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Claims Processor Associate Jobs in Alabama (NOW HIRING)

Naphcare, Inc.

Senior Claims Adjudicator

Birmingham, AL · On-site

... the claims process. * Additional duties and specific projects as assigned. Qualifications for Senior Claim Adjudicator: * Associate Degree or higher or equivalent work experience. * Minimum five ...

NaphCare

Senior Claims Adjudicator

Vestavia Hills, AL · On-site

... claims process. * Additional duties and specific projects as assigned. Qualifications Qualifications for Senior Claim Adjudicator: * Associate Degree or higher or equivalent work experience.

NaphCare

Senior Claims Adjudicator

Birmingham, AL · On-site

... claims process. * Additional duties and specific projects as assigned. Qualifications Qualifications for Senior Claim Adjudicator: * Associate Degree or higher or equivalent work experience.

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Claims Processor Associate information

What is the role of a claims processor?

A claims processor is responsible for reviewing, verifying, and processing insurance claims to determine their validity and appropriate payout. They analyze claim documentation, ensure compliance with policies, and use claims management software to facilitate accurate and timely payments.

Is claims processing a stressful job?

Claims processing can be a stressful job due to the need for accuracy, attention to detail, and meeting deadlines. It often involves handling complex cases and working under pressure, but workload and stress levels vary depending on the employer and individual experience. Developing strong organizational skills and familiarity with claims management software can help manage stress.

What does a Claims Processor Associate do?

A Claims Processor Associate is responsible for reviewing, processing, and verifying insurance claims to ensure they are accurate and comply with policy guidelines. They investigate claim details, communicate with policyholders or medical providers for additional information, and enter claim data into company systems. Their role is crucial in ensuring timely and accurate payments or denials, helping both insurance companies and clients. Attention to detail, strong organizational skills, and excellent communication abilities are important for success in this position.

What are some common challenges faced by Claims Processor Associates, and how can they be effectively managed?

Claims Processor Associates often encounter challenges such as handling a high volume of claims, navigating complex policy details, and meeting strict deadlines. Successfully managing these challenges requires strong organizational skills, attention to detail, and the ability to prioritize tasks effectively. Collaborating closely with team members and regularly communicating with supervisors can also help resolve discrepancies and ensure accuracy. Most organizations provide training and support to help associates stay updated on procedures and regulatory requirements, fostering a supportive work environment.

What is the role of a claims associate?

A claims processor associate reviews and evaluates insurance claims to determine coverage and payout amounts. They verify information, process claims efficiently using claims management software, and ensure compliance with company policies and industry regulations.

What skills do you need to be a claims processor?

A claims processor needs strong attention to detail, excellent organizational skills, and the ability to analyze and interpret data accurately. Proficiency with computer software such as claims management systems and good communication skills are also important for effectively handling claims and coordinating with clients and providers.

What are the key skills and qualifications needed to thrive as a Claims Processor Associate, and why are they important?

To thrive as a Claims Processor Associate, you need strong attention to detail, analytical skills, and a high school diploma or equivalent, with some employers preferring experience in insurance or healthcare. Familiarity with claims management software, data entry systems, and basic office applications is typically required. Excellent organizational skills, clear communication, and the ability to work efficiently under deadlines are essential soft skills for this role. These abilities ensure accurate claims processing, minimize errors, and support timely service for clients and providers.
What are the most commonly searched types of Claims Processor jobs in Alabama? The most popular types of Claims Processor jobs in Alabama are:
What are popular job titles related to Claims Processor Associate jobs in Alabama? For Claims Processor Associate jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Claims Processor Associate jobs in Alabama look for? The top searched job categories for Claims Processor Associate jobs in Alabama are:
Claims Processor Associate jobs near you
Claims Consolidation Specialist

Claims Consolidation Specialist

Naphcare, Inc.

Birmingham, AL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired 2 days ago. Applications are no longer accepted.

NaphCare rating

6.2

Company rating: 6.2 out of 10

Based on 48 frontline employees who took The Breakroom Quiz

699th of 886 rated healthcare providers

Job description

Overview

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

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 an Finish d 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!
  • 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.

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 Claims Consolidation Specialist:

  • Review authorization and Medical Records in order 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 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.
Qualifications

Qualifications for Claims Consolidation Specialist:

  • 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.

We know you may have questions before applying.  To speak to a recruiter directly, email your questions and/or resume to CorporateHR@naphcare.com with the position and location you're interested in.

Equal Opportunity Employer: disability/veteran

Employment Type: FULL_TIME

What NaphCare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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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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