NaphCare is seeking a Claims Review Manager for its Corporate Headquarters in Birmingham, Alabama to support scheduling teams.
This role is responsible for overseeing a team of claims specialists who review authorizations for medical procedures and appointments, reconcile claims, and support timely claims processing. The position also serves as a liaison between the scheduling and claims departments and helps maintain accuracy, efficiency, and compliance in daily operations.
Key responsibilities include reviewing medical authorizations, managing team workflows, producing performance reports, identifying operational challenges, and recommending process improvements. The role requires strong attention to detail, the ability to handle high volumes of data, and a focus on minimizing errors while meeting deadlines.
Qualifications
- High school diploma or equivalent required
- Associate's or Bachelor's degree in healthcare administration, business, or a related field preferred
- Minimum 3 years of experience in a healthcare claims, billing, or medical authorization setting
- Ability to prioritize, delegate, and meet deadlines in a high-volume environment
- Working knowledge of medical claims, medical terminology, medical records, and medical authorization processes
- Strong written, verbal, and organizational skills
- Working knowledge of claim demographic information
- Proficiency in Microsoft Office Suite, especially Excel
- High comfort level working with large volumes of data
- Strong attention to detail
Benefits
- Health, dental, and vision insurance starting day one
- Prescriptions free through the health plan beginning day one
- Low-cost benefits
- Employee Assistance Program (EAP)
- 401(k) and Roth with company contribution starting day one
- Tuition assistance
- Referral bonuses
- Term life insurance at no cost to the employee
- Generous paid time off and paid holidays
- Free continuing education and CMEs
Location
Alabama, US
Employment Type
Full-time
Experience Level
Manager
Remote work allowed
No
Posted
1 month ago