Claims Review Specialist

Naphcare, Inc.•Vestavia Hills, AL

1d•Onsite

About The Position

NaphCare has an excellent opportunity for a Claims Review Specialist to join our Corporate Headquarters in Birmingham, AL supporting our scheduling teams. The successful Claims Review Specialist will play a critical role in our operations by reviewing authorizations for medical procedures/appointments and reconciling claims. This position requires data entry skills and the ability to maintain a high volume of work with minimal errors. This employee will serve as a liaison between the scheduling and claims department to assist with timely processing of claims.

Requirements

High School Diploma or higher.
Two (2) years minimum experience in a healthcare or claims setting.
Ability to prioritize and meet deadlines is critical in this role.
Working knowledge of medical terminology and medical records
Strong written, verbal and organizational skills
Working knowledge of claim demographic information.
Computer skills, including proficiency in Microsoft Office Suite.

Responsibilities

Utilize healthcare experience to consistently review medical authorizations in our scheduling system in order to resolve outstanding claims
Perform data entry of vendor and provider information
Demonstrate skills in accuracy and multitasking while working to impact progress within the daily workload and adhere to internal deadlines
Maintain confidentiality when managing medical records, patient data, and NaphCare processes
Demonstrate a high comfort level in working with large volumes of data
Demonstrate a strong attention to detail
Additional duties and specific projects as assigned