Eligibility Specialist

Overview

NaphCare has an excellent opportunity for an Eligibility Specialist to join our Corporate Headquarters in Birmingham AL supporting our correctional health care clients. This position is on-site.

The successful Eligibility Specialist will play a critical role in our operations by reviewing inmate eligibility and 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 verify eligibility and serve as a liaison between the scheduling and claims department to assist with timely processing of claims.

Responsibilities

Key responsibilities include and may not be limited to :

• Review inmate demographics in patient management programs to verify eligibility for various dates of service.
• Utilize healthcare experience to consistently review medical authorizations in our scheduling system in order to resolve outstanding claims
• 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

Qualifications

Qualifications :

Working Conditions :

Why Join NaphCare

At NaphCare we believe in innovating to improve lives. We partner with local state and federal government agencies to provide innovative healthcare technology and administrative solutions for complex problems within the correctional and justice systems. Our success has always been due to our people and our commitment to treating every patient with dignity. We are mission-driven with a singular aim of improving lives through caring health care solutions provided in an environment of respect. United by this belief we work as a team to improve each and every life we touch. Join our team of compassionate trailblazers who are dedicated to making a difference.

NaphCare Benefits for Full-Time Employees Include :

If you would like to speak with me to learn more about this position and NaphCare apply directly to the position to initiate the application process and Ill be in touch.

Equal Opportunity Employer : disability / veteran

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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.

Required Experience :

IC

Key Skills

Sales Experience,Crane,Customer Service,Communication skills,Heavy Equipment Operation,Microsoft Word,Case Management,OSHA,Team Management,Catheterization,Microsoft Outlook Calendar,EHS

Employment Type : Full-Time

Experience : years

Vacancy : 1