Senior TLC

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 2 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, vendors,...

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