Sr. Claims Adjudicator |
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Description | |
NaphCare, Inc. has an excellent opportunity for a Sr. Claims Adjudicator (Claims Examiner Tier II, Claims Analyst Tier II) to join our team at the Corporate Headquarters in Birmingham, Alabama. The Sr. Claims Adjudicator will be responsible for reviewing medical claims for accuracy and completeness, analyzing complex CCI and CMS edits, making determinations on claims based on established policies and procedures and processing claims for payment. The ideal candidate will have strong knowledge and experience in processing multiple claim types, including professional, institutional and dental claims. Position Responsibilities:
Position Requirements:
**This position will require in office training and then will transition to remote.
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. The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with a job | |
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2090 Columbiana Rd. Ste 4000
Birmingham, AL 35216
Toll Free: 800.834.2420
Phone: 205.536.8400