Claims Processing Manager Jobs in Nevada (NOW HIRING)

Job Title: Resource Liaison

Location: East Flamingo Road, Las Vegas, NV (On-Site)
Schedule: Monday–Friday, 8:30 AM – 5:00 PM
Benefits: Medical, Dental, Vision, 2 Weeks PTO, 401(k) after 1 year/1,000 hours worked
Type: Full-Time
Hourly Rate: $35/hour + Bonus scale based on approved skilled nursing hours

Job Description:
We are seeking a proactive and dedicated Resource Liaison to join our team. The successful candidate will serve as the primary point of contact for EEOICPA (Energy Employees Occupational Illness Compensation Program Act) claimants, assisting them in navigating the claims process through the Department of Labor (DOL). This includes educating claimants about Part B and Part E benefits, supporting them in gathering and submitting required medical documentation, and collaborating with medical providers to ensure compliance with program guidelines. Additionally, the Resource Liaison helps resolve medical billing and pharmacy issues to facilitate seamless access to healthcare services.

This role involves building strong relationships with healthcare providers, doctors, and adult living facilities, as well as hosting luncheons to foster community engagement and partnerships. The position is primarily remote but requires occasional in-person visits to patients. Willingness to travel within the service area is necessary to effectively support claimants and community partners.

Hallway Healthcare provides 1:1 in-home nursing care to retired Nuclear and Federal Workers that have received benefits through EEOICPA or FECA. These are the workers who have retired from Department of Energy facilities such Lawrence Livermore National Lab, Sandia National Lab Lawrence Berkeley National Lab, Stanford Linear, etc. We also serve Federal Workers such as US Postal Workers.

We offer flexible schedules, competitive pay, and 24/7 available support.

Unlike many home health agencies that require multiple short visits per shift, Hallway Healthcare typically assigns you to one patient per shift, allowing for more focused, consistent, and meaningful care.

Qualifications & Requirements:

• Bachelor’s degree in Healthcare Administration, Social Work, Public Health, or a related field (preferred).

• 2+ years of experience in healthcare coordination, patient advocacy, claims processing, or a related field. Or Sales experience, preferably in a healthcare or medical setting

• Knowledge of EEOICPA, DOL claims processes, and healthcare billing procedures (preferred).

• Strong communication and interpersonal skills with the ability to explain complex processes clearly.

• Proficiency in Google Drive and electronic documentation systems.

• Proficiency in Salesforce.

• Ability to work independently while maintaining strong organizational and problem-solving skills.

• Ability to coordinate resources efficiently and effectively

• Willing to travel and visit patients in person when needed

• Must have a valid driver’s license and reliable transportation for occasional travel to meet with claimants or providers.

Compensation & Benefits:

• Competitive hourly rate of $35/hour

• Bonuses for approved skilled nursing patients (scale when patient hours reach specified thresholds)

• Full-time employment with flexible support to meet patient needs

• Medical, Dental and Vision insurance

• 401k matches up to 4% after clocking 1k hours.

• 40 hours sick time

• 80 hours PTO

To Apply:
Please submit your resume and cover letter detailing your relevant experience.

Join our team and make a difference in patient care through effective resource management and exceptional service!

Essential Duties & Responsibilities:

Claims Support & Education:

• Educate claimants and their families on EEOICPA benefits, specifically the differences between Part B and Part E.

• Guide claimants through the claims process, ensuring they understand eligibility requirements and necessary documentation.

• Assist in the completion and submission of medical records and other required paperwork to the DOL.

• Provide ongoing support to claimants throughout the claims process, addressing questions and concerns.

Medical & Pharmacy Assistance:

• Assist claimants with resolving medical billing issues, working directly with healthcare providers and insurers.

• Facilitate the resolution of pharmacy-related concerns, including authorization and medication coverage under EEOICPA benefits.

• Advocate for claimants to ensure they receive appropriate and timely medical care covered by the program.

Medical Provider Coordination:

• Educate medical providers on EEOICPA guidelines, billing processes, and required documentation for claims.

• Act as a liaison between claimants, healthcare providers, and the DOL to ensure efficient communication and compliance.

• Provide training and resources to medical staff regarding claim-related procedures and program requirements.

Administrative & Compliance Responsibilities:

• Maintain accurate documentation of all claimant interactions, case progress, and issue resolution.

• Monitor updates to EEOICPA policies and regulations to ensure claimants receive the most accurate information.

• Work collaboratively with internal teams to provide comprehensive support to claimants and medical providers.

Working Conditions:

• Work is performed in an office setting, with occasional travel required for meetings, training, or outreach.

• Some remote work may be permitted based on company policies and claimant needs.

Performance Expectations:

• Provide timely and accurate support to claimants navigating the EEOICPA process.

• Maintain compliance with all applicable regulations and company policies.

• Build and maintain positive relationships with claimants, healthcare providers, and DOL representatives.

• Ensure accurate and organized documentation of all claimant interactions and case progress.

This job description outlines the primary responsibilities and qualifications for this position but is not intended to be an exhaustive list. The company reserves the right to modify job duties as necessary.