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
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
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.
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
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Trends of Total Sponsorships
2025 (2)
2024 (2)
2020 (1)
Funding
Current Stage
Late StageCompany data provided by crunchbase