Senior Claims Adjudicator

Overview

NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team at our Corporate Office in Birmingham, AL This is an on-site position.  

Responsibilities

• Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment while adhering to internal deadlines.
• Demonstrate ability to handle daily workload with speed and accuracy.
• Demonstrate a high comfort level in working with large volumes of data.
• Demonstrate the ability to act as a mentor for others within team.
• Demonstrate a strong attention to detail and a commitment to customer service throughout the claims process.
• Additional duties and specific projects as assigned.

Qualifications

• Associate Degree or higher or equivalent work experience.
• Minimum five years of recent adjudication experience required.
• An ability to define and calculate Medicare and Medicaid is critical.
• Working knowledge of medical terminology, billing standards, and Medicare and Medicaid methodologies.
• Proficiency in Microsoft Office Suite and strong written and verbal communication skills are also required.
• CPC, COC, CIC, or Specialty Medical Coding Certification preferred.

Why Join NaphCare?

NaphCare is one of the largest providers of healthcare services to correctional facilities throughout the US and we are growing. If you have never considered a career in correctional healthcare, now may be the time. In addition to competitive salaries and generous employee benefits, we strongly support career advancement within the company.

NaphCare Benefits for Full-Time Employees Include:

• Health, dental & vision insurance that starts day one!
• Prescriptions free of charge through our health plan, beginning day one!
• Lowest Cost Benefits!
• Employee Assistance Program (EAP) services
• 401K and Roth with company contribution that starts day one!
• Tuition Assistance
• Referral bonuses
• Term life insurance at no cost to the employee
• Generous paid time off & paid holidays
• Free continuing education and CMEs

If you would like to speak with me to learn more about this position and NaphCare, apply directly to the position to initiate the application process, and I’ll be in touch.

Equal Opportunity Employer: disability/veteran

Want a better idea of what it’s like to work in a jail? See what our LPNs do:

NaphCare - Life as an LPN - YouTube 

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