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Claims Processor Associate Jobs in Alabama (NOW HIRING)

NaphCare

Senior Claims Adjudicator

Birmingham, AL

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

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 ...

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Claims Processor Associate information

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 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 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.

Is claims processing a stressful job?

Claims processing can be a stressful job due to tight deadlines, high volume of claims, and the need for accuracy. It often requires attention to detail, strong organizational skills, and the ability to handle complex or difficult cases. However, workload and stress levels vary depending on the employer and work environment.

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

Senior Claims Adjudicator

NaphCare

Birmingham, AL

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 10 days ago

NaphCare rating

6.4

Company rating: 6.4 out of 10

Based on 49 frontline employees who took The Breakroom Quiz

650th of 898 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

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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