Claims Processing Clerk jobs in Tuscaloosa, AL

Claims Processing Clerk receives and inputs new healthcare claims, processes payments, researches billing issues, and responds to email and telephone inquiries. Evaluates claims and administers payment, denies, or returns claims according to policy provisions and organizational guidelines. Being a Claims Processing Clerk produces routine and ad hoc reports. Requires a high school diploma. Additionally, Claims Processing Clerk typically reports to a supervisor. The Claims Processing Clerk works under the close direction of senior personnel in the functional area. Possesses a moderate understanding of general aspects of the job. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)

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Chief- Sterile Processing Service
  • US Veterans Health Administration
  • Tuscaloosa, AL FULL_TIME
  • Duties

    VA offers a comprehensive total rewards package: VA Nurse Total Rewards

    Duties

    The Chief, SPS functions as a second-level supervisor with administrative responsibility for planning and directing the work. Oversees attendance and leave, including approval of sick and annual leave and vacation schedules. Informs higher level management of anticipated vacancies or increases in workload. Recommends promotions, reassignments, recognition of superior performance, retention or release of probationary employees or other changes of assigned personnel. Holds corrective interviews with employees, referring disciplinary problems to higher levels of management. Resolves informal complaints of employees and deals with union representatives on personnel matters. Provides technical supervision necessary for accomplishing the work of the organizational unit, with responsibilities of managing the instrument tracking system, training and quality assurance oversight.

    This role involves clinical, administrative, research, and educational components which impact patients and healthcare personnel throughout the health care system. The incumbent oversees assessing the decontamination and high-level disinfection/sterilization process inside and outside of SPS, all secondary inventories, and the environment. Based on these, the incumbent analyzes trends, transmits data, communicates recommendations, develops and implements policies, and collaborates with others on the application of evidence-based principles to practice.

    The incumbent ensures the practice of SPS is consistent with the VA Standards, VISN 7 policies/procedures and external regulatory standards, such as The Joint Commission (TJC), AORN, Occupational Health and Safety Administration (OSHA), Food and Drug Administration (FDA), and AAMI. The Chief, SPS plays a leadership role in assuring ongoing systematic evaluation, improvement of quality and effectiveness of SPS processes and practices. The Chief, SPS collaborates with all service lines within the Tuscaloosa VA Medical Center (TVAMC), particularly Specialty Care, Primary Care, and Infection Control. The incumbent is responsible for meeting all performance goals including quality of care standards, productivity targets, efficiency and process improvement measures, patient/customer satisfaction, accessibility to care, and budgetary targets.The Chief, SPS assists with the development and completion of action plans associated with instrument processing, decontamination, sterilization, biological monitoring, high level disinfection monitoring, and inventory concerns in secondary storage supplies. The incumbent will assist with product or equipment recalls. This position also involves carrying out the duties, and responsibilities related to CensiTrac program in the facility. They will oversee the implementation and coordination of the CensiTrac management program, training and ongoing maintenance within the facility. Supports service leaders to develop the program is designed to prepare the new or existing staff technicians to function competently in a consistent high standard of providing surgical instrumentation, critical patient care device, and the management throughout the facility.
    Eligible for:

    Recruitment (for highly qualified candidates).
    Relocation (for highly qualified candidates).Pay: Competitive salary, regular salary increases, potential for performance awards
    Paid Time Off: 50 days of paid time off per year (26 days of annual leave, 13 days of sick leave, 11 paid Federal holidays per year)
    Retirement: Traditional federal pension (5 years vesting) and federal 401K with up to 5% in contributions by VA
    Insurance: Federal health/vision/dental/term life/long-term care (many federal insurance programs can be carried into retirement)
    Licensure: 1 full and unrestricted license from any US State or territory
    Work Schedule: Full Time 8:00 am - 4:30 pm Monday - Friday (extended hours including Saturday, when needed).
    Telework: Not available
    Virtual: This is not a virtual position.
    EDRP Authorized: This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific individual eligibility requirements in accordance with VHA policy and submit your EDRP application within four months of appointment. Approval, award amount (up to $200,000) and eligibility period (one to five years) are determined by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Contact Tonya.Gibson@va.gov, the EDRP Coordinator for questions/assistance. Learn more
    Permanent Change of Station (PCS): Not authorized
    Financial Disclosure Report: Not required

    Requirements

    Conditions of Employment

    • U.S. Citizenship; non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
    • All applicants tentatively selected for VA employment in a testing designated position are subject to urinalysis to screen for illegal drug use prior to appointment. Applicants who refuse to be tested will be denied employment with VA.
    • Selective Service Registration is required for males born after 12/31/1959.
    • Must be proficient in written and spoken English.
    • You may be required to serve a probationary period.
    • Subject to background/security investigation.
    • Selected applicants will be required to complete an online onboarding process.
    • Must pass pre-employment physical examination
    • Participation in the seasonal influenza vaccination program is a requirement for all Department of Veterans Affairs Health Care Personnel (HCP).
    • Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.
    • Participation in the Coronavirus Disease 2019 (COVID-19) vaccination program is a requirement for all Veterans Health Administration Health Care Personnel (HCP) - See "Additional Information" below for details.

    Qualifications

    To qualify for this position, applicants must meet all requirements by the closing date of this announcement,01/23/2024.
    Basic Requirements:
    • United States Citizenship: Non-citizens may only be appointed when it is not possible to recruit qualified citizens in accordance with VA Policy.
    • Graduate of a school of professional nursing approved by the appropriate State-accrediting agency and accredited by one of the following accrediting bodies at the time the program was completed by the applicant: The Accreditation Commission for Education in Nursing (ACEN) or The Commission on Collegiate Nursing Education (CCNE). In cases of graduates of foreign schools of professional nursing, possession of current, full, active and unrestricted registration will meet the requirement of graduation from an approved school of professional nursing. OR The completion of coursework equivalent to a nursing degree in a MSN Bridge Program that qualifies for professional nursing registration constitutes the completion of an approved course of study of professional nursing. Students should submit the certificate of professional nursing to sit for the NCLEX to the VA along with a copy of the MSN transcript. (Reference VA Handbook 5005, Appendix G6) OR In cases of graduates of foreign schools of professional nursing, possession of a current, full, active and unrestricted registration will meet the requirement for graduation from an approved school of professional nursing.
    • Current, full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (i.e., Puerto Rico) of the United States, or the District of Columbia
    Preferred Experience
    • At least one year of experience directly tied to Sterile Processing Services is preferred.
    • National Certification in Sterile Processing preferred (e.g., HSPA, CBSPD, VHA Level Two)
    In addition to the experience above, the candidate must demonstrate the following:
    • Ability to implement and incorporate regulations, policies, and procedures to manage SPS operations.
    • Ability to evaluate new products and equipment, develop options, and make recommendations.
    • Ability to integrate SPS managerial duties, which includes strategic planning of facility organizational goals and integration of SPS vision and values within the organizational mission.
    • Ability to perform a full range of supervisory duties, including assigning, planning and evaluating work, recommending awards, approving leave, identifying training needs, and resolving staff issues.
    • Skill to initiate and lead interdisciplinary groups in order to facilitate daily SPS functions.
    • Ability to analyze and interpret fiscal data in order to forecast resource and equipment needs.
    Grade Determinations: The following criteria must be met in determining the grade assignment of candidates, and if appropriate, the level within a grade:
    • Nurse I Level I - An Associate Degree (ADN) or Diploma in Nursing, with no additional nursing practice/experience required.
    • Nurse I Level II - An ADN or Diploma in Nursing and approximately 1 year of nursing practice/experience; OR an ADN or Diploma in Nursing and a bachelor's degree in a related field with no additional nursing practice/experience; OR a Bachelor's of Science in Nursing (BSN) with no additional nursing practice/experience.
    • Nurse I Level III - An ADN or Diploma in Nursing and approximately 2-3 years of nursing practice/experience; OR an ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 1-2 years of nursing practice/experience; OR a BSN with approximately 1-2 years of nursing practice/experience; OR a Master's degree in nursing (MSN) or related field with a BSN and no additional nursing practice/experience.
    • Nurse II - A BSN with approximately 2-3 years of nursing practice/experience; OR ADN or Diploma in Nursing and a Bachelor's degree in a related field and approximately 2-3 years of nursing practice/experience; OR a Master's degree in nursing or related field with a BSN and approximately 1-2 years of nursing practice/experience; OR a Doctoral degree in nursing or meets basic requirements for appointment and has doctoral degree in a related field with no additional nursing practice/experience required.
    • Nurse III - Master's degree in nursing or related field with BSN and approximately 2-3 years of nursing practice/experience; OR a Doctoral degree and approximately 2-3 years of nursing practice/experience.
    Reference: VA Regulations, specifically VA Handbook 5005, Part II, Appendix G-6 Nurse Qualification Standard. This can be found in the local Human Resources Office.

    Physical Requirements: This position requires visual acuity, keen hearing, clear distinctive speech, and manual dexterity. This position requires potentially long periods of continued walking, standing, stooping, sitting, bending, pulling, and pushing.

    Education

    IMPORTANT: A transcript must be submitted with your application if you are basing all or part of your qualifications on education.

    Note: Only education or degrees recognized by the U.S. Department of Education from accredited colleges, universities, schools, or institutions may be used to qualify for Federal employment. You can verify your education here: http://ope.ed.gov/accreditation/. If you are using foreign education to meet qualification requirements, you must send a Certificate of Foreign Equivalency with your transcript in order to receive credit for that education. For further information, visit: http://www.ed.gov/about/offices/list/ous/international/usnei/us/edlite-visitus-forrecog.html.

    Additional information

    This job opportunity announcement may be used to fill additional vacancies.
    This position is in the Excepted Service and does not confer competitive status.

    VA encourages persons with disabilities to apply. The health-related positions in VA are covered by Title 38, and are not covered by the Schedule A excepted appointment authority.

    "Pursuant to VHA Directive 1193.01, VHA health care personnel (HCP) are required to be fully vaccinated against COVID-19 subject to such accommodations as required by law (i.e., medical, religious or pregnancy). VHA HCPs do not include remote workers who only infrequently enter VHA locations. If selected, you will be required to be fully vaccinated against COVID-19 and submit documentation of proof of vaccination before your start date. The agency will provide additional information regarding what information or documentation will be needed and how you can request a legally required accommodation from this requirement using the reasonable accommodation process.


    • Benefits

      A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

      Review our benefits

      Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

    How You Will Be Evaluated

    You will be evaluated for this job based on how well you meet the qualifications above.

    IN DESCRIBING YOUR EXPERIENCE, PLEASE BE CLEAR AND SPECIFIC. WE MAY NOT MAKE ASSUMPTIONS REGARDING YOUR EXPERIENCE.
    Your application, resume, C.V., and/or supporting documentation will be verified. Please follow all instructions carefully. Errors or omissions may affect consideration for employment.

    NOTE: Candidate's education, scope, and length of nursing practice (experience) will be considered by a Nurse Professional Standards Board in determining the grade and salary of the applicant selected. The recommended salary may be at any point in the range listed for this vacancy.

    Experience as an RN will be evaluated to determine if the experience is of an acceptable level of quality with regard to the following four dimensions of nursing: Practice, Professional Development, Collaboration and Scientific Inquiry. Each dimension of practice has criteria that demonstrate essential core competencies for VHA Nursing Personnel.Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religions; spiritual; community; student; social). Volunteer work helps build critical competencies, knowledge, and skills and can provide valuable training and experience that translates directly to paid employment. You will receive credit for all qualifying experience, including volunteer experience.

    The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidate's abilities; and assist a hiring manager with making a final selection for a position.

    It is the policy of the VA to not deny employment to those that have faced financial hardships or periods of unemployment.

    Veterans and Transitioning Service Members: Please visit the VA for Vets site for career-search tools for Veterans seeking employment at VA, career development services for our existing Veterans, and coaching and reintegration support for military service members.

    • Benefits

      A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new windowLearn more about federal benefits.

      Review our benefits

      Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.

    • Required Documents

      As a new or existing federal employee, you and your family may have access to a range of benefits. Your benefits depend on the type of position you have - whether you're a permanent, part-time, temporary or an intermittent employee. You may be eligible for the following benefits, however, check with your agency to make sure you're eligible under their policies.

      To apply for this position, you must provide a complete Application Package which includes:

      • Resume


      VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at: About VA Form 10-2850A | Veterans Affairs.
      The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc
      • DD-214/ Statement of Service
      • Disability Letter (VA)
      • Resume


      Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.

      If you are relying on your education to meet qualification requirements:

      Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

      Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.

    • How to Apply

      All applicants are encouraged to apply online. To apply for this position, you must complete the full questionnaire and submit the documentation specified in the Required Documents section below. The complete application package must be submitted by 11:59 PM (ET) on 01/23/2024 to receive consideration. To preview the questionnaire click https://apply.usastaffing.gov/ViewQuestionnaire/12282400.

      To begin, click Apply Online to create a USAJOBS account or log in to your existing account. Follow the prompts to select your USA JOBS resume and/or other supporting documents and complete the occupational questionnaire.

      • Click Submit My Answers to submit your application package.
      NOTE: It is your responsibility to ensure your responses and appropriate documentation is submitted prior to the closing date.
      To verify your application is complete, log into your USA JOBS account, https://my.usajobs.gov/Account/Login, select the Application Status link and then select the more information link for this position. The Details page will display the status of your application, the documentation received and processed, and any correspondence the agency has sent related to this application. Your uploaded documents may take several hours to clear the virus scan process. To return to an incomplete application, log into your USA JOBS account and click Update Application in the vacancy announcement. You must re-select your resume and/or other documents from your USA JOBS account or your application will be incomplete.

      Agency contact information

      Kisha Nettles

      Phone

      205-723-9528

      Email

      kisha.nettles@va.gov

      Address

      Tuscaloosa VA Medical Center
      3701 Loop Road East
      Tuscaloosa, AL 35404
      US

      Next steps

      Once your online application is submitted you will receive a confirmation notification by email. After we receive application packages (including all required documents) and the vacancy announcement closes, we will review applications to ensure qualification and eligibility requirements are met. After the review is complete, a referral certificate(s) is issued and applicants will be notified of their status by email. Referred applicants will be notified as such and may be contacted directly by the hiring office for an interview. All referred applicants receive a final notification once a selection decision has been made. You may check the status of your application at any time by logging into your USA Jobs account and clicking on Applications. Information regarding your application status can be found in the USAJobs Help Center

      NOTE: Participation in the seasonal influenza program is a condition of employment and a requirement for all Department of Veterans Affairs Health Care Personnel (HCP). It is a requirement that all HCP to receive annual seasonal influenza vaccination or obtain an exemption for medical or religious reasons. Wearing a face mask is required when an exemption to the influenza vaccination has been granted. HCP in violation of this directive may face disciplinary action up to and including removal from federal service. HCP are individuals who, during the influenza season, work in VHA locations or who come into contact with VA patients or other HCP as part of their duties. VHA locations include, but are not limited to, VA hospitals and associated clinics, community living centers (CLCs), community-based outpatient clinics (CBOCs), domiciliary units, Vet centers and VA-leased medical facilities. HCP include all VA licensed and unlicensed, clinical and administrative, remote and onsite, paid and without compensation, full- and part-time employees, intermittent employees, fee basis employees, VA contractors, researchers, volunteers and health professions trainees (HPTs) who are expected to perform any or all of their work at these facilities. HPTs may be paid or unpaid and include residents, interns, fellows and students. HCP also includes VHA personnel providing home-based care to Veterans and drivers and other personnel whose duties put them in contact with patients outside VA medical facilities.ddddd.

    • Fair and Transparent

      The Federal hiring process is set up to be fair and transparent. Please read the following guidance.

      • Equal Employment Opportunity (EEO) Policy
      • Reasonable accommodation policy
      • Financial suitability
      • Selective Service
      • New employee probationary period
      • Signature and false statements
      • Privacy Act
      • Social security number request

    Required Documents

    To apply for this position, you must provide a complete Application Package which includes:

    • Resume


    VA Form 10-2850a - Application for Nurses and Nurse Anesthetists can be found at: About VA Form 10-2850A | Veterans Affairs.
    The following documents are accepted, and may be required if applicable to your eligibility and/or qualifications for this position. Please use this checklist to ensure you have included all documents required for your application, such as a copy of your transcript (if using education to qualify), SF-50's (current/former Federal employees), etc
    • DD-214/ Statement of Service
    • Disability Letter (VA)
    • Resume


    Veterans' Preference Note: Preference eligible candidates and other Veterans will be given preference when qualification of candidates are approximately equal for Title 38 positions in VHA. When applying for Federal Jobs, eligible Veterans should claim preference for 5pt (TP), 10pt (CP/CPS/XP), or for Sole Survivor Preference (SSP) in the questionnaire. You must provide a legible copy of your DD214(s) which shows dates and character of service (honorable, general, etc.). If you are currently serving on active duty and expect to be released or discharged within 120 days you must submit documentation related to your active duty service which reflects the dates of service, character of service (honorable, general, etc.), and dates of impending separation. Additionally, disabled veterans and others eligible for 10-point preference (such as widows or mothers of eligible Veterans) must also submit an SF-15 "Application for 10 Point Veteran Preference" with required proof as stated on the form. Documentation is required to award preference. For more information on Veterans' Preference, please visit Feds Hire Vets - Veterans - Job Seekers - Veterans' Preference.

    If you are relying on your education to meet qualification requirements:

    Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.

    Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.


    Help

    This job is open to

    • The public

      U.S. Citizens, Nationals or those who owe allegiance to the U.S.

    Clarification from the agency

    This position is opened to all U. S. citizens. Note: Current permanent Tuscaloosa VA Medical Center employees will be given first consideration.

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Supervisory Medical Supply Technician (Sterile Processing)
  • US Veterans Health Administration
  • Tuscaloosa, AL FULL_TIME
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0 Claims Processing Clerk jobs found in Tuscaloosa, AL area

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Director - Compliance
  • Warrior Met Coal, Inc.
  • Brookwood, AL
  • Position is responsible to provide oversite and guidance to operations and safety management regarding compliance with W...
  • 4/16/2024 12:00:00 AM

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Remote Insurance Agents Needed
  • The Jernigan Agency
  • Tuscaloosa, AL
  • This Jernigan Agency is looking for individuals interested in working remotely as sales representatives. We are hiring c...
  • 4/15/2024 12:00:00 AM

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Remote Insurance Agent
  • Dorr Agency
  • Tuscaloosa, AL
  • Looking for your last career stop? Interested in an industry change? Seeking work-life balance? The Dorr Agency is seeki...
  • 4/15/2024 12:00:00 AM

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Life Insurance Sales Broker
  • PlanRight Financial - Maddox Agency
  • Tuscaloosa, AL
  • Job Description Job Description Our organization is growing and expanding fast into new territories, we’re looking for L...
  • 4/15/2024 12:00:00 AM

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Work From Home Life Insurance Agent (Commission-Based)
  • Lumina Financial Solutions
  • Bessemer, AL
  • Join Our Winning Team - Sales Agent Position with Lumina Financial Solutions. Are you looking for a rewarding career in ...
  • 4/15/2024 12:00:00 AM

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Life Insurance Sales Agent
  • The Diaz Agency
  • Tuscaloosa, AL
  • Looking for entry level and experienced professionals who appreciate a cutting-edge company with the desire to work for ...
  • 4/12/2024 12:00:00 AM

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Independent Insurance Claims Adjuster in Tuscaloosa, Alabama
  • MileHigh Adjusters Houston Inc
  • Tuscaloosa, AL
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 4/12/2024 12:00:00 AM

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Independent Insurance Claims Adjuster in Northport, Alabama
  • MileHigh Adjusters Houston Inc
  • Northport, AL
  • Exciting Opportunity for Aspiring Claims Adjusters! INDEPENDENT INSURANCE CLAIMS ADJUSTERS NEEDED NOW! Are you ready to ...
  • 4/12/2024 12:00:00 AM

Tuscaloosa (/tʌskəˈluːsə/ TUS-kə-LOO-sə) is a city in and the seat of Tuscaloosa County in west central Alabama (in the southeastern United States). Located on the Black Warrior River at the Atlantic Seaboard fall line of the Piedmont, it is the fifth-largest city in Alabama, with an estimated population of 100,287 in 2017. The city was originally known as Tuskaloosa until the early 20th century. Incorporated as a town on December 13, 1819, it was named after Tuskaloosa, the chief of a band of Muskogean-speaking people. They battled and were defeated by forces of Spanish explorer Hernando de S...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Claims Processing Clerk jobs
$35,369 to $42,770
Tuscaloosa, Alabama area prices
were up 1.3% from a year ago