Kintegra

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,...