NaphCare, Inc. · 14 hours ago
Claims Manager
Birmingham, AL
Full-time
Onsite
Senior Level
5+ years expNaphCare, Inc. is a family-owned medical technology company that provides high-quality healthcare to correctional facilities across the nation. They are seeking a Claims Manager to oversee claims processing, analyze reports, handle escalations, and train team members while ensuring compliance with benchmarks and communication with various stakeholders.
Hospital & Health Care
Responsibilities
Analyze reports and review internal audits to ensure benchmarks are met
Handle escalations with Claims team members, clients, and providers to ensure a resolution is achieved
Appropriately communicate information both verbally and in writing to clients, team members, and supervisors
Communicate with other departments as needed to ensure claims are processed accurately and timely
Assist with training team members on client specific processes and payment methodologies
Delegate tasks to the team appropriately and provide support to the team members
Utilize medical terminology knowledge to review claims, medical records, and authorization scenarios
Exhibit a high comfort level in working with large volumes of data
Demonstrate a strong attention to detail and a commitment to customer service throughout the claims process
Work closely with the Director of Claims to ensure claims processes and systems are operating as expected
Additional duties and specific projects as assigned
Qualification
Required
Associate's degree required
3+ years supervisory/managerial experience in medical claims adjudication
5+ years of medical claims processing
Knowledge of medical terminology, ICD9, HCPCS and CPT coding, and an ability to understand medical records
Strong leadership and training skills
Strong follow-up skills
Proficiency in Microsoft Office Suite and strong written and verbal communication skills required
Preferred
Medicare/Medicaid claims processing experience preferred
Knowledge of Medicare guidelines and payment methodologies
Benefits
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
Company
NaphCare, Inc.
At NaphCare, we believe in innovating to improve lives.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Jason Douglas
Chief Technology Officer
Connie Young
CFO
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