Job Description

NaphCare has an excellent opportunity for a Claims Consolidation Specialist to join our Corporate Headquarters in Birmingham, AL .

NaphCare is a family owned, medical technology company that has been delivering high quality healthcare to correctional facilities across the nation for over 30 years. Come join our team of over 6000 employees and growing! NaphCare pays well, offers outstanding benefits, and has an incredibly engaged corporate support team to make sure you have what you need to be truly excellent at what you do.

NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare as you use our cutting-edge resources, including our award-winning electronic operating system

NaphCare has a partnership with NetCE that provides CEU/CME for our staff. NetCE uses a rigorous peer review process to ensure that all activities and content are up to date. This service streamlines continuing education for all NaphCare Employees to meet state specific requirements for maintaining licensing.

With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry. If you want a career that will make a difference, choose the company that is different.

We support your growth and internal promotion. Once hired, we encourage our employees to continue to seek opportunities for advancement and leadership.

Responsibilities for Claims Consolidation Specialist:

• Review authorization and Medical Records in order to identify services rendered and expected claims.
• Utilize medical terminology knowledge to review medical records and authorization scenarios.
• Develop and maintain provider billing contacts to pursue claims for all authorizations.
• Properly organize and designate claims as “ready-to-bill” and distribute to appropriate NaphCare sites.
• Receive statements and ensure that authorizations have been loaded to match the corresponding statements.
• Demonstrate an ability to prioritize, meet deadlines, and multitask while promoting efficiency and effectiveness within daily workload.
• Exhibit a high comfort level in working with large volumes of data.
• Demonstrate a strong attention to detail and a commitment to customer service throughout the claims process.
• Additional duties and specific projects as assigned.

Qualifications for Claims Consolidation Specialist:

• Associate's degree or higher or equivalent work experience.
• Minimum of two (2) years of recent experience in claims processing and/or medical records review.
• Working knowledge of medical terminology and medical billing.
• Specific experience working with UBs and 1500s is preferred.
• Medical billing, claims processing/adjudication, medical records review, and/or coding experience preferred.
• Proficiency in Microsoft Office Suite and strong written and verbal communication skills are also required.

We know you may have questions before applying. To speak to a recruiter directly, email your questions and/or resume to CorporateHR@naphcare.com with the position and location you’re interested in.

Equal Opportunity Employer: disability/veteran

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