Senior Claims Adjudicator

NaphCare•Birmingham, AL

2d•Onsite

About The Position

NaphCare is hiring an experienced Senior Claims Adjudicator to join their team at their Corporate Office in Birmingham, AL. This is an on-site position. NaphCare is a family-owned, medical technology company that has been delivering high-quality healthcare to correctional facilities across the nation for over 36 years. NaphCare pays well, offers outstanding benefits, and has an incredibly engaged corporate support team. NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. They recognize that they serve a unique and diverse patient population, and their onsite teams take pride in bringing excellence in care to a population in great need. Employees will be part of a world-class team of professionals who are revolutionizing correctional healthcare while using cutting-edge resources, including their award-winning electronic operating system. NaphCare supports employee growth and internal promotion, encouraging employees to seek opportunities for advancement and leadership.

Requirements

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.

Nice To Haves

CPC, COC, CIC, or Specialty Medical Coding Certification preferred.

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 the team.
Demonstrate a strong attention to detail and a commitment to customer service throughout the claims process.
Additional duties and specific projects as assigned.