5 jobs found in Gastonia

Senior TLC in Gastonia, NC is seeking a Medical Claims Supervisor to lead the Medical Authorization team and ensure timely adjudication of claims. You will monitor queues, investigate discrepancies, and coordinate with Finance, Compliance and IT to optimize processing. The role requires five years of experience in medical claims processing, with supervisory exposure and knowledge of CPT, ICD-10, HCPCS, and HIPAA. This is a full-time, exempt position reporting to the Director of Finance. #J-18808-Ljbffr

Kintegra in Gastonia, NC is seeking a Medical Claims Supervisor to manage the Medical Authorization team and oversee claims processing, monitoring inventories, and ensuring timely adjudication in line with health plan benefits and provider contracts. The role collaborates with claims operations, finance, compliance, IT and provider relations, requiring five years in medical claims processing and solid knowledge of CPT/ICD-10, HIPAA, payer portals, and denials management. #J-18808-Ljbffr

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Medical Claims Supervisor ALL Full-Time Gastonia, NC, US 3 days ago Requisition ID: 4991 Job Summary and Specifications Job Title : Medical Claims Supervisor FLSA Status : Exempt Salary Range: See Pay Scale Job Summary: The Medical Claims Supervisor manages the Medical Authorization team and is responsible for overseeing medical claims processing activities, monitoring pending and aged claims inventories, researching claim issues, and ensuring timely and accurate adjudication of claims in accordance with health plan benefits, provider contracts, regulatory requirements, and internal performance standards. The position reports directly to the Director of Finance. This position works closely with claims operations, finance, compliance, quality, IT, provider relations, member services, contracted providers, facilities,...

Job Description Job Description Job Summary and Specifications Job Title : Medical Claims Supervisor FLSA Status : Exempt Salary Range: See Pay Scale Job Summary: The Medical Claims Supervisor manages the Medical Authorization team and is responsible for overseeing medical claims processing activities, monitoring pending and aged claims inventories, researching claim issues, and ensuring timely and accurate adjudication of claims in accordance with health plan benefits, provider contracts, regulatory requirements, and internal performance standards. The position reports directly to the Director of Finance. This position works closely with claims operations, finance, compliance, quality, IT, provider relations, member services, contracted providers, facilities, vendors, and leadership to ensure accurate and timely processing of claims and resolution of claims-related issues. Specifications Education : Bachelor's degree preferred; associate degree in...

Job Summary: A passionate leader who will show integrity and initiative to meet the Mission, Vision and Values of CaroMont Health. Will oversee the daily operations of assigned physician practice(s) under the supervision of the Practice Manager/ Practice Administrator/ Sr. Practice AdministratorProvides direct supervision to all employees in the practice(s). Will be responsible for a minimum of 1 location. Maintains patient confidentiality. Schedules and obtains authorizations for referrals and/or procedures. Maintains provider scheduling, assist patients at check-in, accurate data entry of all demographics, obtains copies of insurance cards, collects co-pays, private balances, obtains authorizations numbers from insurance companies, assists patients with account inquiries, transaction entry with on-going supervision. Will hold a Medical Assistant or LPN license and be expected to work within the credentialed scope of practice. Provides leadership in absence of Practice Manager/...