
$18.25 - $24.25/hr
Track all third party payment issues that affect division revenues and report trends to manager 7. Communicate regularly with the Central Business Office on claim issues 8.Advise divisions ...
Ensures that all cases are resolved in compliance with industry regulations and bank procedures, integrity levels of the department's case management system and financial controls. Works within a ...
Ensures that all cases are resolved in compliance with industry regulations and bank procedures, integrity levels of the department's case management system and financial controls. Works within a ...
Newark, DE · On-site
$24 - $26/hr
... manage insurance follow-up and denial resolution activities. Must have recent, hands-on AR ... Investigate, resolve, and appeal claim denials. * Work aging accounts to maximize reimbursement.
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Newark, DE · On-site
$24 - $26/hr
... manage insurance follow-up and denial resolution activities. Must have recent, hands-on AR ... Investigate, resolve, and appeal claim denials. * Work aging accounts to maximize reimbursement.
Develop and manage a robust claims data tracking system to identify emerging challenges and inform proactive strategy. * Negotiate carrier claim handling guidelines and escalation procedures with ...
Develop and manage a robust claims data tracking system to identify emerging challenges and inform proactive strategy. * Negotiate carrier claim handling guidelines and escalation procedures with ...
... role of Account Manager - State Farm Agent Team Member. We seek an energetic professional ... transfers, claim submissions, and billing clarification. * Use a customer-focused, needs-based ...
... role of Account Manager - State Farm Agent Team Member. We seek an energetic professional ... transfers, claim submissions, and billing clarification. * Use a customer-focused, needs-based ...
Newark, DE · On-site
The Account Manager remains knowledgeable of advances in the insurance business as well as stays ... Facilitates the prompt response from carriers and their staff in order to expedite claim ...
Newark, DE · On-site
The Account Manager remains knowledgeable of advances in the insurance business as well as stays ... Facilitates the prompt response from carriers and their staff in order to expedite claim ...
Newark, DE · On-site
The Account Manager remains knowledgeable of advances in the insurance business as well as stays ... Facilitates the prompt response from carriers and their staff in order to expedite claim ...
Newark, DE · On-site
The Account Manager remains knowledgeable of advances in the insurance business as well as stays ... Facilitates the prompt response from carriers and their staff in order to expedite claim ...
Newark, DE · On-site
The Account Manager manages the overall client relationship by providing strategic advice on ... Facilitates the prompt response from carriers and their staff in order to expedite claim ...
Newark, DE · On-site
The Account Manager manages the overall client relationship by providing strategic advice on ... Facilitates the prompt response from carriers and their staff in order to expedite claim ...
Newark, DE · On-site
The Account Manager remains knowledgeable of advances in the insurance business as well as stays ... Facilitates the prompt response from carriers and their staff in order to expedite claim ...
Newark, DE · On-site
The Account Manager remains knowledgeable of advances in the insurance business as well as stays ... Facilitates the prompt response from carriers and their staff in order to expedite claim ...
Wilmington, DE · On-site
Partner with managers to promote safe work practices and timely claim administration. Employee Engagement * Support employee recognition, engagement initiatives, events, and internal communications.
Wilmington, DE · On-site
Partner with managers to promote safe work practices and timely claim administration. Employee Engagement * Support employee recognition, engagement initiatives, events, and internal communications.
Wilmington, DE · On-site
Partner with managers to promote safe work practices and timely claim administration. Employee Engagement * Support employee recognition, engagement initiatives, events, and internal communications.
Wilmington, DE · On-site
Partner with managers to promote safe work practices and timely claim administration. Employee Engagement * Support employee recognition, engagement initiatives, events, and internal communications.
Wilmington, DE · On-site
Partner with managers to promote safe work practices and timely claim administration. Employee Engagement * Support employee recognition, engagement initiatives, events, and internal communications.
Quick apply
Wilmington, DE · On-site
Partner with managers to promote safe work practices and timely claim administration. Employee Engagement * Support employee recognition, engagement initiatives, events, and internal communications.
Wilmington, DE · On-site
$20.75 - $25.75/hr
As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators ... Demonstrated ability to manage stressful situations with composure and professionalism * Ability to ...
Wilmington, DE · On-site
$20.75 - $25.75/hr
As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators ... Demonstrated ability to manage stressful situations with composure and professionalism * Ability to ...
Wilmington, DE · On-site
$20.75 - $25.75/hr
As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators ... Demonstrated ability to manage stressful situations with composure and professionalism * Ability to ...
Wilmington, DE · On-site
$20.75 - $25.75/hr
As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators ... Demonstrated ability to manage stressful situations with composure and professionalism * Ability to ...
$20.75 - $25.75/hr
As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators ... Demonstrated ability to manage stressful situations with composure and professionalism * Ability to ...
Quick apply
$20.75 - $25.75/hr
As a global leader, we provide dynamic opportunities for claim investigators, SIU investigators ... Demonstrated ability to manage stressful situations with composure and professionalism * Ability to ...
$35K - $44.5K
4% of jobs
$44.5K - $54K
4% of jobs
$54K - $63.4K
10% of jobs
$67K is the 25th percentile. Wages below this are outliers.
$63.4K - $72.9K
18% of jobs
$72.9K - $82.3K
12% of jobs
The median wage is $83.9K / yr.
$82.3K - $91.8K
13% of jobs
$91.8K - $101.3K
14% of jobs
$101.7K is the 75th percentile. Wages above this are outliers.
$101.3K - $110.7K
12% of jobs
$110.7K - $120.2K
7% of jobs
$120.2K - $129.7K
4% of jobs
$129.7K - $139.1K
2% of jobs
$35K
$87.9K
$139.1K
| Aspect | Claim Manager | Claims Adjuster |
|---|---|---|
| Credentials | Typically requires a bachelor’s degree, industry certifications (e.g., CPCU, AIC), and experience in claims handling | Often requires a high school diploma or associate degree; certifications like AIC are common but not mandatory |
| Work Environment | Manages teams, oversees claims processes, and develops policies; often in an office setting | Investigates claims, assesses damages, and makes settlement decisions; may work in the field or office |
| Industry Usage | Used across insurance companies, especially in managerial and supervisory roles | Commonly employed in insurance companies, adjusting claims directly with clients and providers |
In summary, Claim Managers oversee the claims process and manage teams, requiring more experience and certifications, while Claims Adjusters focus on investigating and settling individual claims, often with less formal education.
The most popular types of Claim jobs in Delaware are:
Cities in Delaware with the most Claim Manager job openings:

Delaware City, DE • On-site
Full-time
Re-posted 15 days ago
We are seeking an experienced Patient Financial Services (PFS) Shared Business Office (SBO) Manager to lead hospital revenue cycle operations for a growing healthcare organization. This leadership position is responsible for overseeing all aspects of patient financial services, ensuring efficient billing operations, maximizing reimbursement, improving cash collections, and driving operational excellence throughout the revenue cycle.
The ideal candidate is a hands-on leader with extensive hospital billing and revenue cycle experience who is passionate about improving financial performance while delivering an exceptional patient financial experience.
What You'll Do
As the PFS SBO Manager, you will oversee the daily operations of the Patient Financial Services department, ensuring efficient management of billing, accounts receivable, collections, denial management, payment posting, and patient account resolution.
You will partner closely with Finance, Patient Access, Health Information Management (HIM), Coding, Clinical Operations, Compliance, and Executive Leadership to optimize revenue cycle performance and achieve key financial objectives.
Key responsibilities include:
Lead all Patient Financial Services and Shared Business Office operations
Manage billing, collections, insurance follow-up, payment posting, and patient account resolution teams
Monitor and improve revenue cycle KPIs including AR Days, Cash Collections, Denial Rates, Clean Claim Rates, and Bad Debt
Develop and implement strategies to reduce denials and improve reimbursement
Analyze revenue cycle performance and identify opportunities for operational improvements
Ensure compliance with Medicare, Medicaid, Commercial Insurance, HIPAA, and CMS regulations
Manage department budgets, staffing, productivity, and performance metrics
Lead, mentor, and develop high-performing revenue cycle teams
Collaborate with Registration, Coding, HIM, Finance, and Clinical departments to improve financial outcomes
Prepare executive reports, dashboards, and operational analyses
Drive process improvement initiatives focused on automation, efficiency, and patient satisfaction
Manage vendor relationships, outsourced collections, and revenue cycle technology solutions
Qualifications Required
Bachelor's degree in Healthcare Administration, Business Administration, Finance, Accounting, or a related field
Minimum 5 years of progressive experience in Hospital Patient Financial Services or Revenue Cycle Management
Minimum 3 years of leadership or management experience
Strong knowledge of hospital billing, insurance claims processing, accounts receivable, collections, denial management, and reimbursement
Experience working with Medicare, Medicaid, Commercial Insurance, and Managed Care payers
Strong analytical, organizational, and leadership skills
Excellent communication and interpersonal skills
Preferred
Master's degree (MBA, MHA, MHSA)
HFMA or CRCR certification
Experience with Epic, Cerner, Meditech, or other hospital information systems
Lean Six Sigma or process improvement experience
Preferred Skills
Hospital Revenue Cycle Management
Patient Financial Services
Shared Business Office Operations
Accounts Receivable Management
Denial Management
Insurance Follow-Up
Revenue Integrity
Cash Collections
Financial Reporting
Performance Analytics
Leadership & Staff Development
Healthcare Compliance
Medicare & Medicaid Billing
Revenue Cycle KPIs
Process Improvement
Why Join Us?
Competitive salary and comprehensive benefits
Opportunity to lead a critical healthcare revenue cycle function
Collaborative leadership environment
Career advancement opportunities
Meaningful impact on patient financial services and organizational performance