Claims Review Manager

Job overview

The Claims Review Manager role is onsite at NaphCare’s corporate headquarters in Birmingham, AL. Compensation is not specified. The manager supports scheduling teams and the claims department at a provider of healthcare services to correctional facilities. The manager oversees claims specialists reviewing medical authorizations and reconciling claims, while monitoring accuracy, timeliness, and workload. The role improves claims operations through reporting, team leadership, and process improvements.

What you'll do

• Review medical authorizations in the scheduling system to resolve outstanding claims
• manage Claims Review Specialists to ensure timely, accurate work
• develop reports on team analytics and performance metrics
• identify operational challenges and implement workflow improvements
• maintain confidentiality of medical records and patient data
• manage high volumes of data and additional assigned projects.

What we're looking for

Skills & competencies

claims review manager

healthcare claims

medical authorizations

claims reconciliation

team management

performance metrics

process improvement

birmingham al

naphcare

correctional healthcare

three years' experience

full-time employee benefits

Work arrangement

• Weekend coverage required

Benefits & perks

• Health, dental and vision insurance, prescription coverage, 401(k) and Roth with company contribution, tuition assistance, referral bonuses, term life insurance, paid time off, paid holidays, and continuing education.

Why this role

Requires a high school diploma or equivalent and at least three years of experience in healthcare claims, billing, or medical authorization.

About the employer

Naphcare, Inc. is hiring for this role. Industry: All Other Outpatient Care Centers. Sector: 62.