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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. Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment while adhering to internal deadlines.

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.  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.  Come join our team of over 7000 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 Benefits for Full-Time Employees Include:<ul><li style="color:black;margin-bottom:0.0001pt">Prescriptions free of charge through our health plan</li><li style="color:black;margin-bottom:0.0001pt">Health, dental & vision insurance that starts day one!</li><li style="color:black;margin-bottom:0.0001pt">Employment Assistance Program (EAP) services</li><li style="color:black;margin-bottom:0.0001pt">401K and Roth with company contribution that starts day one!</li><li style="color:black;margin-bottom:0.0001pt">Tuition Assistance</li><li style="color:black;margin-bottom:0.0001pt">Referral bonuses</li><li style="color:black;margin-bottom:0.0001pt">On-site education</li><li style="color:black;margin-bottom:0.0001pt">Free Continuing Education!</li><li style="color:black;margin-bottom:0.0001pt">Term life insurance at no cost to the employee</li><li style="color:black;margin-bottom:0.0001pt">Generous paid time off & paid holidays</li></ul>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:
Responsibilities for Senior ClaimAdjudicator: <ul style="margin-top:0in"><li style="color:black;margin-bottom:0.0001pt">Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment while adhering to internal deadlines.</li><li style="color:black;margin-bottom:0.0001pt">Demonstrate ability to handle daily workload with speed and accuracy.</li><li style="color:black;margin-bottom:0.0001pt">Demonstrate a high comfort level in working with large volumes of data.</li><li style="color:black;margin-bottom:0.0001pt">Demonstrate the ability to act as a mentor for others within team.</li><li style="color:black;margin-bottom:0.0001pt">Demonstrate a strong attention to detail and a commitment to customer service throughout the claims process.</li><li style="color:black;margin-bottom:0.0001pt">Additional duties and specific projects as assigned.</li></ul>

Qualifications:
Qualifications for Senior ClaimAdjudicator: <ul style="margin-top:0in"><li style="color:black;margin-bottom:0.0001pt">Associate Degree or higher or equivalent work experience.</li><li style="color:black;margin-bottom:0.0001pt">Minimum five years of recent adjudication experience required.</li><li style="color:black;margin-bottom:0.0001pt">An ability to define and calculate Medicare and Medicaid is critical.</li><li style="color:black;margin-bottom:0.0001pt">Working knowledge of medical terminology, billing standards, and Medicare and Medicaid methodologies.</li><li style="color:black;margin-bottom:0.0001pt">Proficiency in Microsoft Office Suite and strong written and verbal communication skills are also required.</li><li style="color:black;margin-bottom:0.0001pt">CPC, COC, CIC, or Specialty Medical Coding Certification preferred.</li></ul>If you would like to speak with our Talent Acquisition team to learn more about this position and NaphCare, please first apply directly to this position to initiate the application process, and then please send your resume to jerry.hughes@NaphCare.com where we will be in touch.  Equal Opportunity Employer: disability/veteran #NCE

NaphCare is dedicated to implementing cost-effective, quality services according to our clients' needs.
 
Because every facility is unique, we tailor our services to meet each client's respective needs. We deliver solutions based on your requests rather than telling you how to run your facility. NaphCare evaluates, evolves, and adapts our programs according to not only client needs, but also the ever-changing field of correctional healthcare.
 
When you choose NaphCare, you choose a proactive, preventive healthcare provider. We focus on a “Day One” mentality, providing care up front and without delay. Our clients experience greater efficiency, a reduction in unnecessary costs, and transfer their legal liability, all without giving up their independence. NaphCare is leading the way with an all-in-one approach to correctional healthcare that provides services unique to your facility.
 
Personal Attention
 
With NaphCare, people come first. We are proud of our company culture and ability to connect with our clients on a personal level, and it is NaphCare's mission to continue our history of personalized service. Care is not reserved simply for the patients entrusted to us, but also for our client partners. We care for our clients by providing efficient services to reduce their costs, communicating regularly about our services, listening to the client, providing accountability through continuous quality studies and reporting, and working with integrity at all times.
 
Company Consistency
 
Also, as an independent healthcare partner, we are free from complex partnerships and distant investors that limit our competitors' responsiveness. NaphCare has not undergone any corporate reorganization or restructuring since the company was founded in 1989, and has no plans to do so in the future. This stability, along with planned and structured growth, ensures that our client partners receive personal attention from our administrative and medical support team at our headquarters.
 
Financial Stability
 
NaphCare is a financially stable and fiscally responsible company. Throughout our history, we have maintained steady, measured growth, more stable than sweeping corporate changes. Our clients do not have to worry about drastic shifts in our company and how such changes will affect their services.
 
One of the best indicators of a company's financial stability is its ability to secure insurance and a bonding line. NaphCare is proud of our ability to provide performance bonds, rather than letters of credit. Due to our financial strength, NaphCare has exceptional insurance programs that indemnify our clients against litigation regarding healthcare services.

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Adjudicator Jobs in Birmingham, AL

Senior Claims Adjudicator Naphcare, Inc.

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