Medical Biller/Claims Processing
Atlanta, GA · Remote
$23/hr
This is a contract position with IQVIA , managed by an external agency, with the potential to ... Evaluate claims against program-specific business rules todetermineapproval or rejection.
Medical Biller/Claims Processing
Atlanta, GA · Remote
$23/hr
This is a contract position with IQVIA , managed by an external agency, with the potential to ... Evaluate claims against program-specific business rules todetermineapproval or rejection.
Claims Manager - Trucking (APD)
Atlanta, GA · On-site
$90 - $130/hr
Align team with client and customer expectations of the claims process * Serve as a resource for ... Execute on performance management; attract, hire, retain and provide high level of training
Claims Manager - Trucking (APD)
Atlanta, GA · On-site
$90 - $130/hr
Align team with client and customer expectations of the claims process * Serve as a resource for ... Execute on performance management; attract, hire, retain and provide high level of training
... management and staff, and is able to follow written and oral instructions. * Ability to process ... claims experience a plus
... management and staff, and is able to follow written and oral instructions. * Ability to process ... claims experience a plus
... management and staff, and is able to follow written and oral instructions. * Ability to process ... claims experience a plus
... management and staff, and is able to follow written and oral instructions. * Ability to process ... claims experience a plus
... management and staff, and is able to follow written and oral instructions. * Ability to process ... claims experience a plus
Quick apply
... management and staff, and is able to follow written and oral instructions. * Ability to process ... claims experience a plus
... management and staff, and is able to follow written and oral instructions. * Ability to process ... claims experience a plus
Quick apply
... management and staff, and is able to follow written and oral instructions. * Ability to process ... claims experience a plus
The Claims Executive is responsible for accurate reporting and filing of claim litigation to the ... processes and outcome * Organizational Skills: Capability to prioritize tasks and manage multiple ...
The Claims Executive is responsible for accurate reporting and filing of claim litigation to the ... processes and outcome * Organizational Skills: Capability to prioritize tasks and manage multiple ...
The Claims Executive is responsible for accurate reporting and filing of claim litigation to the ... processes and outcome * Organizational Skills: Capability to prioritize tasks and manage multiple ...
The Claims Executive is responsible for accurate reporting and filing of claim litigation to the ... processes and outcome * Organizational Skills: Capability to prioritize tasks and manage multiple ...
Account Representative (Claims Specialist)
Kennesaw, GA · Remote
$19/hr
... manage multiple systems efficiently. What You'll Do * Place outbound calls to insurance carriers to research and resolve claims * Review and process medical claims to ensure accurate billing and ...
Quick apply
Account Representative (Claims Specialist)
Kennesaw, GA · Remote
$19/hr
... manage multiple systems efficiently. What You'll Do * Place outbound calls to insurance carriers to research and resolve claims * Review and process medical claims to ensure accurate billing and ...
Account Representative (Claims Specialist)
Kennesaw, GA · Remote
$19/hr
... manage multiple systems efficiently. What You'll Do * Place outbound calls to insurance carriers to research and resolve claims * Review and process medical claims to ensure accurate billing and ...
Account Representative (Claims Specialist)
Kennesaw, GA · Remote
$19/hr
... manage multiple systems efficiently. What You'll Do * Place outbound calls to insurance carriers to research and resolve claims * Review and process medical claims to ensure accurate billing and ...
Account Representative (Claims Specialist)
Kennesaw, GA · On-site
$19/hr
... manage multiple systems efficiently. What You'll Do * Place outbound calls to insurance carriers to research and resolve claims * Review and process medical claims to ensure accurate billing and ...
Account Representative (Claims Specialist)
Kennesaw, GA · On-site
$19/hr
... manage multiple systems efficiently. What You'll Do * Place outbound calls to insurance carriers to research and resolve claims * Review and process medical claims to ensure accurate billing and ...
Claims Manager - Cyber
Atlanta, GA · On-site
An independent claims handler who will manage and oversee the end-to-end claims process for a wide variety of matters under Cyber policies. Supports Beazley's vision of being the highest performing ...
Claims Manager - Cyber
Atlanta, GA · On-site
An independent claims handler who will manage and oversee the end-to-end claims process for a wide variety of matters under Cyber policies. Supports Beazley's vision of being the highest performing ...
Claims Manager - Trucking (APD)
Atlanta, GA · On-site +1
Align team with client and customer expectations of the claims process * Serve as a resource for ... Execute on performance management; attract, hire, retain and provide high level of training
Claims Manager - Trucking (APD)
Atlanta, GA · On-site +1
Align team with client and customer expectations of the claims process * Serve as a resource for ... Execute on performance management; attract, hire, retain and provide high level of training
Communicate with claim managers, underwriters and brokers as needed, for proper processing of claims. * Provide administrative support to the Claims Processing Department as needed for all other ...
Communicate with claim managers, underwriters and brokers as needed, for proper processing of claims. * Provide administrative support to the Claims Processing Department as needed for all other ...
Communicate with claim managers, brokers, underwriters as needed for proper processing of claims. * Peer Training and conducting Quality Checks (Five Sigma vs. Claims Enterprise) * Other duties as ...
Communicate with claim managers, brokers, underwriters as needed for proper processing of claims. * Peer Training and conducting Quality Checks (Five Sigma vs. Claims Enterprise) * Other duties as ...
Claims Adjuster, Warranty
Atlanta, GA · On-site
... management, claims processing services, and service contract underwriting. With over 20+ years of ... experience, we are one of the warranty and service industry's leading providers, which is why many ...
Claims Adjuster, Warranty
Atlanta, GA · On-site
... management, claims processing services, and service contract underwriting. With over 20+ years of ... experience, we are one of the warranty and service industry's leading providers, which is why many ...
Medical Biller/Claims Processing - Patient Support Representative (Home-Based)
Atlanta, GA · On-site +1
$23/hr
This is a contract position with IQVIA , managed by an external agency, with the potential to ... Receive medical claims from healthcare providers (HCPs) or patients and ensure all required ...
Medical Biller/Claims Processing - Patient Support Representative (Home-Based)
Atlanta, GA · On-site +1
$23/hr
This is a contract position with IQVIA , managed by an external agency, with the potential to ... Receive medical claims from healthcare providers (HCPs) or patients and ensure all required ...
AVP, Claims Vendor Management
Atlanta, GA · On-site
... claims processing efficiency. The AVP serves as the primary liaison between external vendors and ... Performance Management: * Establish, monitor, and report on vendor scorecards and Key Performance ...
AVP, Claims Vendor Management
Atlanta, GA · On-site
... claims processing efficiency. The AVP serves as the primary liaison between external vendors and ... Performance Management: * Establish, monitor, and report on vendor scorecards and Key Performance ...
AVP, Claims Vendor Management
Atlanta, GA · On-site
... claims processing efficiency. The AVP serves as the primary liaison between external vendors and ... Performance Management: * Establish, monitor, and report on vendor scorecards and Key Performance ...
AVP, Claims Vendor Management
Atlanta, GA · On-site
... claims processing efficiency. The AVP serves as the primary liaison between external vendors and ... Performance Management: * Establish, monitor, and report on vendor scorecards and Key Performance ...
APD Claims Team Lead
Atlanta, GA · On-site
$90 - $130/hr
This role will balance management responsibilities and individual contributor responsibilities when ... Align team with client and customer expectations of the claims process * Serve as a resource for ...
New
APD Claims Team Lead
Atlanta, GA · On-site
$90 - $130/hr
This role will balance management responsibilities and individual contributor responsibilities when ... Align team with client and customer expectations of the claims process * Serve as a resource for ...
New
Claims Processing Manager information
See South Fulton, GA salary details
$33.2K - $42.2K
4% of jobs
$42.2K - $51.1K
4% of jobs
$51.1K - $60.1K
10% of jobs
$63.5K is the 25th percentile. Wages below this are outliers.
$60.1K - $69K
18% of jobs
$69K - $78K
12% of jobs
The median wage is $79.5K / yr.
$78K - $87K
13% of jobs
$87K - $95.9K
14% of jobs
$96.4K is the 75th percentile. Wages above this are outliers.
$95.9K - $104.9K
12% of jobs
$104.9K - $113.9K
7% of jobs
$113.9K - $122.8K
4% of jobs
$122.8K - $131.8K
2% of jobs
$33.2K
$83.3K
$131.8K
How much do claims processing manager jobs pay per year?
As of Aug 20, 2026, the average yearly pay for claims processing manager in South Fulton, GA is $83,313.00, according to ZipRecruiter salary data. Most workers in this role earn between $64,500.00 and $99,600.00 per year, depending on experience, location, and employer.
What does a claims processing manager do?
A Claims Processing Manager oversees the team responsible for reviewing, evaluating, and processing insurance claims. Their duties include ensuring claims are handled efficiently and accurately, developing procedures to improve workflow, and maintaining compliance with industry regulations. They also resolve complex or escalated claims issues, provide staff training, and report on performance metrics. The role requires strong leadership, analytical skills, and attention to detail to ensure a fair and timely claims process.
What are the key skills and qualifications needed to thrive as a claims processing manager?
To thrive as a Claims Processing Manager, you need expertise in insurance claims procedures, analytical skills, and a solid understanding of regulatory compliance, often supported by a bachelor's degree and relevant industry experience. Familiarity with claims management software, workflow automation tools, and data analysis systems is typically required. Strong leadership, attention to detail, and effective communication are crucial soft skills that set top performers apart in this role. These abilities ensure accurate and efficient claims processing, regulatory adherence, and effective team management, all of which are vital for organizational success.
What are the primary challenges faced by a claims processing manager, and how can they be addressed?
Claims Processing Managers often navigate challenges such as ensuring timely and accurate claim adjudication, managing a team with varying workloads, and staying up to date with regulatory changes. Balancing efficiency with compliance requires strong organizational skills and effective communication. Successful managers foster a collaborative environment, implement regular training, and leverage technology to streamline processes, all while maintaining high standards of customer service and data integrity.
What cities near South Fulton, GA are hiring for Claims Processing Manager jobs?
Cities near South Fulton, GA with the most Claims Processing Manager job openings:
IQVIA rating
8.1
Based on 53 frontline employees who took The Breakroom Quiz
62nd of 224 rated it services
Job description
Patient SupportMedicalBillingRepresentative
Contract Remote Role - Location (Open to Remote US)
At IQVIA, we are driven by a shared purpose: to improve patients' lives through innovative healthcare solutions. As a global leader in commercial services, we bring life-changing therapies and support programs to the people who need them most. Our workplace is rooted in belonging, collaboration, and continuous improvement-where every team member is empowered to make an impact.
As aPatient Support Medical Billing Representative,you'llbe part of a team that delivers meaningfulassistanceto patients through co-pay cards, vouchers, andclaimssupport. We invest in your success with career development opportunities and a culture that values client focus, flawless execution, teamwork, integrity, and results.
We are excited to announce an opening for a100% remote (work from home)Patient Support Medical Billing Representativeto join our team!In this role, you will provide paymentassistancesolutions such as co-pay cards or vouchers to patients. Your primary responsibility will be to receive medical claims from healthcare providers (HCPs) or patients, review supporting documentation, and vet each claim against program-specific business rules todeterminewhether it should be paid or rejected.This is acontract position with IQVIA, managed by an external agency, with thepotential to convert to a full-time IQVIA employee.
Job Responsibilities
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Receive medical claims from healthcare providers (HCPs) or patients and ensure all required supporting documentation is provided.
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Interpret Explanation of Benefits (EOB) and CMS-1500 forms.
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Evaluate claims against program-specific business rules todetermineapproval or rejection.
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Maintain exceptional organizational skills to manage dailyworkload.
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Provide support to customer inquiries via phone, email, fax, or other communication channels.
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Identifyoperational challenges and recommend solutions to management as needed.
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Adhere to HIPAA guidelines.
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Prioritize tasks effectively throughout the day.
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Meet daily productivity and quota expectations.
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Work40 hoursper week under moderate supervision.
Minimum Education & Experience
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High School Diploma or equivalent Required
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Completion of Medical Billing Program or Medical Billing degree or Certified Medical BillinglicenseRequired
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Experience in claim processing Required
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Ability to interpret EOBs Required
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Insurance verificationexperience Required
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Experience with payment postings Required
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Callcenter,customer service experience (inbound/outbound calls) Required
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Revenue cycle experience Preferred
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Proficiencyin Microsoft Office (Excel, Word, Outlook, Teams) Preferred
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Experience with secondary and tertiary billing Preferred
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Familiarity with complex insurance scenarios Preferred
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Experience with multi-layered billing processes Preferred
The pay range for this role is $23.00 per hour.
IQVIA is an Equal Opportunity Employer. We cultivate a diverse corporate culture across the 100+ countries where we operate, celebrating and rewarding teamwork and inclusiveness. By embracing our differences, we create innovative solutions that are good for IQVIA, our clients, and the advancement of healthcare everywhere. This role will be a contract role with IQVIA managed by an external agency, with the opportunity to be converted to an IQVIA full-time employee.
#LI-CES
#LI-Remote
#LI-DNP
IQVIA is a leading global provider of clinical research services, commercial insights and healthcare intelligence to the life sciences and healthcare industries. We create intelligent connections to accelerate the development and commercialization of innovative medical treatments to help improve patient outcomes and population health worldwide. Learn more athttps://jobs.iqvia.com
IQVIA is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable law. https://jobs.iqvia.com/eoe
IQVIA is committed to integrity in our hiring process and maintains a zero tolerance policy for candidate fraud. All information and credentials submitted in your application must be truthful and complete. Any false statements, misrepresentations, or material omissions during the recruitment process will result in immediate disqualification of your application, or termination of employment if discovered later, in accordance with applicable law. We appreciate your honesty and professionalism.
The potential base pay range for this role is $23.00 per hour. The actual base pay offered may vary based on a number of factors including job-related qualifications such as knowledge, skills, education, and experience; location; and/or schedule (full or part-time). Dependent on the position offered, incentive plans, bonuses, and/or other forms of compensation may be offered, in addition to a range of health and welfare and/or other benefits.
About IQVIA
Sourced by ZipRecruiter
At IQVIA, we are passionate about helping customers and partners improve results and patient outcomes. Everything we do contributes to this vision for creating a healthier world. In today’s healthcare environment, it’s not only about how much data, information, and technology you have at your fingertips – it’s what you do with it. IQVIA is focused on making intelligent connections for customers across the entire healthcare ecosystem to help you drive healthcare forward. Whether that means partnering with novel technology companies to boost patient engagement, leveraging AI & machine learning to accelerate results, or using decentralized trials to reach the right patients wherever they are – we are always looking for smarter ways to move you forward.
Industry
Health care and social assistance
Company size
10,000+ Employees
Headquarters location
Durham, NC, US