Job description
NaphCare has an excellent opportunity for a Claims Consolidation Assistant to join our Corporate Headquarters in Birmingham, AL supporting the Residential Reentry Centers (RRC) for the Federal Bureau of Prisons (BOP). The Claims Consolidation Assistant will assist with pursuing claims for approved medical care rendered. This position will require strong communication skills, attention to detail, and the ability to multitask. Additionally, this position will aid in managing relationships with various providers while efficiently pursuing medical claims from providers across the country.
NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population. Be part of a world-class team of professionals who are revolutionizing correctional healthcare.
Responsibilities:
- Pursue claims for medical services rendered.
- Utilize medical terminology knowledge to review medical records and authorization scenarios.
- Review physician/hospital medical statements, ensure authorizations exist and pursue claims.
- Complete detailed documentation related to pursuit of claims and outcomes.
- Provide excellent customer service to providers, residents, RRC staff, and BOP staff through emails and phone calls.
- 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.
- Additional duties and specific projects as assigned.
Requirements:
- High School Diploma or higher
- Minimum of two (2) years of recent experience in claims processing.
- Working knowledge of medical terminology and medical billing.
- Proficiency in Microsoft Office Suite specifically Outlook and Excel.
- Srong written and verbal communication skills.
** After successful training in our corporate office and process mastery, this position may transition to a predominately work from home position.
Equal Opportunity Employer: disability/veteran
Outstanding Benefits Package:
NaphCare offers competitive benefits, including health, prescription, dental, Employment Assistance Program (EAP) services, vision and 401(k). NaphCare offers term life insurance at no cost to the employee and provides PTO, paid holidays and an array of voluntary benefits. Employees enrolled in our health insurance program receive prescriptions free of charge when filled at our in-house pharmacy or mail order program.
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