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Insurance Claims Processing Jobs in Alabama (NOW HIRING)

DCH Health System

Insurance Specialist

Tuscaloosa, AL · On-site

Reviews and follows-up for claims processing/collection on all assigned billed insurance claims on a daily basis using Meditech, Optum, payer websites, and other software programs utilized in the ...

Grandview Medical Center

Billing Specialist

Birmingham, AL

$18 - $24.25/hr

Reviews and processes insurance claims, ensuring timely submission and compliance with payer guidelines. * Identifies and resolves credit balances, reclassifies revenue, and processes adjustments ...

CSAA

In order for your application to be correctly processed please sign-in before you apply Internal ... Job Title Commercial Insurance Consultant, Claims Insights- Remote Requisition Number R7770 ...

NaphCare

Senior Claims Adjudicator

Birmingham, AL · On-site

Health, dental & vision insurance that starts day one ! * Employment Assistance Program (EAP ... NetCE uses a rigorous peer review process to ensure that all activities and content are up to date.

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Insurance Claims Processing information

What is insurance claims processing?

Insurance claims processing is the procedure by which insurance companies review, investigate, and settle claims made by policyholders. This process involves verifying the details of a claim, ensuring it meets the terms of the policy, and determining the appropriate payout or action. Claims processors handle documentation, communicate with claimants, and may work with other parties like adjusters or healthcare providers. The goal is to ensure claims are resolved efficiently, accurately, and fairly according to policy guidelines.

What are some common challenges faced in insurance claims processing, and how can new team members effectively manage them?

In insurance claims processing, new team members often encounter challenges such as handling high volumes of claims, interpreting complex policy language, and communicating effectively with policyholders and other stakeholders. To manage these challenges, it's important to develop strong organizational skills, stay detail-oriented, and proactively seek clarification when unsure about policy terms or procedures. Collaborating with experienced colleagues and taking advantage of ongoing training opportunities can also help new processors build confidence and efficiency in their daily tasks.

What does an insurance claims processing do?

An insurance claims processor reviews and evaluates insurance claims to determine coverage eligibility and the amount payable. They verify information, process documentation, and communicate decisions to policyholders, often using claims management software. Attention to detail and knowledge of insurance policies are essential for this role.

How to get a job as an insurance claims processor?

To become an insurance claims processor, candidates typically need a high school diploma or equivalent, with some roles preferring postsecondary training in insurance or related fields. Relevant skills include attention to detail, communication, and familiarity with claims processing software. Gaining experience through internships or entry-level positions can improve job prospects, and some employers may require certification such as the Certified Claims Professional (CCP).

Is insurance claims processing a stressful job?

Insurance claims processing can be a stressful job due to tight deadlines, high workload, and the need for accuracy in evaluating claims. It often requires strong attention to detail, communication skills, and the ability to handle difficult customer interactions, which can contribute to job-related stress.

What is the difference between Insurance Claims Processing vs Insurance Adjuster?

AspectInsurance Claims ProcessingInsurance Adjuster
CredentialsTypically requires a high school diploma or equivalent; certifications like CPCU or AIC are commonRequires a high school diploma; certifications like AIC or state licensing often needed
Work EnvironmentOffice-based, processing claims via computer systemsField and office work, inspecting damages and interviewing claimants
Employer & Industry UsageInsurance companies, third-party administratorsInsurance companies, independent adjusting firms
Primary FocusReviewing and processing insurance claims efficientlyAssessing damages and determining claim validity and payout

While both roles are essential in the insurance industry, Insurance Claims Processing focuses on handling and managing claims paperwork, whereas Insurance Adjusters evaluate damages and determine claim settlements. Understanding these differences helps job seekers identify the right career path within the insurance sector.

What are the key skills and qualifications needed to thrive in insurance claims processing?

To excel in Insurance Claims Processing, you need strong attention to detail, analytical abilities, and a foundational understanding of insurance policies or claims procedures, often supported by a high school diploma or associate degree. Familiarity with claims management software, databases, and sometimes industry certifications like AIC (Associate in Claims) is common. Effective communication, problem-solving skills, and the ability to manage stressful situations make someone stand out in this role. These competencies are critical for ensuring claims are processed accurately, efficiently, and in compliance with regulatory standards.
What are popular job titles related to Insurance Claims Processing jobs in Alabama? For Insurance Claims Processing jobs in Alabama, the most frequently searched job titles are:
What job categories do people searching Insurance Claims Processing jobs in Alabama look for? The top searched job categories for Insurance Claims Processing jobs in Alabama are:
Insurance Claims Processing jobs near you
Infographic showing various Insurance Claims Processing job openings in Alabama as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 20% Part Time, and 4% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Insurance Claims Representative

Alabama Oncology

Birmingham, AL

Full-time

Re-posted 16 days ago

Job description

This is an on-site position located at the Birmingham Business Office

Summary: Under general supervision, an AR Account Follow-Up Specialist is responsible for account follow-up for all assigned accounts, resolving billing problems and answering patient inquiries. Uses collection techniques to keep accounts receivable current including monitoring for delinquent payments. The Account Follow-Up Specialist will review insurance claims and take appropriate action including completion of submissions, reconsiderations, appeals, and denial management to ensure payment is received timely.

Essential Duties and Responsibilities:

Performs audits of patient accounts to ensure accuracy and timely payment.

Follows up on insurance billing to ensure timely receipt of payments.

Demonstrates the ability to deal with patients and insurance companies regarding sensitive financial matters and recapture unpaid balances.

Receives and resolves patient billing complaints and questions; initiates adjustments as necessary; follows up on all zero payment explanations of benefits and exercises all options to obtain claim payments.

Reviews credit balance reports for correct recipient of refund.

Performs reconciliation of refund accounts; attaches documentation and forwards to supervisor to process refund checks.

Identifies problems on accounts and follows through to conclusion.

Responds to insurance companies requests for information in a prompt and professional manner.

Reviews EOBs to ensure proper reimbursement of claims and reports any problems, issues, or payor trends to supervisor.

Prepares write-off requests with appropriate documentation and submits to supervisor.

Processes insurance/patient correspondence.

Works with provided aging to monitor patient account aging and follows up appropriately.

Maintains confidentiality in regard to patient account status and the financial affairs of clinic/corporation.

Other relevant duties as assigned

Demonstrated knowledge of the federal, state, and local regulatory requirements around medical billing and coding as well as CMS and payer regulations.

Ability to work independently.

Able to manage multiple projects at once working efficiently and effectively under tight deadlines.

Experience with oncology billing experience highly desirable.

Requirements

High school diploma

1 plus years of experience

Experience in medical billing /insurance processing and balancing accounts

Employment Type: FULL_TIME

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