Billing and Revenue Cycle Specialist

NaphCare has an excellent opportunity for a Billing and Revenue Cycle Specialist to join our Corporate Headquarters in Birmingham AL.

The candidate will be in charge of overseeing our clients' financial operations and claims billing. From the filing of claims until the final payment, you will make sure that every part of the revenue cycle operates smoothly and effectively.

NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare.

**This is not a Remote Position **

Prepare and submit claims to various insurance companies electronically
• Accurately and promptly reconcile all posting transactions, including payments, adjustments, and denials for insurers.
• Resolve clearinghouse errors and work through rejections.
• Review and address clearinghouse and payer denials.
• Ensure the accuracy of account adjustments.
• Complete daily payment posting, reconciliation, and account closing tasks.
• Regularly review payment and adjustment postings for accuracy.
• Manage remittance and credits.
• Maintain clearing accounts to ensure accurate financial tracking.
• Investigate and resolve credit balances and undistributed payments.
• Resolve insurance credits following payer guidelines.
• Answers questions from clients and insurance companies
• Maintains strict confidentiality and adhere to all HIPAA guidelines and regulations
• Troubleshoots electronic health record problems as they relate to billing.
• Assist with additional tasks and special projects as needed.

• Minimum of five years of healthcare billing experience required (Medicaid preferred) to include identifying and correcting for errors, posting of payments, communicating with payers, providers, and medical staff.
• Must have healthcare experience and knowledge of billing and coding, including EOBs, ICD-10, and CPT codes.
• Ability to thrive in a fast-paced environment and manage changing priorities.
• Strong commitment to continuous learning and professional development.
• Proficient with medical billing software.

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 prescriptions free of charge when filled at our in-house pharmacy or mail order program.

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 healthcare 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.

We know you may have questions before applying. To speak to a recruiter directly, email your questions and/or resume to CorporateHR@naphcare.com with the position and location you're interested in.

Equal Opportunity Employer: disability/veteran