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Claim examiner • henderson nv

Last updated: 4 days ago

Healthcare Operations Director

Behavioral Health SolutionsHenderson, NV, United States
Full-time

Behavioral Health Solutions (BHS) is seeking a.This leadership role oversees teams responsible for provider scheduling and insurance eligibility verification, ensuring efficient workflows, high acc... Show more

Sr. Manager of Research & Development

ProCaps LabsHenderson, NV, US
Full-time
Quick Apply

Manager of Research & Development.Research & Development (R&D) teams to execute science-driven innovation and formulation strategies for food, chocolates, cosmetics, and nutritional sup... Show more

Claim Examiner II, Construction

MarkelHenderson, NV, United States
$62,400.00 yearly
Full-time

Join Us And Play Your Part In Something Special.This position will be responsible for the resolution of moderate complexity and moderate exposure Construction claims in multiple jurisdictions.The p... Show more

HR Generalist

Empire CATHenderson, NV, United States
Full-time

The Human Resources Generalist provides general guidance and support to managers and employees across a broad range of HR disciplines, including employee relations, compliance, HRIS, compensation, ... Show more

Remote A/R Follow-up Manager - AI Trainer ($75-$75 per hour)

MercorHenderson, Nevada, US
$75.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced A/R Follow-Up Managers to evaluate AI tools designed to automat... Show more

Area Field Manager

U-HaulHenderson, NV, United States
Full-time

Are you a self-starter? Are you tired of being locked down in an office all day? Do you crave the flexibility to manage, plan and execute your day-to-day workload? If so, then this opportunity is t... Show more

Mobile Phlebotomist/Paramedical Examiner

Quest DiagnosticsHenderson, Nevada, United States
$20.00 hourly
Part-time
Quick Apply

As a Mobile Collector, you would be a part-time, on-call, and at-will employee.On-Call and At-Will equal Flexibility! You will choose the days and hours you wish to work and the areas you wish to w... Show more

Commercial Claims Adjuster - Carrier or TPA - REMOTE

Work At Home Vintage ExpertsHenderson, NV, US
Remote
Full-time +2
Quick Apply

Put your Insurance Experience to work – FROM HOME!.Our unique platform provides you with.WHAT YOU’LL LOVE ABOUT WAHVE.We created a welcoming place to work with friendly and professional... Show more

Configuration Manager

P3 Health PartnersHenderson, NV, United States
$100,000.00 yearly
Full-time

The main functions of this position are responsible for leading, coaching and guiding staff that implement, support, and maintain the core administrative system configuration including but not limi... Show more

Remote Patient Access Leader - AI Trainer ($80-$80 per hour)

MercorHenderson, Nevada, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Patient Access leaders to support the evaluation and improvemen... Show more

Insurance and Financial Services Position - State Farm Team Member

Nick Sage - State Farm AgentHenderson, NV, US
$50,000.00 yearly
Full-time

State Farm Insurance Agency located in Henderson / Las Vegas, NV is seeking an outgoing, friendly, and career-oriented professional to join our team.If you are a motivated self-starter who thrives ... Show more

Remote Denials Management & Appeals Manager - AI Trainer ($70-$93 per hour)

MercorHenderson, Nevada, US
$70.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Denials Management and Appeals Managers to evaluate AI tools de... Show more

Remote Healthcare Administrative Specialist - AI Trainer ($40-$50 per hour)

MercorHenderson, Nevada, US
$40.00 hourly
Remote
Full-time

About the Role** We're looking for professionals with deep, hands-on experience in the administrative and operational work that keeps healthcare organizations running — the "back office" of a medic... Show more

Customer Service Representative - State Farm Agent Team Member

Carl Endorf - State Farm AgentHenderson, NV, US
$34,000.00 yearly
Full-time

Valid Nevada Property & Casualty License Required.State Farm Agency Experience a plus.As Customer Service Representative - State Farm Agent Team Member for Carl Endorf - State Farm Agent, you a... Show more

Bankruptcy Processor (Mortgage Servicing)

Village Capital & InvestmentHenderson, NV, USA
Full-time
Quick Apply

Job Title: Bankruptcy Processor (Mortgage Servicing)Location: Henderson, NV Job Type: Full-Time Company: Village Capital & Investment LLCAbout UsVillage Capital & Investment LLC is a well-establish... Show more

Remote Coding Manager / HIM Coding Leader - AI Trainer ($80-$80 per hour)

MercorHenderson, Nevada, US
$80.00 hourly
Remote
Full-time

Mercor is working with a leading AI research lab to improve the capabilities of next-generation AI systems.We are seeking experienced Coding Managers and HIM Coding leaders to evaluate AI-powered c... Show more

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Healthcare Operations Director

Healthcare Operations Director

Behavioral Health SolutionsHenderson, NV, United States
30+ days ago
Job type
  • Full-time
Job description

Behavioral Health Solutions (BHS) is seeking a Healthcare Operations Director to lead and optimize the administrative operations that support patient access and provider scheduling across multiple markets.

This leadership role oversees teams responsible for provider scheduling and insurance eligibility verification, ensuring efficient workflows, high accuracy, and excellent service for patients, providers, and facility partners. The ideal candidate is an experienced healthcare operations leader who excels at managing teams, improving processes, and maintaining operational excellence in a fast-paced healthcare environment.

This position plays a critical role in supporting clinical operations and ensuring that scheduling and eligibility processes align with the organization’s commitment to high-quality care and seamless service delivery.

Key Responsibilities

Team Leadership & Management

  • Lead and supervise administrative team members responsible for provider scheduling and insurance eligibility verification.
  • Recruit, train, mentor, and evaluate staff while fostering a positive and accountable team culture.
  • Establish performance expectations focused on accuracy, timeliness, productivity, and service excellence.

Scheduling Operations

  • Oversee provider scheduling processes to ensure efficient appointment coordination and optimal provider utilization.
  • Monitor and adjust scheduling templates to align with provider availability and operational demands.
  • Ensure timely communication with facilities, providers, and patients regarding schedule updates or changes.

Insurance Eligibility & Verification

  • Direct processes for verifying insurance coverage, eligibility, and benefits prior to appointments.
  • Manage resolution of eligibility discrepancies and ensure documentation meets payer requirements.
  • Collaborate with billing and revenue cycle teams to reduce claim denials and improve reimbursement accuracy.

Operational Improvement

  • Develop and maintain standard operating procedures (SOPs) for scheduling and eligibility workflows.
  • Track and analyze key performance indicators including scheduling accuracy, response times, and verification turnaround.
  • Identify and implement process improvements that increase efficiency and improve patient experience.

Cross-Functional Collaboration

  • Serve as the primary administrative liaison between scheduling/eligibility teams and clinical leadership.
  • Partner with operational leaders to evaluate staffing models and support growth across markets.
  • Resolve escalated issues involving scheduling, eligibility verification, or patient access.

Compliance & Quality

  • Ensure compliance with HIPAA regulations, payer requirements, and company policies.
  • Monitor quality standards and support internal audits and operational reviews.

Qualifications

  • Bachelor’s degree in Healthcare Administration, Business Administration, or related field preferred. Equivalent experience may be considered.
  • Experience managing teams responsible for scheduling, patient access, or insurance verification
  • Experience supporting multi-state, multi-site organizations
  • 8+ years in healthcare operations
  • 5+ years of supervisory or management experience in healthcare administration
  • Demonstrated ability to improve workflows and operational efficiency
  • Experience with the Athena EMR System highly valued

Skills & Competencies

  • Healthcare operations leadership
  • Team development and performance management
  • Process improvement and operational efficiency
  • Strong communication and collaboration skills
  • Analytical thinking and problem-solving
  • Ability to manage multiple priorities in a fast-paced environment
  • Commitment to service excellence and patient experience

Why Join Behavioral Health Solutions?

Behavioral Health Solutions is a growing behavioral healthcare organization dedicated to improving access to high-quality mental health services in long-term care and healthcare settings. Our team is driven by a commitment to operational excellence, compassionate care, and meaningful impact in the communities we serve.

Benefits

  • Competitive Earnings
  • Hands-on Training and Supervision
  • Work-Life Balance
  • PTO and Paid Holidays
  • A comprehensive benefits package (Medical, Dental, Vision, Life, and more)
  • 401k with company match