Director of Consolidation

Director Of Consolidation

NaphCare has an excellent opportunity for a Director of Consolidation to join our Corporate Headquarters in Birmingham, AL.

NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare.

**This is not a remote position**

Responsibilities

• Lead and develop consolidation staff, establishing clear expectations, accountability, and performance standards
• Drive strategic initiatives that improve consistency, scalability, and operational performance across NaphCare sites
• Foster a culture of continuous improvement, collaboration, and results-driven execution
• Oversee the end-to-end authorization lifecycle using system tools (OE/QC) to ensure accurate tracking, follow-up, and close-out
• Monitor key metrics including authorization aging, turnaround times, and completion rates
• Ensure alignment between authorizations, claims received, and invoicing readiness
• Identify process gaps and implement system and workflow improvements to increase efficiency
• Establish and oversee processes to ensure claims accuracy, completeness, and compliance
• Validate alignment of UB-04 and CMS-1500 claims with authorizations and supporting documentation
• Monitor error trends and implement corrective actions to reduce rework and improve quality
• Ensure claims are properly reviewed, organized, and designated as ready for invoicing
• Analyze reports, dashboards, and audit results to drive performance and ensure benchmarks are met
• Ensure data integrity across systems and reporting to support accurate decision-making
• Oversee workload prioritization, resource allocation, and high-volume workflow management
• Lead initiatives to streamline processes, improve turnaround times, and enhance productivity
• Partner with Operations, IT, and Leadership to ensure timely claims processing and invoicing
• Communicate effectively with senior leadership on performance, risks, and operational priorities
• Resolve escalations and remove barriers impacting claims and authorization workflows
• Oversee onboarding, training, and ongoing development aligned with NaphCare processes
• Ensure consistent execution of workflows, including shared inbox management and coverage planning
• Promote a culture of accuracy, accountability, and customer service excellence
• Provide leadership oversight for additional duties, special projects, and strategic initiatives

Qualifications

• 5+ years of medical claim experience, coding specialist preferred
• 3+ years of management experience
• Bachelors Degree
• Ability to work within a variety of software systems, excel pivot table skills required

NaphCare is one of the largest providers of healthcare services to correctional facilities throughout the US and we are growing. If you have never considered a career in correctional healthcare, now may be the time. In addition to competitive salaries and generous employee benefits, we strongly support career advancement within the company.

NaphCare Benefits for Full-Time Employees Include:

• Health, dental & vision insurance that starts day one!
• Prescriptions free of charge through our health plan, beginning day one!
• Lowest Cost Benefits!
• Employee Assistance Program (EAP) services
• 401K and Roth with company contribution that starts day one!
• Tuition Assistance
• Referral bonuses
• Term life insurance at no cost to the employee
• Generous paid time off & paid holidays
• Free continuing education and CMEs

New graduates are encouraged to apply! If you would like to speak with me to learn more about this position and NaphCare, apply directly to the position to initiate the application process, and I'll be in touch.

Equal Opportunity Employer: disability/veteran