Claims Consolidation Manager
Status:
Full-Time Shift:
1st NaphCare has an excellent opportunity for aClaims Consolidation Managerto join ourCorporate HeadquartersinBirmingham, AL.
The Claims Consolidation Manager plays a critical role in our Claims Department by utilizing their claims billing, medical records, and training knowledge to ensure a unified working relationship with team members and team leaders.
A successful candidate must be highly organized with the ability to multi-task, work under pressure, and manage changing priorities and a heavy workload.
This position is responsible for supporting and overseeing the NaphCare Consolidation team that works with our RRMB population.
This is not a remote position.
This position will be at the corporate office with regular office hours.
Local candidates only.
Position
Responsibilities:
Analyze reports and review internal audits to ensure benchmarks are met.
Handle escalations with consolidation team members 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 received and processed timely for invoicing.
Train new employees and coordinate ongoing training for current team members to ensure all NaphCare processes and job responsibilities are followed.
Delegate tasks to the team appropriately and provide support to the team members.
Manage shared inboxes and coordinate time off requests and coverage.
Review authorization and medical records in order to pursue claims for patients.
Utilize expert medical terminology knowledge to review medical records and authorization scenarios.
Contact providers to pursue claims for all authorizations.
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.
Position Requirements:
Associate's Degree or higher or equivalent work experience.
Two years of recent experience in claims processing, medical record review, and/or an applicable medical billing environment.
Previous experience in a management or leadership position required.
Expert knowledge of medical terminology, medical billing and an ability to analyze medical records.
Specific experience working with UBs and 1500s is necessary to be successful within this position.
Proficiency in Microsoft Office Suite, including a strong foundation in Microsoft Excel is required.
Strong written and verbal communication skills are required.
Ability to work effectively in a fast-paced, results-oriented environment while demonstrating professionalism at all times.
Equal Opportunity Employer:
disability/veteran Outstanding Benefits Package:
NaphCare offers an outstanding benefits package, including health (coverage starts on day 1), dental, vision, 401(k), flexible spending account, an array of voluntary benefits, 4 weeks of PTO, 8 paid holidays, tuition reimbursement and more! Employees enrolled in our health insurance program receive prescriptions free of chargewhen filled at our in-house pharmacy or mail order program.
At NaphCare, we believe in innovating to improve lives.
We partner with local, state and federal government agencies to provide innovative healthcare, technology and administrative solutions for complex problems within the correctional and justice systems.
Our success has always been due to our people and our commitment to treating every patient with dignity.
We are mission-driven with a singular aim of improving lives through caring health care solutions provided in an environment of respect.
United by this belief, we work as a team to improve each and every life we touch.
Join our team of compassionate trailblazers who are dedicated to making a difference.
Back Share Apply Now Recommended Skills Administration Attention To Detail Auditing Big Data Billing Claim Processing Estimated Salary: $20 to $28 per hour based on qualifications.
Full-Time Shift:
1st NaphCare has an excellent opportunity for aClaims Consolidation Managerto join ourCorporate HeadquartersinBirmingham, AL.
The Claims Consolidation Manager plays a critical role in our Claims Department by utilizing their claims billing, medical records, and training knowledge to ensure a unified working relationship with team members and team leaders.
A successful candidate must be highly organized with the ability to multi-task, work under pressure, and manage changing priorities and a heavy workload.
This position is responsible for supporting and overseeing the NaphCare Consolidation team that works with our RRMB population.
This is not a remote position.
This position will be at the corporate office with regular office hours.
Local candidates only.
Position
Responsibilities:
Analyze reports and review internal audits to ensure benchmarks are met.
Handle escalations with consolidation team members 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 received and processed timely for invoicing.
Train new employees and coordinate ongoing training for current team members to ensure all NaphCare processes and job responsibilities are followed.
Delegate tasks to the team appropriately and provide support to the team members.
Manage shared inboxes and coordinate time off requests and coverage.
Review authorization and medical records in order to pursue claims for patients.
Utilize expert medical terminology knowledge to review medical records and authorization scenarios.
Contact providers to pursue claims for all authorizations.
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.
Position Requirements:
Associate's Degree or higher or equivalent work experience.
Two years of recent experience in claims processing, medical record review, and/or an applicable medical billing environment.
Previous experience in a management or leadership position required.
Expert knowledge of medical terminology, medical billing and an ability to analyze medical records.
Specific experience working with UBs and 1500s is necessary to be successful within this position.
Proficiency in Microsoft Office Suite, including a strong foundation in Microsoft Excel is required.
Strong written and verbal communication skills are required.
Ability to work effectively in a fast-paced, results-oriented environment while demonstrating professionalism at all times.
Equal Opportunity Employer:
disability/veteran Outstanding Benefits Package:
NaphCare offers an outstanding benefits package, including health (coverage starts on day 1), dental, vision, 401(k), flexible spending account, an array of voluntary benefits, 4 weeks of PTO, 8 paid holidays, tuition reimbursement and more! Employees enrolled in our health insurance program receive prescriptions free of chargewhen filled at our in-house pharmacy or mail order program.
At NaphCare, we believe in innovating to improve lives.
We partner with local, state and federal government agencies to provide innovative healthcare, technology and administrative solutions for complex problems within the correctional and justice systems.
Our success has always been due to our people and our commitment to treating every patient with dignity.
We are mission-driven with a singular aim of improving lives through caring health care solutions provided in an environment of respect.
United by this belief, we work as a team to improve each and every life we touch.
Join our team of compassionate trailblazers who are dedicated to making a difference.
Back Share Apply Now Recommended Skills Administration Attention To Detail Auditing Big Data Billing Claim Processing Estimated Salary: $20 to $28 per hour based on qualifications.
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