Senior Claims Adjudicator - Medicare/Medicaid Expert
NaphCare
A leading healthcare technology company is seeking a Senior Claims Adjudicator to join their Birmingham, AL office. This on-site position is essential for processing claims accurately and efficiently, requiring five years of adjudication experience and an Associate Degree or equivalent. The role emphasizes customer service and attention to detail. NaphCare offers excellent benefits, including health insurance starting on day one, tuition assistance, and a supportive corporate environment for employee growth. #J-18808-Ljbffr
Vacancy posted 5 days ago
Similar jobs that could be interesting for youBased on the Senior Claims Adjudicator - Medicare/Medicaid Expert in Birmingham, AL vacancy
- ...Description Overview NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team at our Corporate... ...claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment...SeniorClaimsFull timeWork experience placementWork at office
Naphcare, Inc.
Birmingham, AL18 days ago $93.6k - $154.5k
...transformation, and commercial excellence. This senior role within our Consulting practice... ...market access dynamics including IRA, Medicare, Medicaid would be appreciated Effectively... ...., pricing databases, prescription and claims databases, etc.) Experience with commercial...SeniorClaimsSummer holidayFlexible hoursEY
Birmingham, AL4 days ago- ...Responsibilities Brasfield & Gorrie is looking for a Senior Planner/Scheduler will work closely with our preconstruction, project management... ...using CPM scheduling software, P6 preferred Familiarity with claims prevention and analysis techniques strongly preferred Ability to...SeniorClaimsFor subcontractorRelocation
Brasfield & Gorrie
Birmingham, AL1 day ago - ...skill Ingenuity – solution and future focused Responsibilities This position is responsible for managing complex and/or catastrophic claims within all jurisdictions. This includes investigation, evaluation, and resolution of claims. Interface with underwriting, risk...SeniorClaimsWork experience placementFlexible hours
Berkley Industrial Comp (a Berkley Company)
Homewood, AL1 day ago - ...Description Job Description Senior Clinical Pharmacist... ...for the Plan’s Medicare Part D Coverage Determinations... ...as the subject matter expert for Opioid Part D... ...Centers for Medicare & Medicaid Services (CMS) as a high... ...Experience in the RX Claims system Board Certified...SeniorClaimsWork at officeImmediate startWork from homeFlexible hours
- ...Senior Underwriter The Senior Underwriter is responsible for underwriting energy accounts independently within delegated authority,... ...articulate coverage differences and risk appetite. Collaborate with Claims, Actuarial, Engineering, Legal and UW Support; participate in...SeniorClaimsLocal area
Liberty Information Technology Limited
Birmingham, AL3 days ago - ...3-5 years of industry experience Career Level Senior Salesperson Exemption Exempt Senior Account... ...from NextGen Security's HR department shall not be deemed to form part of any Engagement for which the Agency may claim remuneration.SeniorClaimsFull timeContract work
Next Gen Security, Inc.
Irondale, AL2 days ago - ...Fortune Best Workplaces in Financial Services & Insurance Senior Business Analyst PRIMARY PURPOSE : The Sr Business Analyst supports... ..., or supporting product delivery required. Experience in claims, insurance, healthcare, or other regulated operational environments...SeniorClaimsLocal area
Sedgwick
Birmingham, AL15 hours ago $80k - $95k
...Senior Account Manager - Commercial Lines Hybrid Preferred: 1-2 days in Columbia, SC office... ...or omissions. Serve as a subject matter expert for the account management team. Key... ...requests, policy administration, billing, claims, and coverage analysis. Manage policy expirations...SeniorClaimsFor contractorsRemote workInsurance Office of America
Mountain Brook, AL5 days ago- ...preferably in digital health. ~ Experience in end-to-end process optimization for strategic book management ~ Previous experience with claims processing and adjustment management. ~ Familiarity Third Party Administrators, Aggregators and Resellers. ~ Proficiency with...SeniorClaimsTemporary workRemote workFree visa
Recuro Health
Birmingham, AL1 day ago - ...residents to resolution. Completes all necessary insurance claim requirements. Follows up on unpaid claims. Responds to... ...on an account. 10. Processes/posts remittances from Medicare, Blue Cross/Blue Shield, Medicaid, and other major third party payors. Processes...ClaimsWork at office
Noland Hospital Dothan
Birmingham, AL5 days ago - ...that do not require personal attention of the pharmacist, including those to physicians. Processes (corrects and resubmits) manual claims for third party program prescription services in a timely and efficient manner, and performs other clerical duties, as assigned by...SeniorClaimsWork experience placementLocal areaImmediate startFlexible hoursAfternoon shift
Walgreens Boots Alliance
Birmingham, AL5 days ago - ...customer bills and insurance claims in an accurate and timely manner... ...responsible party by running Medicare plan comparisons during open... ...Perform prescription claims adjudication including communication with... ...billing requirements (Medicare, Medicaid, Prescription Drug Plans (...ClaimsFull timeTemporary workWork at officeFlexible hours
Dormont Manufacturing Company
Birmingham, AL3 days ago - ...A leading claims adjusting firm in Gardendale, Alabama, is seeking Licensed Claims Adjusters. Join a rewarding career path where you assist individuals and businesses in recovering from disasters. Enjoy competitive compensation with flexibility and autonomy, as well as...ClaimsFlexible hours
MileHigh Adjusters Houston
Gardendale, AL4 days ago $77k - $202k
...Requirements: Up to 60% The Opportunity As a Property & Casualty Insurance Claims Operations Consultant, Sr. Associate, you will engage with... ...to help clients achieve their strategic objectives. As a Senior Associate, you will focus on building meaningful client connections...SeniorClaimsFull timeH1bPwC
Birmingham, AL1 day ago- ...Senior Leader, Information Systems About the Company Top health maintenance organization providing quality, accessible... ...Employees 501-1000 Specialties health insurance medicare medicaid and healthcare About the Role The Senior Leader...Senior
Confidential
Birmingham, AL4 days ago - ...or similar system) for incident, change, and release management. ~ Experience working with institutional and professional medical claims data (i.e., Stratasan). ~ Able to work with teammates, customers, and partners to design robust and efficient solutions. ~ Able...SeniorClaimsContract work
Software Technology Inc
Homewood, AL2 days ago - ...Independent Insurance Claims Adjusters Needed Now Is it time for a career change? Independent insurance claims adjusters are needed... ...knowledge needed to excel in the field of claims adjusting. Our expert instructor, with years of industry experience, will provide you...Claims
MileHigh Adjusters Houston
Birmingham, AL2 days ago - ...their state-of-the-art facilities that are changing our world. As a Senior Subcontract Administrator for Advanced Manufacturing, you will... ...change orders. Mitigate Subcontractor risk and assist with any claims or disputes. Works independently, with guidance in only the most...SeniorClaimsFor subcontractor
Jacobs
Birmingham, AL1 day ago - ...transactions related to patient services. Responsibilities Payment Posting: Accurately post and reconcile payments from various sources. Claim Reconciliation: Collaborate with billing team to resolve payment discrepancies. Payment Verification: Confirm proper payment...ClaimsMonday to Friday
MainStreet Family Urgent Care
Birmingham, AL4 days ago - ...Scientist Job Responsibilities Lead the design and development of advanced statistical and machine learning models that improve claims outcomes, operational efficiency, and risk management. Serve as the technical authority for complex modeling initiatives...ClaimsRemote work
Sedgwick
Birmingham, AL5 days ago - ...Representative We are seeking a knowledgeable and detail-oriented Workers' Compensation Representative to manage workers' compensation claims and ensure timely, accurate processing in compliance with state and federal regulations. The Workers' Compensation Rep will serve...ClaimsWork at office
Career Strategies
Trussville, AL4 days ago - ...Claims Trainee Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated claims trainee to join our team. This job handles entry-level insurance claims under close supervision through the life-cycle of a claim including but not limited to: investigation...ClaimsTraineeship
Auto-Owners Insurance
Birmingham, AL4 days ago - ...functions, ensuring timely and accurate claims processing, and resolving issues related... ...reimbursement required 0-1 years of experience with Medicare preferred Knowledge, Skills and... ...insurance reimbursement and claim adjudication. Proficiency in electronic health records...Claims
Grandview Medical Center
Birmingham, AL1 day ago $111.1k - $152.7k
...negotiations alongside PMs and DMs, contributing to balanced outcomes that protect both project and organizational interests. Strengthen claim defense readiness by coordinating stakeholders, compiling documentation, and supporting project teams and legal partners in the...SeniorClaimsFull timeContract workWork at officeJacobs
Birmingham, AL4 days ago$171.6k - $392.1k
...experiences emerging as the most critical "hot spot" alongside claims, underwriting, policy, and billing. Our ambition is to be the C-... ...needs and having truly globally integrated capabilities. As a Senior Manager in EY's Guidewire practice, you will lead the delivery,...SeniorClaimsFull timeWork experience placementSummer holidayFlexible hours- Job Description ABOUT THE JOB Do you know why Domino's Pizza hires so many drivers? Well, aside from the fact that our delicious pizza is the perfect solution for dinner for families all across the nation - we do it because we can. What do we mean by that, you ask...Extra incomeSecond jobFlexible hours
Domino's Franchise
Trussville, AL5 days ago - Company Description No one likes being bored at work, which is why a Domino's job is all about having fun! We live to beat the rush and make it possible to make, bake or take pizzas during the hungry hours of the day and night, part or full time. Come join...Extra incomeFull timePart timeSecond jobFlexible hoursNight shift
Domino's Pizza LLC
Trussville, AL4 days ago $15 per hour
Company Description Job Description Join Domino's as a delivery driver today! Being the best pizza delivery company in the world requires exceptional team members working together. At Domino's Pizza, our people come first! Deliver amazing food with exceptional ...Flexible hoursDomino's Pizza LLC
Homewood, AL1 day ago- ...from home up to 3 days per week.Auto-Owners Insurance, a top-rated insurance carrier, is seeking a motivated individual to join our Claims department as a Bodily Injury Claims Representative. The position requires the person to:Assemble facts, determine coverage,...ClaimsWork at officeLocal areaWork from home3 days per week
Auto-Owners Insurance
Birmingham, AL2 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Senior Claims Adjudicator - Medicare/Medicaid Expert. Be the first to apply!
Related searches
- senior game producer Birmingham, AL
- senior robotics software engineer Birmingham, AL
- senior accountant new Birmingham, AL
- senior consulting engineer Birmingham, AL
- senior application security Birmingham, AL
- senior inventory accountant Birmingham, AL
- senior accountant part time Birmingham, AL
- senior project manager construction Birmingham, AL
- senior manager diversity & inclusion Birmingham, AL
- senior manager creative operations Birmingham, AL