Analysis Skills, Benchmarking, Billing, Claims Processing, Communication Skills, Content Management Systems (CMS), Continuous Improvement, Correctional Health, Corrective Action, Customer Support/Service, Data Quality, Decision Support, Dental Insurance, Documentation, Employee Assistance Plan, Establish Priorities, Health Plan, Healthcare, Healthcare Providers, Leadership, Medical Coding, Metrics, Onboarding, Organizational Skills, Pivot Tables, Process Development, Process Improvement, Quality Control, Quality Management, Reporting Dashboards, Resource Management, Standards of Care, Strategic Planning, Technical Leadership, Time Management, Vision Plan
NaphCare has an excellent opportunity for a Director of Consolidation to join our Corporate Headquarters in Birmingham, AL.
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**
Responsibilities:
- Lead and develop consolidation staff, establishing clear expectations, accountability, and performance standards
- Drive strategic initiatives that improve consistency, scalability, and operational performance across NaphCare sites
- Foster a culture of continuous improvement, collaboration, and results-driven execution
- Oversee the end-to-end authorization lifecycle using system tools (OE/QC) to ensure accurate tracking, follow-up, and close-out
- Monitor key metrics including authorization aging, turnaround times, and completion rates
- Ensure alignment between authorizations, claims received, and invoicing readiness
- Identify process gaps and implement system and workflow improvements to increase efficiency
- Establish and oversee processes to ensure claims accuracy, completeness, and compliance
- Validate alignment of UB-04 and CMS-1500 claims with authorizations and supporting documentation
- Monitor error trends and implement corrective actions to reduce rework and improve quality
- Ensure claims are properly reviewed, organized, and designated as ready for invoicing
- Analyze reports, dashboards, and audit results to drive performance and ensure benchmarks are met
- Ensure data integrity across systems and reporting to support accurate decision-making
- Oversee workload prioritization, resource allocation, and high-volume workflow management
- Lead initiatives to streamline processes, improve turnaround times, and enhance productivity
- Partner with Operations, IT, and Leadership to ensure timely claims processing and invoicing
- Communicate effectively with senior leadership on performance, risks, and operational priorities
- Resolve escalations and remove barriers impacting claims and authorization workflows
- Oversee onboarding, training, and ongoing development aligned with NaphCare processes
- Ensure consistent execution of workflows, including shared inbox management and coverage planning
- Promote a culture of accuracy, accountability, and customer service excellence
- Provide leadership oversight for additional duties, special projects, and strategic initiatives
Qualifications:
- 5+ years of medical claim experience, coding specialist preferred
- 3+ years of management experience
- Bachelors Degree
- Ability to work within a variety of software systems, excel pivot table skills required
Why Join NaphCare?
NaphCare is one of the largest providers of healthcare services to correctional facilities throughout the US and we are growing. If you have never considered a career in correctional healthcare, now may be the time. In addition to competitive salaries and generous employee benefits, we strongly support career advancement within the company.
NaphCare Benefits for Full-Time Employees Include:
- Health, dental & vision insurance that starts day one!
- Prescriptions free of charge through our health plan, beginning day one!
- Lowest Cost Benefits!
- Employee Assistance Program (EAP) services
- 401K and Roth with company contribution that starts day one!
- Tuition Assistance
- Referral bonuses
- Term life insurance at no cost to the employee
- Generous paid time off & paid holidays
- Free continuing education and CMEs
New graduates are encouraged to apply!
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 I’ll be in touch.
Equal Opportunity Employer: disability/veteran
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Naphcare, Inc.
NaphCare is dedicated to implementing cost-effective, quality services according to our clients' needs.
Because every facility is unique, we tailor our services to meet each client's respective needs. We deliver solutions based on your requests rather than telling you how to run your facility. NaphCare evaluates, evolves, and adapts our programs according to not only client needs, but also the ever-changing field of correctional healthcare.
When you choose NaphCare, you choose a proactive, preventive healthcare provider. We focus on a “Day One” mentality, providing care up front and without delay. Our clients experience greater efficiency, a reduction in unnecessary costs, and transfer their legal liability, all without giving up their independence. NaphCare is leading the way with an all-in-one approach to correctional healthcare that provides services unique to your facility.
Personal Attention
With NaphCare, people come first. We are proud of our company culture and ability to connect with our clients on a personal level, and it is NaphCare's mission to continue our history of personalized service. Care is not reserved simply for the patients entrusted to us, but also for our client partners. We care for our clients by providing efficient services to reduce their costs, communicating regularly about our services, listening to the client, providing accountability through continuous quality studies and reporting, and working with integrity at all times.
Company Consistency
Also, as an independent healthcare partner, we are free from complex partnerships and distant investors that limit our competitors' responsiveness. NaphCare has not undergone any corporate reorganization or restructuring since the company was founded in 1989, and has no plans to do so in the future. This stability, along with planned and structured growth, ensures that our client partners receive personal attention from our administrative and medical support team at our headquarters.
Financial Stability
NaphCare is a financially stable and fiscally responsible company. Throughout our history, we have maintained steady, measured growth, more stable than sweeping corporate changes. Our clients do not have to worry about drastic shifts in our company and how such changes will affect their services.
One of the best indicators of a company's financial stability is its ability to secure insurance and a bonding line. NaphCare is proud of our ability to provide performance bonds, rather than letters of credit. Due to our financial strength, NaphCare has exceptional insurance programs that indemnify our clients against litigation regarding healthcare services.