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Customer Service Representative
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Behavioral Health
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Kintegra Health Gastonia, United States**5000 SIGN-ON BONUS FOR FULLY LICENSED CANDIDATES** · Overview · We are looking for a School Behaviorist LCSW(A), LCMHC(A), LMFT(A) to join our family. Under the direct supervision of the Director of School Behavioral Health and School Behavioral Health Regional Lead, this posit ...
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Customer Support Specialist
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Lead CNA
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Project Manager
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CTE - Career Development Coordinator
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Administrative Support Assistant
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HR-Intake Beneficiary Coordinator
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police records specialist i, ii, iii
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police records specialist i, ii, iii
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Gaston College Dallas, United StatesOpen until filled- · Perform various accounting duties pertaining to the accounts receivable function. Enter various student charges, maintain all billings and files for third-party agencies and students, analyze and prepare data for all refunds, process student payments, and ans ...
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Gaston College Dallas, United StatesOpen until filled- · Perform various accounting duties pertaining to the accounts receivable function. Enter various student charges, maintain all billings and files for third-party agencies and students, analyze and prepare data for all refunds, process student payments, and ans ...
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Logistics Manager
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Director-Purchasing, Shipping
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Gaston College Dallas, United StatesSalary: $65,120.00 Annually · Location : Dallas, NC · Job Type: Full-Time Regular Staff · Job Number: · Division: Finance, Operations, and Facilities · Opening Date: 10/11/2023 · SUMMARY · Open Until Filled- · Manage all College purchasing activities to ensure all federal, ...
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Gaston College Dallas, United StatesSalary: $40,000.00 Annually · Location : Dallas, NC · Job Type: Full-Time Regular Staff · Job Number: · Division: Finance and Operations · Department: Accounting Services · Opening Date: 03/22/2024 · SUMMARY · Open until filled- · Perform various accounting duties pertain ...
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Access Specialist
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Customer Support Specialist
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Public Relations Manager
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Portfolio Manager
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United Bank Inc Gastonia, United StatesSelect how often (in days) to receive an alert: · Create Alert · The Portfolio Manager owns primary responsibility for the underwriting quality, portfolio administration and credit quality of assigned portfolio working directly with Relationship Manager, Lenders and other stakeh ...
STLC-POSP Contract Management Liaison - Gastonia, United States - Kintegra Health
Description
Job Description
Job DescriptionSenior TLC
Job Summary and Specifications
Job Title: Contract Management Liaison
FLSA Status: (Exempt)
Salary Range: See Pay Scale
Job Summary: Under the supervision of the Finance Director, the Contract Management Liaison is responsible for processing medical specialist and vendor contracts. Liaison for medical specialist for review of claims to ensure payment is processed according to contract agreement. This individual will also be the backup for the Finance Analyst. SpecificationsEducation: Associate degree in accounting, business, healthcare or related field.
Experience: At least 1 years experience working with the frail elderly population. 2+ years Medicaid/Medicare knowledge with at least 2+ years of accounting experience in a medical practice or equivalent business office setting. Experience in a healthcare setting working with medical claims.
Number and Type of Employees Supervised (optional): None.
Licensure, Registry or Certification Required: NC driver's license.
Special Training: Meet a standardized set of competencies for the specific position description established by Senior TLC, Inc. and approved by CMS before working independently.
Immunizations: Be medically cleared for communicable diseases and have all immunizations up to date before engaging in direct participant contact
Ages of Patients Rendered Care:
Neonate/Infant Early Childhood Adolescent Adult Geriatric All Age Groups
Key Responsibilities: (*denotes an age-related skill or task)
· Supports Senior TLC's mission to encourage and support the quality of life of seniors wishing to continue living in the community; its vision to be the preferred provider of individualized care for seniors in the community; and its values of respect, integrity, accountability, compatible goals, and compassionate care.
· Provides administrative support for the Director of Finance in being the Liaison for the Pace Program.
· Liaison for Contract Provider Request forms submitted by COO & Medical Director.
· Oversees and maintains the credentialing of all provider and vendor contracts.
· Oversees the Preclusion list of FDR (First Tier Downstream) & related entities to ensure compliance with CMS.
· Assists in conducting annual contract audits.
· Assists in conducting new provider and vendor orientations.
· Maintains contract/vendor files and database.
· Submits contract provider list for annual participant newsletter.
· Maintains and load new contracts within the claims adjudication software.
· Review weekly Pend Reports for contractual requirements for claims adjudication.
· Assists with the internal audit process of claims adjudication software.
· Review claims financial data utilization for contract negotiations.
· Report new contract providers to third-party payer for authorizations.
· Acts as Liaison with local DSS to ensure compliance with State regulations.
· Serves as a backup for the Finance Team as necessary.
· Other duties as assigned by the Director of Finance and Executive Director
