Claims Review Specialist

NaphCare has an excellent opportunity for a Claims Review Specialist to join our Corporate Headquarters in Birmingham, AL supporting our scheduling teams. The successful Claims Review Specialist will play a critical role in our operations by reviewing authorizations for medical procedures/appointments and reconciling claims.  This position requires data entry skills and the ability to maintain a high volume of work with minimal errors. This employee will serve as a liaison between the scheduling and claims department to assist with timely processing of claims. 

• →Utilize healthcare experience to consistently review medical authorizations in our scheduling system in order to resolve outstanding claims
• →Perform data entry of vendor and provider information
• →Demonstrate skills in accuracy and multitasking while working to impact progress within the daily workload and adhere to internal deadlines
• →Maintain confidentiality when managing medical records, patient data, and NaphCare processes
• →Demonstrate a high comfort level in working with large volumes of data
• →Demonstrate a strong attention to detail
• →Additional duties and specific projects as assigned

• High School Diploma or higher.
• Two (2) years minimum experience in a healthcare or claims setting.
• Ability to prioritize and meet deadlines is critical in this role.
• Working knowledge of medical terminology and medical records
• Strong written, verbal and organizational skills
• Working knowledge of claim demographic information.
• Computer skills, including proficiency in Microsoft Office Suite.

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