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Claim Adjudication Jobs (NOW HIRING)

Naphcare, Inc.

Senior Claims Adjudicator

Birmingham, AL · On-site

Responsibilities Responsibilities for Senior Claim Adjudicator: * Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for ...

Onco360

Supervisor - Pharmacy Adjudication

Woodridge, IL · On-site

$64.50 - $75.75/hr

Handles escalations for difficult claim rejection resolution cases/questions to ensure accurate and timely completion of adjudication. * Adjudicates pharmacy claims for prescriptions in active ...

NaphCare

Senior Claims Adjudicator

Birmingham, AL · On-site

Responsibilities Responsibilities for Senior Claim Adjudicator: * Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for ...

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As of Aug 8, 2026, the average hourly pay for claim adjudication in the United States is $21.05, according to ZipRecruiter salary data. Most workers in this role earn between $18.03 and $22.84 per hour, depending on experience, location, and employer.
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Infographic showing various Claim Adjudication job openings in the United States as of August 2026, with employment types broken down into 81% Full Time, 17% Part Time, and 2% Contract. Highlights an 86% Physical, 4% Hybrid, and 10% Remote job distribution, with an average salary of $43,783 per year, or $21 per hour.

Senior Claims Adjudicator

Naphcare, Inc.

Birmingham, AL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 days ago

NaphCare rating

6.2

Company rating: 6.2 out of 10

Based on 48 frontline employees who took The Breakroom Quiz

700th of 887 rated healthcare providers

Job description

Overview
NaphCare is hiring an experienced Senior Claims Adjudicator just like you to join our team at our Corporate Office in Birmingham, AL This is an on-site position.
NaphCare is a family owned, medical technology company that has been delivering high quality healthcare to correctional facilities across the nation for over 36 years. Come join our team of over 7000 employees and growing! NaphCare pays well, offers outstanding benefits, and has an incredibly engaged corporate support team to make sure you have what you need to be truly excellent at what you do.
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 as you use our cutting-edge resources, including our award-winning electronic operating system.
NaphCare Benefits for Full-Time Employees Include:
  • Prescriptions free of charge through our health plan
  • Health, dental & vision insurance that starts day one!
  • 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.
With NaphCare, you'll play a critical role in our continuing mission to be the leading provider of quality healthcare in the correctional industry. If you want a career that will make a difference, choose the company that is different.
We support your growth and internal promotion. Once hired, we encourage our employees to continue to seek opportunities for advancement and leadership.
Responsibilities
Responsibilities for Senior Claim Adjudicator:
  • Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment while adhering to internal deadlines.
  • Demonstrate ability to handle daily workload with speed and accuracy.
  • Demonstrate a high comfort level in working with large volumes of data.
  • Demonstrate the ability to act as a mentor for others within team.
  • Demonstrate a strong attention to detail and a commitment to customer service throughout the claims process.
  • Additional duties and specific projects as assigned.

Qualifications
Qualifications for Senior Claim Adjudicator:
  • Associate Degree or higher or equivalent work experience.
  • Minimum five years of recent adjudication experience required.
  • An ability to define and calculate Medicare and Medicaid is critical.
  • Working knowledge of medical terminology, billing standards, and Medicare and Medicaid methodologies.
  • Proficiency in Microsoft Office Suite and strong written and verbal communication skills are also required.
  • CPC, COC, CIC, or Specialty Medical Coding Certification preferred.

If you would like to speak with our Talent Acquisition team to learn more about this position and NaphCare, please first apply directly to this position to initiate the application process, and then please send your resume to jerry.hughes@NaphCare.com where we will be in touch.
Equal Opportunity Employer: disability/veteran
#NCE

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About NaphCare

Sourced by ZipRecruiter

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. NaphCare offers competitive compensation! Our full-time teammates have a top-notch benefits package, which includes medical, dental, vision, FREE prescriptions, flexible spending account, company-paid life and AD&D insurance with voluntary life and AD&D options, ST & LT disability, 401(k) company contribution, 20 days Paid Time Off, paid holidays, tuition assistance, employee referral bonuses, etc.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Birmingham, AL, US

Year founded

1989

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