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Sr. Claims Adjudicator
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- NaphCare, Inc. has an excellent opportunity for a Sr. Claims Adjudicator (Claims Examiner Tier II, Claims Analyst Tier II) to join our team at the Corporate Headquarters in Birmingham, 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.
- Utilize claims processing experience and working knowledge of Medicare and Medicaid to effectively and efficiently process claims for payment while adhering to internal deadlines.
- Minimum five years of recent adjudication experience required.
- Working knowledge of medical terminology, billing standards, and Medicare and Medicaid methodologies.
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