Claims Consolidation Specialist

Claims Consolidation Specialist Location: US-AL-Birmingham ID: 2026-31018 Category: Accounting/Finance Position Type: Full-Time Overview NaphCare is a family-owned, medical technology company delivering high quality healthcare to correctional facilities across the nation for over 36 years. We provide a supportive corporate team and advanced electronic operating system. Benefits for Full-Time Employees 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 NaphCare has a partnership with NetCE that provides CEU/CME for our staff. NetCE uses a rigorous peer review process to ensure that all activities and content are up to date. This service streamlines continuing education for all NaphCare Employees to meet state specific requirements for maintaining licensing. Responsibilities Review authorization and medical records 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 ability to prioritize, meet deadlines, and multitask while promoting efficiency and effectiveness within daily workload. Exhibit a high comfort level working with large volumes of data. Demonstrate strong attention to detail and a commitment to customer service throughout the claims process. Perform additional duties and specific projects as assigned. Qualifications 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. Specific experience working with UBs and 1500s is preferred. Medical billing, claims processing/adjudication, medical records review, and/or coding experience preferred. Proficiency in Microsoft Office Suite and strong written and verbal communication skills are also required. Equal Opportunity Employer: disability/veteran #J-18808-Ljbffr