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Claims Processing Manager Jobs (NOW HIRING)

LSMA Management Inc

Claims Manager

San Bernardino, CA

$87K - $97K/yr

This position plays a critical role in ensuring claims processing accuracy, maintaining provider satisfaction, protecting organizational financial integrity, and supporting delegated managed care ...

LSMA Management Inc

Claims Manager

San Bernardino, CA · On-site

$87K - $97K/yr

This position plays a critical role in ensuring claims processing accuracy, maintaining provider satisfaction, protecting organizational financial integrity, and supporting delegated managed care ...

LSMA Management Inc

Claims Manager

San Bernardino, CA · On-site

$87K - $97K/yr

This position plays a critical role in ensuring claims processing accuracy, maintaining provider satisfaction, protecting organizational financial integrity, and supporting delegated managed care ...

Managed Staffing

Claims Processor

Mason, OH · On-site

$16 - $20.25/hr

Processing - Efficiently and accurately processes standard claims or adjustments * Consistently ... Managers, Operations, Information Systems, Client Representatives and EyeMed leadership team

TEKsystems

Claims Processor

Fresno, CA · Remote

$20 - $22/hr

This role is responsible for reviewing, analyzing, and processing medical, dental, and vision ... Strong data entry skills with the ability to accurately manage high-volume workloads. * Excellent ...

Collabera

Claims Processor

Mason, OH

$16 - $20.25/hr

Processing - Efficiently and accurately processes standard claims or adjustments Consistently ... Managers, Operations, Information Systems, Client Representatives and EyeMed leadership team.

Radiant Info Systems Ltd

Claims Manager

Milwaukee, WI · On-site

The manager must empower staff in meeting performance objectives and provide accurate and timely claims processing in accordance with State and Federal regulations. This position reports directly to ...

Sanford Health

Manager, Claims

Marshfield, WI · Remote

... Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the ... The process includes the review and/or testing of claims, benefits and fee schedules to ensure ...

Sanford Health

Manager, Claims

North Sioux City, SD · Remote

... Manager is under the general supervision of the Sanford Health Plan Director of Claims, in the ... The process includes the review and/or testing of claims, benefits and fee schedules to ensure ...

Astrana Health, Inc.

Sr. Manager - Claims

Monterey Park, CA · On-site +1

$125K - $140K/yr

In this role, you'll oversee daily claims processing, drive quality and turnaround time performance ... Manage claims inventory and prioritize workloads to consistently meet SLAs * Support onboarding and ...

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Claims Processing Manager information

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$35K

$87.9K

$139K

How much do claims processing manager jobs pay per year?

As of Aug 6, 2026, the average yearly pay for claims processing manager in the United States is $87,861.00, according to ZipRecruiter salary data. Most workers in this role earn between $68,000.00 and $105,000.00 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 are hiring for Claims Processing Manager jobs? Cities with the most Claims Processing Manager job openings:
What are the most commonly searched types of Claims Processing jobs? The most popular types of Claims Processing jobs are:
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What states have the most Claims Processing Manager jobs? States with the most job openings for Claims Processing Manager jobs include:
Claims Processing Manager jobs near you

Claims Processing & Billing Specialist

Professional Physical Therapy

Melville, NY • On-site

$23.64 - $25.51/hr

Full-time

Retirement, PTO

Posted 6 days ago

Professional Physical Therapy rating

5.4

Company rating: 5.4 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

Job description

Claims Processing & Billing Specialist
Full-Time Hybrid
Hourly Rate: $23.64 - $25.51 (commensurate with experience)
The Claims Processing & Billing Specialist is responsible for the accurate and timely submission of institutional and professional medical claims. Reporting to the Manager of Claims Processing & Credentialing, this role reviews claims in the Raintree EMR system, resolves billing edits and clearinghouse exceptions, and works closely with payers, patients, providers, and internal teams to support efficient reimbursement.
What You'll Do
  • Submit accurate institutional (UB-04) and professional (CMS-1500) claims to commercial and government payers.
  • Review and resolve claim edits, billing errors, clearinghouse exceptions, and rejections.
  • Submit corrected claims and ensure successful claim transmission to payers.
  • Verify patient eligibility and resolve coverage or demographic discrepancies prior to claim submission.
  • Communicate with insurance carriers, patients, providers, and internal teams to resolve billing issues.
  • Complete billing reviews, post splint charges, and enter charges into the DOL and Claim Connect portals.
  • Monitor claims processing inboxes and follow up on outstanding clearinghouse responses.
  • Navigate the Raintree EMR system to resolve claim issues and document account activity.
  • Meet departmental productivity and quality standards while maintaining compliance with HIPAA and other applicable regulations.
  • Stay current on payer policies and billing guidelines.
  • Perform other duties and special projects as assigned.
What You'll Bring
  • 3+ years of Revenue Cycle or medical billing experience.
  • Strong knowledge of institutional (UB-04) and professional (CMS-1500) billing.
  • Experience with commercial and government insurance payers.
  • Proficiency with the Raintree EMR system.
  • Strong analytical, organizational, and problem-solving skills with exceptional attention to detail.
  • Proven ability to manage multiple priorities, work independently, and consistently meet productivity goals.
  • Cross-functional Revenue Cycle experience is a plus.
  • Bachelor's degree preferred.
  • Commitment to professionalism, teamwork, confidentiality, and excellent customer service.
Benefits
Rest, Reset & Recharge: 2 weeks PTO; Sick time in accordance with state and local requirements; plus 6 major holidays.
Plan Ahead: Company-matched 401(k) once eligibility requirements are met.
Commute Smart: Pre-tax transit and parking benefits through WageWorks (for eligible in-office employees).
Care for Your Crew: MetLife Pet Insurance with flexible plans, up to 90% reimbursement on eligible expenses, and 24/7 telehealth support.
Play More, Pay Less: Exclusive discounts through PlumBenefits and LifeMart on travel, entertainment, shopping, dining, and more.
Equal Opportunity Employer, including Disabled/Veterans.

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