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Claims Processing Manager Jobs in Springfield, OH

Vendor Medical Coding Analyst

Dayton, OH · On-site +1

$54K - $87K/yr

Claims processing skills * Technical writing skills * Time management skills * Decision making/problem solving skills Licensure and Certification: * Certified Medical Coder (CPC, RHIT or RHIA ...

Billing Patient Account Representative

Dayton, OH · On-site

$17.50 - $23/hr

Under the supervision of the Billing Department Manager: perform the daily account processing tasks ... claims; answer incoming as well as place outgoing calls to both patients and clients while ...

Support implementation and refinement of reimbursement logic within claims processing systems ... to manage multiple priorities in a fast-paced environment Strong time management and problem ...

Support implementation and refinement of reimbursement logic within claims processing systems ... Ability to manage multiple priorities in a fast-paced environment * Strong time management and ...

Claims AI Business Analyst IV

Dayton, OH · On-site +1

$94K - $164K/yr

The Claims AI Business Analyst IV is responsible for driving end-to-end process transformation ... Ability to break down complex processes into actionable components * Strong stakeholder management ...

Epic Denials Management Operator

Dayton, OH · Remote

$17.50 - $23.25/hr

Rebill corrected claims and route issues to coding, billing, credentialing, denials, and/or ... 277 processing) received from third party payers. Conduct Denial categorization and root cause ...

To expedite the claims application process; to ensure correct case assignment; and to act as a ... Management retains the discretion to add or to change the duties of the position at any time. As ...

Showing results 21-40

Claims Processing Manager information

See Springfield, OH salary details

$31.5K

$79.1K

$125.2K

How much do claims processing manager jobs pay per year?

As of Aug 12, 2026, the average yearly pay for claims processing manager in Springfield, OH is $79,140.00, according to ZipRecruiter salary data. Most workers in this role earn between $61,200.00 and $94,600.00 per year, depending on experience, location, and employer.

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 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 cities near Springfield, OH are hiring for Claims Processing Manager jobs? Cities near Springfield, OH with the most Claims Processing Manager job openings:

PATIENT FINANCIAL ADVOCATE - HYBRID

Premier Health

Dayton, OH • On-site

Full-time

Re-posted 26 days ago


Job description

PATIENT FINANCIAL ADVOCATE
MIAMI VALLEY INFUSION ADMIN
8A-4:30P / 8:30A-5P
FULL TIME / 80 HOURS PER PAY PERIOD
HYBRID = WORK LOCATION AT MIAMI VALLEY HOSPITAL NORTH / HOME
The Patient Financial advocate is responsible for assisting patients and/or families to access financial resources. The Advocate assists and provides guidance to those patients who may qualify for assistance through state, county, and federal programs. The Advocate will also be responsible for revenue cycle processes including functions related to obtaining prior authorization, follow up, and benefit verification. Additionally, the Advocate will be available to patients and families to answer questions regarding their insurance and give estimates of co-pay amounts
Minimum Level of Education Required: High School completion / GED
  • Preferred educational qualifications: Medical terminology, medical billing, and/or CPT/ICD coding knowledge. Associate Degree in related field preferred.

  • Position specific testing requirement: Preferred Windows-based computer typing 25 wpm

Minimum Level of Experience Required: 3 - 5 years of job related experience
Preferred experience: Prior hospital experience, insurance/claims processing, patient financial need assessment eligibility and prior authorization process preferred. worked with Epic previously.
Other experience requirements: Overall knowledge of patient registration, third party collections, prior authorization, verification of insurance benefits, Medicaid and other government programs, hospital billing and/or managed care contracts is preferred. 3-5 years of recent financial assistance, billing, insurance verification, or self-pay accounts receivable management experience in healthcare/medical setting or financial institution setting with oversight of functions such as processes credit applications; verify credit references and information; determines lines of credit. Prepares reports on the status of credit and collections, and other operating statements are required. Must possess good math skills and pass a skills test with includes calculating co-pays and deductibles.