NewBilling Portal Specialist Vaco LLCBilling Portal SpecialistLouisville, KY$25–$33 / hourDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. Determining compensation for this role (and others) at Vaco/Highspring depends upon a wide array of factors including but not limited to the individual’s skill sets, experience and training, licensure and certifications, office location and other geographic considerations, as well as other business and organizational needs.
NewCorporate Billing Specialist Vaco LLCCorporate Billing SpecialistLouisville, KY$50,000–$55,000 / yearDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure.
AR and Billing Specialist Vaco LLCAR and Billing Specialistlouisville, KY$50,000–$52,000 / yearThis role is responsible for accurately processing invoices, monitoring customer accounts, posting payments, resolving billing discrepancies, managing collections efforts, and maintaining strong customer relationships. Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs.
NewDirector of Revenue Cycle Vaco LLCDirector of Revenue CycleLouisville, KY$120,000–$135,000 / yearDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. The Revenue Cycle Manager is responsible for overseeing all aspects of the revenue cycle process for multiple healthcare clients, ensuring efficient billing operations, timely reimbursement, compliance with payer regulations, and exceptional client service.
NewBiling Specialist (Non-Medical) Vaco LLCBiling Specialist (Non-Medical)Louisville, KY$50,000–$55,000 / yearDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. With that said, as required by local law, Vaco by Highspring believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure.
Prior Authorization Specialist (Gastroenterology Specialty) Vaco LLCPrior Authorization Specialist (Gastroenterology Specialty)louisville, KY$22–$24 / hourDetermining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. The Prior Authorization Specialist serves as a liaison between patients, providers, insurance companies, and healthcare facilities to ensure timely approval of medically necessary services while providing an exceptional patient experience.
NewPharmacy Medical Billing Specialist Onco360Pharmacy Medical Billing SpecialistLouisville, KentuckyOnco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturers. Behavior Competencies Required: Strong work ethic with excellent time management skills, excels at working independently but collaborative in a group setting as well.
NewBilling lead -Aetna Employer Portal-Remote CVS Health CorpBilling lead -Aetna Employer Portal-RemoteKYRemote$54,300–$159,120 / yearThis role provides Level 2 support for escalated billing issues, leads internal training and operational readiness, oversees migration from legacy billing tools, and drives continuous process improvement. The Billing Lead collaborates closely with Sales, Billers, and cross-functional teams to ensure seamless billing operations and exceptional customer experience.
Billing Specialist (Medical Biller) BrightSpring Health ServicesBilling Specialist (Medical Biller)Louisville, KY$21–$24 / hourAbode Care Partners, an affiliate of BrightSpring Health Services, is a leading provider of integrated medical services, caring for individuals from post-hospitalization to home in various settings ranging from skilled nursing facilities, assisted living, independent living, group homes, and private homes. We bring quality medical care to older adults, people with complex conditions, people with special needs, and individuals with intellectual and/or developmental disabilities while increasing quality of life and safeguarding the dignity of those we serve.
Billing Specialist VisionFirst Eye CareBilling SpecialistLouisville, KentuckyAbility to work in a hybrid role that includes several days of remote work and at least one day working in the office. Generous paid time off including up to 3 weeks of PTO in the first year, 6 paid holidays, and 1 floating holiday per year.
Medicare Pt B Billing & Accred. Spec. Synchrony Home OfficeMedicare Pt B Billing & Accred. Spec.Louisville, KentuckyFull timeThe position requires strong analytical skills, professional communication with internal and external stakeholders, and the ability to operate with minimal supervision while contributing to cross-functional initiatives and process improvements. This role is responsible for independently managing complex pharmacy billing activities, ensuring compliance with CMS regulations, and driving resolution of systemic issues impacting reimbursement and operational effectiveness.
NewRecurring Billing Specialist ThriveRecurring Billing SpecialistLouisville, KentuckyCommunication Skills: Presents ideas, concepts, and information effectively and clearly through the spoken and written word; actively listens; communicates comfortably with various audiences; responds effectively to questions; prepares clear, concise, and effective written communications; displays strong grammatical, spelling, composition, and proof-reading skills. Attention to Detail: Follows established guidelines and procedures to ensure accuracy; gets work right despite pressing deadlines; concentrates on routine work details and organizes and maintains a system of records; is alert and aware of surroundings and carefully monitors technical equipment or processes.
Billing Manager ABOUT US: BiodesixBilling ManagerLouisville, KentuckySuccess in this role requires a strong focus on operational excellence through process improvement, vendor partnership management, workflow oversight, and team development within a fast-paced laboratory billing environment. Biodesix Development Services enable the world’s leading biopharmaceutical, life sciences, and research institutions with scientific, technological, and operational capabilities that fuel the development of diagnostic tests, tools, and therapeutics.
Billing Clerk Talis Group, Inc.Billing ClerkLouisville, Kentucky$43,680This role is primarily a high-volume, process-driven position focused on accurate data entry, billing support, accounts payables, and accounts receivables. Previous billing experience preferred; legal billing experience is a plus, but the firm is willing to train.
Billing Clerk Talis GroupBilling ClerkLouisville, KYThis role is primarily a high-volume, process-driven position focused on accurate data entry, billing support, accounts payables, and accounts receivables. Previous billing experience preferred; legal billing experience is a plus, but the firm is willing to train.
Medical Billing Representative ValerisMedical Billing RepresentativeJeffersonville, IndianaBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. Due to an increase in hiring scams, please be aware that if you are selected to move forward in our hiring process, a member of our Talent Acquisition team will contact you directly using an official @valeris.com and/or @echo.newtonsoftware.com email address regarding next steps in our interview process.
Senior Billing Specialist Relativity ODA LLCSenior Billing SpecialistKentucky, KY$60,000–$90,000 / yearRequired Skills: Accounts Receivable (AR), Billing, Communication, Customer Service, Data Entry, Enterprise Resource Planning (ERP) Systems, Invoices, Microsoft Excel, Payment Processing. The Senior Billing Specialist is a key contributor to the OTC team, responsible for the accurate and timely preparation of customer invoices, contract processing, and billing documentation across a broad range of product lines and billing models.
Medicare D Billing Representative BrightSpring Health ServicesMedicare D Billing RepresentativeLouisville, KYThe Medicare D Biller serves as a primary liaison for the Clinical Hub, maintaining proactive communication with pharmacists, healthcare facilities, physicians, and Prescription Drug Plans (PDPs) regarding therapeutic interchange opportunities and prior authorization requests. Working closely with EMAR systems, healthcare facilities, and clinical teams, the Medicare D Biller serves as a key point of contact throughout the prior authorization process, ensuring efficient coordination, thorough documentation, and successful resolution of authorization requests.
Payer Services Specialist Trilogy Health Services LLCPayer Services SpecialistLouisville, KYValidate and verify patient's active insurance benefits, demographics, prior authorization requirements, network status, and financial information for the purpose of guaranteeing reimbursement for services rendered and to minimize collection issues and/or bad debt expense. Assist in researching escalated issues from payers, case managers, revenue cycle team or campuses in a timely and effective manner and provide audit of process to identify system or process failures.
New["Payer Services Specialist","Payer Services Specialist"] Trilogy Health Services["Payer Services Specialist","Payer Services Specialist"]LouisvilleValidate and verify patient's active insurance benefits, demographics, prior authorization requirements, network status, and financial information for the purpose of guaranteeing reimbursement for services rendered and to minimize collection issues and/or bad debt expense. Assist in researching escalated issues from payers, case managers, revenue cycle team or campuses in a timely and effective manner and provide audit of process to identify system or process failures.
AR Follow Up Specialist 360careAR Follow Up SpecialistLouisville, KentuckyCustomer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds. Working aged receivable reports; identify errors and work claims, calling insurance companies if necessary and posting adjustments and payments as well.
NewMedical Benefits Verification Specialist Onco360Medical Benefits Verification SpecialistLouisville, KentuckySkills/Knowledge Required: Medicare and Medical insurance and benefit verification, medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, coordination of benefits, Understanding Medicare Parts A, B, C, and D, as well as relevant laws and guidelines, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, basic math and analytical skills, Intermediate typing/keyboarding skills. Behavior Competencies Required: Independent worker, good interpersonal skills, excellent verbal and written communications skills, ability to work independently, work efficiently to meet deadlines and be flexible, detail-oriented, great time-management skills.
Manager - Arbitration Operations MaximusManager - Arbitration OperationsLouisville, KYFull timeMaximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. - Frequent interaction with subordinate employees, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers and the company.
Clinical Quality Assurance Specialist, RN Wider CircleClinical Quality Assurance Specialist, RNLouisville, KY$80,000–$95,000 / yearWork across teams on QA findings: partner with Operations on workflow and automation fixes, with Billing on documentation and revenue issues, and with the Training and Enablement Specialist to close skill gaps through targeted training. We partner with health plans and local organizations to help members find their way through the healthcare system, stay engaged in their care, and live healthier lives.
NewMedicare B Specialist BrightSpring Health ServicesMedicare B SpecialistLouisville, KYWorking closely with EMAR systems, healthcare facilities, and clinical teams, the Medicare D Biller serves as a key point of contact throughout the prior authorization process, ensuring efficient coordination, thorough documentation, and successful resolution of authorization requests. PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals.
Claims Specialist Team Lead BrightSpring Health ServicesClaims Specialist Team LeadLOUISVILLE, KYRemote$22–$25 / hourEDUCATION/EXPERIENCE• High School graduate, GED or equivalent experience.• Desired: Associates degree, 4 year college or technical degree.• 3+ years insurance billing experience.• Specialized understanding of billing requirements in one of the following areas: Medicare Part D, Medicaid, and Commercial billing.• PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals.
Regional Medicaid Specialist Trilogy Health Services LLCRegional Medicaid SpecialistLouisville, KYTracks application status and communicate directly with assigned regions Family and Social Services Administration (FSSA), county offices, caseworkers, and managed care organizations regarding pending applications and requests for information. Collaborates with facility billing and corporate revenue cycle teams to reduce pending Medicaid balances, minimize bad debt exposure, and improve cash collections.
System Director, Revenue Integrity Norton HealthcareSystem Director, Revenue IntegrityLouisville, KentuckyFull timeResponsibilities: The System Director, Revenue Integrity, is responsible for ensuring the integrity of the hospital and physician practice revenue cycle, assuring documentation reflecting registration, clinical service delivery, charging, coding, billing and remittance are accurate, complete, comprehensive and in compliance with regulatory and payor requirements. Assists in compliance issues and reviews billing edit issues including APC grouper edits, Emdeon and LMRP reviews.
Urgently Medical Record Clerk Easy RecruiterUrgently Medical Record ClerkLouisville, KentuckyGo365 perks for well-beingResponsibilitiesMedical Records Retrieval Specialist/ Risk Adjustment Representative 2 requires 75% travel to provider offices in GeorgiaThe Medical Records Retrieval Specialist ensures accurate and properly supported clinical documentation within the health record. The Medical Records Retrieval Specialist/ Risk Adjustment Representative 2 conducts quality assurance review of medical records and ICD-9/10 diagnosis codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) and other government agencies.
Pharmacy Technician - Customer Care Specialist Onco360Pharmacy Technician - Customer Care SpecialistLouisville, KentuckyRemoteOnco360 Pharmacy is a unique oncology pharmacy model created to serve the needs of community, oncology and hematology physicians, patients, payers, and manufacturer s. Work with other functional areas to resolve customer problems, and in system databases, and notifying appropriate parties as to what action will be taken to resolve the problem.
Logistics Revenue Specialist- Shepherdsville, KY Kuehne + Nagel International AGLogistics Revenue Specialist- Shepherdsville, KYShepherdsville, KYAbility to operate in a matrix environment and to effectively communicate at multiple levels within the business; Very strong MS Office knowledge (Excel, Word, Power Point)-Navigate Pivot tables, advanced excel formulas, etc. Whether you're leading a team, engineering processes, or driving projects, your work ensures that our customers' products are stored, handled, and delivered with precision.
NewPharmacy Benefits Verification Specialist Onco360Pharmacy Benefits Verification SpecialistLouisville, KentuckySkills/Knowledge: Required: Pharmacy insurance and benefit verification, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. Pharmacy Benefit Verification Summary The Benefit Verification Specialist will investigate, review, and load accurate patient insurances, including medical and pharmacy coverage, assign coordination of benefits, run test claims to obtain a valid insurance response on patient medications, investigate/identify authorization requirements needed to obtain medication coverage, and enroll eligible patients in copay card assistance programs.
Pharmacy Claims Adjudication Specialist Onco360Pharmacy Claims Adjudication SpecialistLouisville, KentuckySkills/Knowledge Required: Pharmacy/NDC medication billing, Pharmacy claims resolution, PBM and Medical contracts, knowledge/understanding of Medicare, Medicaid, and commercial insurance, NCPDP claim rejection resolution, coordination of benefits, pharmacy or healthcare-related knowledge, knowledge of pharmacy terminology including sig codes, and Roman numerals, brand/generic names of medication, basic math and analytical skills, Intermediate typing/keyboarding skills. ensure prescription claims are adjudicated correctly according to the coordination of benefits, resolve any third-party rejections, obtain overrides if appropriate, and be responsible for patient outreach notification regarding any delay in medication delivery due to insurance claim rejections Pharmacy Adjudication Specialists at Onco360.
Logistics Administration Specialist-Shepherdsville, KY Kuehne + Nagel International AGLogistics Administration Specialist-Shepherdsville, KYShepherdsville, KYYou will support invoicing, accounts payable, purchase orders (POs), assist with month-end processes, and provide administrative support to site leadership and operational teams. Whether you're leading a team, engineering processes, or driving projects, your work ensures that our customers' products are stored, handled, and delivered with precision.
System Director, Revenue Integrity Norton Healthcare FoundationSystem Director, Revenue IntegrityLouisville, KYThe System Director, Revenue Integrity, is responsible for ensuring the integrity of the hospital and physician practice revenue cycle, assuring documentation reflecting registration, clinical service delivery, charging, coding, billing and remittance are accurate, complete, comprehensive and in compliance with regulatory and payor requirements. Assists in compliance issues and reviews billing edit issues including APC grouper edits, Emdeon and LMRP reviews.
NewPatient Access Registrar, Medical Center Northeast, Part Time, 7:00a -3:30p UofL HealthPatient Access Registrar, Medical Center Northeast, Part Time, 7:00a -3:30pLouisville, KentuckyAbout UofL Health: UofL Health is a fully integrated regional academic health system with five hospitals, four medical centers, nearly 200 physician practice locations, more than 700 providers, the Frazier Rehab Institute and Brown Cancer Center. With more than 12,000 team members—physicians, surgeons, nurses, pharmacists and other highly skilled health care professionals—UofL Health is focused on one mission: delivering patient-centered care to each and every patient each and every day.
Insurance Specialist (Revenue Cycle) Remote opportunity for KY and So IN candidates only Seven Counties ServicesInsurance Specialist (Revenue Cycle) Remote opportunity for KY and So IN candidates onlyLouisville, KentuckyRemoteResearches line item EOB’s for incorrect payment levels and works directly with insurance companies for assurance of benefits and correct reimbursement through oral and written communication. Maintains a workable knowledge regarding specifications in billing Medicare, Medicaid, Tricare and Commercial: monitoring those accounts to meet specifications.
Medical Assistant or Medical Assistant Trainee, Women''s Specialists - Downtown, Shift Times Vary Norton Healthcare FoundationMedical Assistant or Medical Assistant Trainee, Women''s Specialists - Downtown, Shift Times VaryLouisville, KYThe Medical Assistant works closely with the physician in the practice/center clinical setting, assists with direct patient care, and serves as the clinical liaison between physician and patient and between physician and the office staff. The incumbent is responsible for promoting communication among all care providers, patients, and office staff regarding the care plan for the patient as defined by the attending physician.
Medical Assistant or Medical Assistant Trainee, Women''''s Specialists, 8a-4:30p Norton Healthcare FoundationMedical Assistant or Medical Assistant Trainee, Women''''s Specialists, 8a-4:30pLouisville, KYThe Medical Assistant works closely with the physician in the practice/center clinical setting, assists with direct patient care, and serves as the clinical liaison between physician and patient and between physician and the office staff. The incumbent is responsible for promoting communication among all care providers, patients, and office staff regarding the care plan for the patient as defined by the attending physician.
Rehab AR Specialist Synchrony Home OfficeRehab AR SpecialistLouisville, KentuckyFull timeQualifications: We are seeking a skilled Rehab Accounts Receivable Specialist with experience using NetHealth or similar electronic medical record (EMR) systems for monthly billing, as well as experience working within a clearing house system (Waystar) for denial management and rejection status. The ideal candidate will be responsible for accurately and efficiently investigating root causes, correcting coding errors, preparing claims for appeals and reconsideration with payers to maximize reimbursement.
Authorization Specialist Team Lead BrightSpring Health ServicesAuthorization Specialist Team LeadLOUISVILLE, KYThe behavior analysts, therapists, social workers, counselors, and psychologists at SpringHealth combine their expertise to deliver high-quality behavioral services for clients to live more positive, active, and social lives. This role combines leadership responsibilities with hands-on work, supporting the team in navigating payer requirements, improving workflow efficiency, and upholding compliance with healthcare regulations and organizational policies.
Licensed Certified Social Worker, Trager Institute UofL HealthLicensed Certified Social Worker, Trager InstituteLouisville, KentuckyEssential Functions:•* Provide direct patient care to psychiatric patients, including individuals and families•* Perform diagnostic evaluations, interviews and cognitive examinations•* Responsible for obtaining medical histories •* Develop client treatment plans based on research, clinical experience, and client histories •* Coordinate counseling efforts with psychiatrists•* Review and evaluate clients' progress in relation to measurable goals described in treatment and care plans.•* Job Requirements(Education, Experience, Licensure and Certification)Education:•* Master’s degree in social work (required)Experience: •* 2 years direct patient care in an outpatient psychiatric setting (required)•* 5 years or more of direct patient care in an outpatient psychiatric setting conducting psychiatric assessments(preferred)Licensure:•* Current licensure in Kentucky as a Clinical Social Worker (required) Job Description:
Social Worker LCSW, Palliative Care Program UofL HealthSocial Worker LCSW, Palliative Care ProgramLouisville, KentuckyEssential Functions:• Provide direct patient care to psychiatric patients, including individuals and families• Perform diagnostic evaluations, interviews and cognitive examinations• Responsible for obtaining medical histories • Develop client treatment plans based on research, clinical experience, and client histories • Coordinate counseling efforts with psychiatrists• Review and evaluate clients' progress in relation to measurable goals described in treatment and care plans.• Job Requirements(Education, Experience, Licensure and Certification)Education:• Master’s degree in social work (required)Experience: • 2 years direct patient care in an outpatient psychiatric setting (required)• 5 years or more of direct patient care in an outpatient psychiatric setting conducting psychiatric assessments(preferred)Licensure:• Current licensure in Kentucky as a Clinical Social Worker (required).
Sales Support Technician Enovis CorpSales Support TechnicianKYResponsible for proper measuring and application, education on appropriate use/care, and providing accurate information to patients and Health Care practitioners (HCPs) on expected outcomes resulting from the use of orthopedic soft goods, functional bracing, bone growth stimulation, and all other Enovis products as prescribed by physicians/HCPs at the orthopedic practice. The sales support technician is also responsible for assisting in the sales process by educating patients on the benefits of Regen products and helping patients understand their insurance coverage and estimated financial responsibility, as well as playing an instrumental role in selling the patient on the advantages of using our product.
Oral Maxillofacial Surgery Profee Coder HCA HealthcareOral Maxillofacial Surgery Profee CoderFrankfort, KYYou will be a key promoter of Central Coding and responsible for setting the tone of the Coding Physician Service Center as a service organization, continuously seeking to understand, meet, and exceed customer expectations and needs. Our services include scheduling, registration, insurance verification, hospital billing, revenue integrity, collections, payment compliance, credentialing, health information management, customer service, payroll and physician billing.
Telehealth Practice Manager BrightSpring Health ServicesTelehealth Practice ManagerLouisville, KY$90,000–$105,000 / yearThe Practice Manager owns the day-to-day operations that enable providers to deliver care efficiently and compliantly across state lines, including scheduling and intake, patient consents, clinical and administrative workflows, follow-up management, provider licensure coordination, multi-state telehealth regulatory compliance, and billing compliance. The Practice Manager provides operational leadership for Abode Care Partners' new telehealth practice-a scaling, multi-state model delivering virtual clinical care to older adults and medically complex patients in close collaboration with other BrightSpring Health Services businesses, such as Home Health.
Senior Vice President of Revenue Cycle BrightSpring Health ServicesSenior Vice President of Revenue CycleLouisville, KYThe SVP leads a large, cross-functional organization and partners closely with Contracting, Field Operations, Credentialing, Cash Control, Accounting, and other corporate functions to drive operational excellence and continuous improvement. This leader is responsible for building and developing high-performing teams, leveraging technology and analytics to improve performance, and championing innovative solutions that enhance efficiency, reduce revenue leakage, and accelerate cash flow.
Dental Coordinator 360careDental CoordinatorLouisville, KentuckyDesign, develop, update and manage Company user and system administration guides, videos and ancillary training documentation ensuring the content is up to date at all times. This coordinator must understand benefits coverage, coding of services, billing and ensure patient’s care is coordinated from scheduling to delivery of devices.
Business Office Manager Nazareth HomeBusiness Office ManagerLouisville, KentuckyNazareth Home is an award-winning organization, recently we were recognized by US News as one of the Best LTC and Rehab facilities of 2025, as well as the awarded of the Best Places to work in 2025 and 2026 by Business First. About Nazareth Home Founded by the Sisters of Charity of Nazareth , Nazareth Home is an award-winning, nonprofit long-term care and recovery community.
NewRN Clinical Appeals Manager, Medical Plaza II UofL HealthRN Clinical Appeals Manager, Medical Plaza IILouisville, KentuckyClinical support will include pre-bill edits, payment denials, and pre/post-payment audits from insurance carriers or designated third party vendors as related issues such as medical necessity, experimental determinations, medically unlikely edits, non-covered services, and/or documentation. Manage team of 10-12 clinical reviewers and oversee Facility clinical claim denials by developing strategies to overturn insurance payor processing and proactively determine root cause and solutions to prevent denials for the UofL Health System.