Healthcare Claims & Authorization Specialist

NaphCare, Inc.; Birmingham (AL); On-site; USD 42,000 - 54,000; Full time

Job summary

NaphCare, Inc. in Birmingham, AL seeks a Claims Review Specialist to join our corporate headquarters. You will review medical authorizations and reconcile claims, maintaining accuracy and timely processing with strong data-entry skills.

This role requires healthcare/claims experience, knowledge of medical terminology, excellent written and verbal communication, and proficiency with Microsoft Office. You will help liaison the scheduling and claims teams while handling confidential patient data.

Qualifications

• High School Diploma or higher.
• 2 years minimum experience in a healthcare or claims setting.
• Ability to prioritize and meet deadlines.
• Working knowledge of medical terminology and medical records.
• Strong written, verbal and organizational skills.
• Working knowledge of claim demographic information.
• Proficiency in Microsoft Office Suite.

Responsibilities

• Review medical authorizations in scheduling system to resolve claims.
• Data entry of vendor and provider information.
• Maintain accuracy while handling high daily workload and deadlines.
• Maintain confidentiality of medical records and processes.
• Handle large volumes of data with attention to detail.
• Support additional duties and projects as assigned.

Skills

Healthcare experience

Data entry

Medical terminology

Attention to detail

Organizational skills

Written & verbal communication

Ability to prioritize

Education

High School Diploma or higher

Tools

Microsoft Office Suite

Job description

NaphCare, Inc. in Birmingham, AL seeks a Claims Review Specialist to join our corporate headquarters. You will review medical authorizations and reconcile claims, maintaining accuracy and timely processing with strong data-entry skills.

This role requires healthcare/claims experience, knowledge of medical terminology, excellent written and verbal communication, and proficiency with Microsoft Office. You will help liaison the scheduling and claims teams while handling confidential patient data.