Sr. Claims Adjudicator | |
Description | |
NaphCare, Inc.has an excellent opportunity for aSr. Claims Adjudicator (Claims Examiner Tier II, Claims Analyst Tier II)to join our team at theCorporate HeadquartersinBirmingham, Alabama. The Sr. Claims Adjudicator will be responsible for reviewing medical claims for accuracy and completeness, analyzing complex CCI and CMS edits, making determinations on claims based on established policies and procedures and processing claims for payment. The ideal candidate will have strong knowledge and experience in processing multiple claim types, including professional, institutional and dental claims. PositionResponsibilities:
Position Requirements:
**This position will require in office training and then will transition to remote. Equal Opportunity Employer: disability/veteran Outstanding Benefits Package: NaphCare offers competitive benefits, including health, prescription, dental, Employment Assistance Program (EAP) services, vision and 401(k). NaphCare offers term life insurance at no cost to the employee and provides PTO, paid holidays and an array of voluntary benefits. Employees enrolled in our health insurance program receive prescriptionsfree of chargewhen filled at our in-house pharmacy or mail order program. The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, skills, efforts or working conditions associated with a job | |