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Claim Manager Jobs in Springville, AL (NOW HIRING)

Grandview Medical Center

Billing Specialist

Birmingham, AL

$18 - $24.25/hr

Reviews and corrects claim filing edits in electronic health record (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med). * Researches and resolves claim denials and rejections ...

Sterling Search Partners

Settlement Specialist

Birmingham, AL · On-site

$43K - $59K/yr

This position plays a critical role in ensuring claim submissions, supporting documentation, and ... Ability to manage multiple priorities in a fast-paced, high-volume environment. * Strong analytical ...

Deloitte

Epic Denials Management Operator

Birmingham, AL · Remote

$16.75 - $22.50/hr

Experience analyzing billing workflows, claim issues, or operational data For individuals assigned ... Work you'll do As an Epic Denials Management Operator on the AI & Engineering team, you will be ...

New

Deloitte

Accounts Receivable Analyst

Birmingham, AL · Remote

$22.50 - $28.50/hr

Experience managing multiple projects or workstreams * Experience preparing and delivering technical demonstrations * Experience analyzing billing workflows, claim issues, or operational data For ...

Deloitte

Hospital Billing Coordinator

Birmingham, AL · Remote

$50K - $60K/yr

Experience managing multiple projects or workstreams * Experience preparing and delivering technical demonstrations * Experience analyzing billing workflows, claim issues, or operational data For ...

Deloitte

Hospital Billing Operator

Birmingham, AL · Remote

$17 - $22/hr

Experience managing multiple projects or workstreams * Experience preparing and delivering technical demonstrations * Experience analyzing billing workflows, claim issues, or operational data For ...

UAB NOVA RENT

PATIENT ACCOUNTS COORDINATOR

Birmingham, AL · On-site

$15 - $24.40/hr

This role supports the School of Dentistry Business Office by managing third-party billing activities, including claim submission, follow-up, and resolution with insurance payers. The Patient ...

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All JobsClaim JobsClaim Manager JobsClaim Manager Jobs in Springville, AL

Claim Manager information

See Springville, AL salary details

$32.6K

$81.8K

$129.4K

How much do claim manager jobs pay per year?

As of Jul 31, 2026, the average yearly pay for claim manager in Springville, AL is $81,774.00, according to ZipRecruiter salary data. Most workers in this role earn between $63,300.00 and $97,700.00 per year, depending on experience, location, and employer.

What is the difference between Claim Manager vs Claims Adjuster?

AspectClaim ManagerClaims Adjuster
CredentialsTypically requires a bachelor’s degree, industry certifications (e.g., CPCU, AIC), and experience in claims handlingOften requires a high school diploma or associate degree; certifications like AIC are common but not mandatory
Work EnvironmentManages teams, oversees claims processes, and develops policies; often in an office settingInvestigates claims, assesses damages, and makes settlement decisions; may work in the field or office
Industry UsageUsed across insurance companies, especially in managerial and supervisory rolesCommonly 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.

What are Claim Managers?

Claim Managers are professionals responsible for overseeing and managing insurance claims within an organization. They ensure that claims are processed efficiently, fairly, and in compliance with policy terms and relevant regulations. Claim Managers often supervise a team of adjusters and examiners, review complex claims, resolve disputes, and communicate with policyholders, legal teams, and other stakeholders. Their work helps protect the financial interests of both the insurer and the insured.

What are the key skills and qualifications needed to thrive as a Claim Manager, and why are they important?

To thrive as a Claim Manager, you need strong analytical skills, deep knowledge of insurance policies and claims processes, and typically a bachelor's degree in business, finance, or a related field. Familiarity with claims management software, risk assessment tools, and relevant certifications such as AIC (Associate in Claims) are common requirements. Excellent negotiation, problem-solving, and communication skills help you effectively resolve claims and liaise with clients and stakeholders. These skills ensure efficient and fair claim resolutions, contributing to client satisfaction and minimizing company risk.

What are some common challenges Claim Managers face when handling complex claims, and how can they effectively overcome them?

Claim Managers often encounter challenges such as coordinating between multiple stakeholders, interpreting nuanced policy language, and managing high volumes of complex cases simultaneously. Effectively overcoming these challenges requires strong organizational skills, clear communication, and the ability to make well-informed decisions under pressure. Building collaborative relationships with adjusters, legal teams, and clients, as well as staying updated on industry regulations, helps Claim Managers resolve claims efficiently while maintaining compliance and customer satisfaction.
What cities near Springville, AL are hiring for Claim Manager jobs? Cities near Springville, AL with the most Claim Manager job openings:
Claim Manager jobs near you
Infographic showing various Claim Manager job openings in Springville, AL as of July 2026, with employment types broken down into 75% Full Time, 23% Part Time, 1% Temporary, and 1% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $81,774 per year, or $39.3 per hour.

Billing Specialist

Grandview Medical Center

Birmingham, AL

$18 - $24.25/hr

Full-time

Re-posted 27 days ago

Grandview Medical Center (Alabama) rating

5.7

Company rating: 5.7 out of 10

Based on 50 frontline employees who took The Breakroom Quiz

913th of 1,054 rated hospitals

Job description

Job Description Job Summary
The Billing Specialist II is responsible for managing complex billing functions, ensuring timely and accurate claims processing, and resolving issues related to insurance payments and account balances. This position serves as the primary contact for insurance companies and other payers, performing in-depth research to facilitate claim resolution and maximize collections. The Billing Specialist II also supports team training, assists with audits, and ensures compliance with payer regulations and company policies.
Essential Functions
  • Serves as the primary point of contact for insurance companies, payers, and patients regarding billing inquiries and claim resolution.
  • Reviews and processes insurance claims, ensuring timely submission and compliance with payer guidelines.
  • Identifies and resolves credit balances, reclassifies revenue, and processes adjustments according to transaction coding policies.
  • Reviews and corrects claim filing edits in electronic health record (EHR) and practice management systems (e.g., Athena, Cerner, Ingenious Med).
  • Researches and resolves claim denials and rejections, working proactively to identify trends and implement corrective actions.
  • Monitors and works vendor/payer audit trails, submitting secondary claims and addressing discrepancies as needed.
  • Maintains up-to-date knowledge of federal, state, and payer billing guidelines, utilizing payer websites for claims follow-up.
  • Assists in training staff and providers on billing updates, maintaining a centralized electronic repository for reference materials.
  • Ensures proper billing and collection procedures in collaboration with management, clinic staff, and coding teams.
  • Maintains confidentiality and ensures compliance with HIPAA regulations and company policies.
  • Performs other duties as assigned.
  • Maintains regular and reliable attendance.
  • Complies with all policies and standards.
Qualifications
  • 2-4 years of experience in medical billing, insurance claims processing, or revenue cycle management required
  • 1-3 years in collections, knowledge of third party billing, and insurance reimbursement required
  • 0-1 years of experience with Medicare preferred
Knowledge, Skills and Abilities
  • Advanced knowledge of medical billing processes, insurance claim procedures, and payer policies.
  • Strong understanding of revenue cycle management, including insurance reimbursement and claim adjudication.
  • Proficiency in electronic health records (EHR) and practice management systems.
  • Ability to analyze and resolve complex billing issues, including denials and payment discrepancies.
  • Strong communication and problem-solving skills to interact with patients, providers, and payers.
  • Ability to train and mentor team members on billing best practices.
  • Detail-oriented with the ability to meet deadlines and manage multiple priorities.
  • Working knowledge of HIPAA regulations and data confidentiality requirements.
Licenses and Certifications
  • CPB- Certified Medical Biller issued by AAPC preferred or
  • Certified Medical Insurance Specialist (CMIS) issued by PMI preferred

What Grandview Medical Center (Alabama) employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Grandview Medical Center

Sourced by ZipRecruiter

Grandview Medical Center is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and offers programs and services in all medical and surgical areas, including Cardiology, Oncology, Neurology, Women's Health, Mental Health, Digestive Diseases, Orthopedics, Physical Medicine and Rehab, Sports Medicine and Emergency Care. There are more than 600 physicians on the Grandview medical staff representing 30 specialties and subspecialties. The hospital has been named an accredited program for Metabolic and Bariatric surgery by ASMBS & ACS as well as an accredited chest pain center.

Industry

Hospitals

Company size

1,001 - 5,000 Employees

Headquarters location

Birmingham, AL, US

Year founded

2015

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