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Medical Claims Specialist Jobs in Kentucky

36 Jobs Found

Randstad is currently looking for a candidate for a direct hire position to as a Pre-Certification and Insurance Specialist. This person will be in charge of processing pre certifications for a specialist office.The position will ensure the effectiv......
Job Description: Job Summary: Billing Specialist provides billing and administrative support services. Essential Duties and Responsibilities:Enter information into the billing system accurately and timelyExhaust all avenues to discover insurance ......
Role: Pharmacy Specialist Assignment: Humana Pharmacy Rejected Claims Unit Location: Louisville, KY - 515 Building Shift: Monday-Friday, 8:30a-5:00p Bring your unique talents and perspectives to Humana and help us bring better healthcare solutions t......
Under general direction from supervisor, assists in completion of the information on insurance forms. Responsible for the processing and follow-up on all insurance and patient billing for services rendered. Submits insurance claims timely in order t......
The Specialty Subject Matter Expert I will demonstrate and utilize professional conduct when interfacing with staff and clients. The SME I will have the ability to work on multiple programs at a Case Manager level and support program needs to drive ......
Requisition Number16-0311TitleSr. Revenue Cycle SpecialistCityLouisvilleStateKYDescription With our company growing at a rapid pace, we’re looking to bring on an additional Senior Revenue Cycle Specialist to add to our audit team here in our Louis......
Conduct frequent and unscheduled food safety and sanitation audits of assigned stores. Review audit results with key store personnel and provides assistance to correct deficient conditions. Communicate inspection results to the legal department and/......
Description Position Purpose: Perform duties to act as a liaison between providers, the health plan and Corporate. Perform training, orientation and coaching for performance improvement within the network and assist with claim resolution. - Serve ......
Seeking an A/R Follow-Up SpecialistsThis position will provide financial, clerical and administrative services to ensure efficient, timely and accurate payment of accounts. Completes follow-up for insurance and patients for multi-specialist practice......
ResCare Title: Human Resources Specialist Job Category: Human Resources/Payroll Line of Business: Residential Services About ResCare Join us in transforming peoples' lives and their communities! ResCare is a one-of-a-kind human ser......
Grievance and Appeals Specialist Requisition ID 159505 Business Overview Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate......
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General Description: Manage within company standards and best practices complex and problematic high visability workers' compensation claims within delegated limited authority to determine benefits due, work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer requirements to achieve the best possible outcome in the claim. Essential Job...
Equian is a leading provider of technology-enabled, data-driven solutions ensuring payment integrity across the healthcare and property and casualty industries. We seek to attract, develop and retain associates sharing our commitment to innovation, continuous improvement, superior service and professional curiosity. The Recovery Specialist is responsible for investigating, reviewing, negotiating,...
Equian is a leading independent provider of outsourced insurance subrogation, claims recovery and cost containment solutions for the healthcare payor and property and casualty industries. Equian delivers exceptional recovery outcomes by leveraging the expertise of our highly-trained staff with leading-edge technology, integrated systems and processes. We seek to attract, develop and retain associa...
Description: Expanding access to affordable, high quality health care starts here. This is where some of the most innovative ideas in health care are created every day. This is where bold people with big ideas are writing the next chapter in health care. This is the place to do your life's best work.(sm) The Director of Network Programs is responsible for the successful program design, compliance...
Xerox is the world's leading enterprise for business process and document management. Its services, technology, and expertise enable workplaces - from small businesses to large global enterprises - to simplify the way work gets done so they operate more effectively and focus more on what matters most: their real business. Xerox offers business process outsourcing and IT outsourcing services, inclu...