Claims Consolidation Specialist jobs in United States
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NaphCare, Inc. · 16 hours ago

Claims Consolidation Specialist

NaphCare, Inc. is a family owned medical technology company that has been delivering high quality healthcare to correctional facilities for over 30 years. They are seeking a Claims Consolidation Specialist to review authorizations and medical records, ensuring claims are properly organized and ready for billing.

Hospital & Health Care
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H1B Sponsor Likelynote

Responsibilities

Review authorization and Medical Records in order to identify services rendered and expected claims
Utilize medical terminology knowledge to review medical records and authorization scenarios
Develop and maintain provider billing contacts to pursue claims for all authorizations
Properly organize and designate claims as “ready-to-bill” and distribute to appropriate NaphCare sites
Receive statements and ensure that authorizations have been loaded to match the corresponding statements
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 throughout the claims process
Additional duties and specific projects as assigned

Qualification

Claims processingMedical records reviewMedical terminologyMedical billingMicrosoft Office SuiteCustomer serviceCommunication skillsAttention to detail

Required

Associate's degree or higher or equivalent work experience
Minimum of two (2) years of recent experience in claims processing and/or medical records review
Working knowledge of medical terminology and medical billing
Proficiency in Microsoft Office Suite and strong written and verbal communication skills

Preferred

Specific experience working with UBs and 1500s is preferred
Medical billing, claims processing/adjudication, medical records review, and/or coding experience preferred

Benefits

Prescriptions free of charge through our health plan
Health, dental & vision insurance that starts day one!
Lowest Cost Benefits! $44 for single, $105 for family!
Employment Assistance Program (EAP) services
401K and Roth with company contribution that starts day one!
Tuition Assistance
Referral bonuses
On-site education
Free Continuing Education!
Term life insurance at no cost to the employee
Generous paid time off & paid holidays

Company

NaphCare, Inc.

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At NaphCare, we believe in innovating to improve lives.

H1B Sponsorship

NaphCare, Inc. has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (2)
2020 (1)

Funding

Current Stage
Late Stage

Leadership Team

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Jason Douglas
Chief Technology Officer
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Connie Young
CFO
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Company data provided by crunchbase