Manage claims submission workflows including electronic claim generation, clearinghouse edits, and ... Application Process (Takes 20-30 mins to complete) * Upload resume * AI interview based on your ...
Quick apply
Manage claims submission workflows including electronic claim generation, clearinghouse edits, and ... Application Process (Takes 20-30 mins to complete) * Upload resume * AI interview based on your ...
This leader will oversee end-to-end claims processing, drive operational excellence, ensure ... Manage and develop a team of managers, supervisors, claims analysts, and claims processors ...
This leader will oversee end-to-end claims processing, drive operational excellence, ensure ... Manage and develop a team of managers, supervisors, claims analysts, and claims processors ...
This leader will oversee end-to-end claims processing, drive operational excellence, ensure ... Manage and develop a team of managers, supervisors, claims analysts, and claims processors ...
This leader will oversee end-to-end claims processing, drive operational excellence, ensure ... Manage and develop a team of managers, supervisors, claims analysts, and claims processors ...
Claims Processor
$24.19/hr
Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records. * Ability to use mathematics to adjudicate claims. * Ability to solve problems ...
New
Claims Processor
$24.19/hr
Knowledge of administrative and clerical procedures and systems such as word processing and managing files and records. * Ability to use mathematics to adjudicate claims. * Ability to solve problems ...
New
Claims Service Correspondent
Manhattan, NY · On-site
$55K - $64K/yr
They will work closely with Provider Contracting, Medical Management, Enrollment and Membership department, and Claims Processing unit. Scope of Role & Responsibilities * Act as a key liaison and ...
Claims Service Correspondent
Manhattan, NY · On-site
$55K - $64K/yr
They will work closely with Provider Contracting, Medical Management, Enrollment and Membership department, and Claims Processing unit. Scope of Role & Responsibilities * Act as a key liaison and ...
Claims Service Correspondent
Manhattan, NY · Hybrid
$55K - $64K/yr
They will work closely with Provider Contracting, Medical Management, Enrollment and Membership department, and Claims Processing unit. Scope of Role & Responsibilities * Act as a key liaison and ...
Claims Service Correspondent
Manhattan, NY · Hybrid
$55K - $64K/yr
They will work closely with Provider Contracting, Medical Management, Enrollment and Membership department, and Claims Processing unit. Scope of Role & Responsibilities * Act as a key liaison and ...
Manager Claims Healthcare
Manhattan, NY · On-site
$118K - $132K/yr
Position: Manager of Claims Delegation Location: Hybrid (Must Reside in NY/NJ/CT) Compensation ... process, overseeing the completion of claims audits/reviews of delegated vendors to ensure ...
Manager Claims Healthcare
Manhattan, NY · On-site
$118K - $132K/yr
Position: Manager of Claims Delegation Location: Hybrid (Must Reside in NY/NJ/CT) Compensation ... process, overseeing the completion of claims audits/reviews of delegated vendors to ensure ...
Manager Claims Healthcare
Manhattan, NY · On-site
$118K - $132K/yr
Manager of Claims DelegationLocation: Hybrid (Must Reside in NY/NJ/CT)Compensation:$118,135.58 ... process, overseeing the completion of claims audits/reviews of delegated vendors to ensure ...
Manager Claims Healthcare
Manhattan, NY · On-site
$118K - $132K/yr
Manager of Claims DelegationLocation: Hybrid (Must Reside in NY/NJ/CT)Compensation:$118,135.58 ... process, overseeing the completion of claims audits/reviews of delegated vendors to ensure ...
Claims Risk Manager
Allentown, PA · On-site
$85K - $100K/yr
A Claims Risk Manager is responsible for overseeing the claims process, ensuring compliance with regulations, and developing strategies to mitigate risks associated with claims. This role involves ...
Claims Risk Manager
Allentown, PA · On-site
$85K - $100K/yr
A Claims Risk Manager is responsible for overseeing the claims process, ensuring compliance with regulations, and developing strategies to mitigate risks associated with claims. This role involves ...
Claims Risk Manager
Allentown, PA · On-site
A Claims Risk Manager is responsible for overseeing the claims process, ensuring compliance with regulations, and developing strategies to mitigate risks associated with claims. This role involves ...
Claims Risk Manager
Allentown, PA · On-site
A Claims Risk Manager is responsible for overseeing the claims process, ensuring compliance with regulations, and developing strategies to mitigate risks associated with claims. This role involves ...
Claims Risk Manager
Allentown, PA · On-site
A Claims Risk Manager is responsible for overseeing the claims process, ensuring compliance with regulations, and developing strategies to mitigate risks associated with claims. This role involves ...
Claims Risk Manager
Allentown, PA · On-site
A Claims Risk Manager is responsible for overseeing the claims process, ensuring compliance with regulations, and developing strategies to mitigate risks associated with claims. This role involves ...
Claims Risk Manager
Allentown, PA · On-site
$85K - $100K/hr
A Claims Risk Manager is responsible for overseeing the claims process, ensuring compliance with regulations, and developing strategies to mitigate risks associated with claims. This role involves ...
Quick apply
Claims Risk Manager
Allentown, PA · On-site
$85K - $100K/hr
A Claims Risk Manager is responsible for overseeing the claims process, ensuring compliance with regulations, and developing strategies to mitigate risks associated with claims. This role involves ...
Manager, Hospital Claims
Manhattan, NY · On-site
... the Processor and Clerical Unit at the 1199 SEIU National Benefit Funds Provide direction and ... claims at the high-dollar manager level Develop policies and procedures; identify areas of ...
Manager, Hospital Claims
Manhattan, NY · On-site
... the Processor and Clerical Unit at the 1199 SEIU National Benefit Funds Provide direction and ... claims at the high-dollar manager level Develop policies and procedures; identify areas of ...
Manager, Hospital Claims
Manhattan, NY · On-site
... the Processor and Clerical Unit at the 1199 SEIU National Benefit Funds Provide direction and ... claims at the high-dollar manager level Develop policies and procedures; identify areas of ...
Manager, Hospital Claims
Manhattan, NY · On-site
... the Processor and Clerical Unit at the 1199 SEIU National Benefit Funds Provide direction and ... claims at the high-dollar manager level Develop policies and procedures; identify areas of ...
Quality Control Reviewer III
Manhattan, NY · On-site
$18.75 - $23.75/hr
O.S on specific requests Ensure timely/accurate processing of hospital claims according to Claims Xten, Lab Management, Radiation Therapy, High-End Imaging, Medical Oncology and Specialty drug ...
Quality Control Reviewer III
Manhattan, NY · On-site
$18.75 - $23.75/hr
O.S on specific requests Ensure timely/accurate processing of hospital claims according to Claims Xten, Lab Management, Radiation Therapy, High-End Imaging, Medical Oncology and Specialty drug ...
NASCO claims Specialist
Newark, NJ · On-site
$110K - $115K/yr
Key Responsibilities * Serve as primary SME for end to end NASCO claims processing across ... Experience with test management and defect tracking tools (Jira, ALM, qTest)
Quick apply
NASCO claims Specialist
Newark, NJ · On-site
$110K - $115K/yr
Key Responsibilities * Serve as primary SME for end to end NASCO claims processing across ... Experience with test management and defect tracking tools (Jira, ALM, qTest)
Quality Control Reviewer III
Manhattan, NY · On-site
$18.75 - $23.75/hr
O.S on specific requests Ensure timely/accurate processing of hospital claims according to Claims Xten, Lab Management, Radiation Therapy, High-End Imaging, Medical Oncology and Specialty drug ...
Quality Control Reviewer III
Manhattan, NY · On-site
$18.75 - $23.75/hr
O.S on specific requests Ensure timely/accurate processing of hospital claims according to Claims Xten, Lab Management, Radiation Therapy, High-End Imaging, Medical Oncology and Specialty drug ...
Manager, Hospital Claims
Manhattan, NY · On-site
$104K - $130K/yr
... Processor and Clerical Unit at the 1199 SEIU National Benefit Funds • Provide direction and ... claims at the high-dollar manager level • Develop policies and procedures; identify areas of ...
Manager, Hospital Claims
Manhattan, NY · On-site
$104K - $130K/yr
... Processor and Clerical Unit at the 1199 SEIU National Benefit Funds • Provide direction and ... claims at the high-dollar manager level • Develop policies and procedures; identify areas of ...
NASCO claims Specialist
Newark, NJ · On-site
$110K - $115K/yr
Key Responsibilities • Serve as primary SME for end to end NASCO claims processing across ... management and defect tracking tools (Jira, ALM, qTest). Salary Range: $110,000- $115,000 a year ...
NASCO claims Specialist
Newark, NJ · On-site
$110K - $115K/yr
Key Responsibilities • Serve as primary SME for end to end NASCO claims processing across ... management and defect tracking tools (Jira, ALM, qTest). Salary Range: $110,000- $115,000 a year ...
Claims Associate, Risk Management
Manhattan, NY · On-site
$120K - $140K/yr
Support the end-to-end claims resolution process and track claim status across multiple lines of ... Minimum 4 years of experience in risk management, insurance claims processing, or a related field.
Claims Associate, Risk Management
Manhattan, NY · On-site
$120K - $140K/yr
Support the end-to-end claims resolution process and track claim status across multiple lines of ... Minimum 4 years of experience in risk management, insurance claims processing, or a related field.
Claims Processing Manager information
See Warren, NJ salary details
$36.3K - $46.2K
4% of jobs
$46.2K - $56K
4% of jobs
$56K - $65.8K
10% of jobs
$69.6K is the 25th percentile. Wages below this are outliers.
$65.8K - $75.6K
18% of jobs
$75.6K - $85.4K
12% of jobs
The median wage is $87.1K / yr.
$85.4K - $95.3K
13% of jobs
$95.3K - $105.1K
14% of jobs
$105.5K is the 75th percentile. Wages above this are outliers.
$105.1K - $114.9K
12% of jobs
$114.9K - $124.7K
7% of jobs
$124.7K - $134.5K
4% of jobs
$134.5K - $144.4K
2% of jobs
$36.3K
$91.2K
$144.4K
How much do claims processing manager jobs pay per year?
As of Aug 27, 2026, the average yearly pay for claims processing manager in Warren, NJ is $91,244.00, according to ZipRecruiter salary data. Most workers in this role earn between $70,600.00 and $109,000.00 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 Warren, NJ are hiring for Claims Processing Manager jobs?
Cities near Warren, NJ with the most Claims Processing Manager job openings:
$80/hr
Full-time
Posted 6 days ago
Job description
About the job
Mercor connects elite creative and technical talent with leading AI research labs. Headquartered in San Francisco, our investors include Benchmark, General Catalyst, Peter Thiel, Adam D'Angelo, Larry Summers, and Jack Dorsey.
Position: Medical Billing Manager
Type: Contract
Compensation: $80/hour
Location: Remote
Role Responsibilities
- Oversee end-to-end medical billing and claims submission operations across professional fee and/or facility billing environments.
- Evaluate AI-generated billing outputs, claim edits, and coding validations for accuracy and payer compliance.
- Manage claims submission workflows including electronic claim generation, clearinghouse edits, and payer-specific billing requirements.
- Monitor clean claim rates, rejection rates, and first-pass acceptance rates. Develop improvement strategies.
- Coordinate with coding, CDI, and collections teams to resolve billing edits and claim rejections.
- Ensure compliance with CMS billing guidelines, HIPAA 837 transaction standards, and payer-specific billing rules.
- Annotate AI outputs and provide structured feedback to support AI training datasets.
Qualifications
Must-Have
- 5+ years of experience in medical billing and claims management, with at least 2 years in a management role.
- Deep knowledge of professional fee (CMS-1500/837P) and/or facility (UB-04/837I) billing requirements.
- Expertise in HIPAA 837 transaction standards, clearinghouse operations, and payer-specific billing rules.
- Strong understanding of Medicare, Medicaid, and commercial payer billing requirements.
- Proficiency with billing platforms (Epic, Athenahealth, AdvancedMD, or equivalent) and clearinghouse tools.
- Exceptional written and verbal English communication skills.
- High attention to detail with the ability to identify billing errors and compliance issues in AI-generated outputs.
Preferred
- CPC, CCS, CHFP, or CRCR certification.
- Experience with automated billing platforms and RCM technology implementations.
- Background in multi-specialty physician group, hospital, or health system billing operations.
- Familiarity with AI tools and comfort evaluating AI-generated billing content.
- Experience with payer contract interpretation and billing compliance program management.
Application Process (Takes 20–30 mins to complete)
- Upload resume
- AI interview based on your resume
- Submit form
Resources & Support
- For details about the interview process and platform information, please check: https://talent.docs.mercor.com/welcome
- For any help or support, reach out to: support@mercor.com
PS: Our team reviews applications daily. Please complete your AI interview and application steps to be considered for this opportunity.