Independent Medical Evaluators - Occupational Medicine, PM&R and Orthopedists MRG ExamsIndependent Medical Evaluators - Occupational Medicine, PM&R and OrthopedistsLatonia, KYCompany Overview: MRG Exams is a leading provider of Independent Medical Evaluations (IME) and Permanent Partial Impairment Ratings (PPIR) services for the Ohio Bureau of Workers' Compensation (BWC), third-party administrators, Managed Care Organizations (MCOs), and employers. Joining our team as an independent medical provider presents an excellent opportunity for both experienced providers seeking a new challenge and newly starting physicians looking to establish themselves in a unique field outside of patient care.
Claims Data Entry Operator Conduent IncClaims Data Entry OperatorLexington, KY$26,600–$33,250 / yearThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time.
Pharmacy Technician Actalent IncPharmacy TechnicianLouisville, KYRemote$20–$24 / hourUsing established guidelines, this role reviews and processes requests related to prescription drugs and pharmacy benefits, researches and resolves issues, and collaborates with clinical pharmacists and other healthcare professionals to ensure accurate, compliant, and timely handling of pharmacy benefits and claims. The Pharmacy Technician supports multiple pharmacy operations, including formulary management, pharmacy audit and recovery, pharmacy service center functions, prior authorization, Medicare Part D and Part B operations, state health programs pharmacy operations, oversight and audit support, and appeals.
Administrative ^ Transaction Processor ^ Sr Veterans Sourcing GroupAdministrative ^ Transaction Processor ^ SrLexington, KYThis role is responsible for handling incoming documents, reviewing instructions, and accurately sorting materials in a fast-paced production environment. We are seeking detail-oriented Transaction Processors to support high-volume claims and correspondence processing operations.
Claims Examiner - Liability | PIP/NO FAULT | Jurisdiction: FL, NY, MI, MD | Licensing: FL and NY preferred - Remote Sedgwick Claims Management Services, Inc.Claims Examiner - Liability | PIP/NO FAULT | Jurisdiction: FL, NY, MI, MD | Licensing: FL and NY preferred - RemoteKYRemote$60,000–$75,000 / yearMental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines. PRIMARY PURPOSE OF THE ROLE To analyze PIP/ No Fault claims on behalf of our valued clients to determine benefits due, while ensuring ongoing adjudication of claims within service expectations, industry best practices, and specific client service requirements.
Licensed Life and Health Insurance Advisor MCILicensed Life and Health Insurance AdvisorUNAVAILABLE, KYRemoteMCI organically grows, acquires, and operates companies that have synergistic products and services portfolios, including but not limited to Automated Contact Center Solutions (ACCS), customer contact management, IT Services (IT Schedule 70), and Temporary and Administrative Professional Staffing (TAPS Schedule 736), Business Process Management (BPM), Business Process Outsourcing (BPO), Claims Processing, Collections, Customer Experience Provider (CXP), Customer Service, Digital Experience Provider (DXP), Account Receivables Management (ARM), Application Software Development, Managed Services, and Technology Services, to mid-market, Federal & enterprise partners. MCI now employs 10,000+ talented individuals with 150+ diverse North American client partners across the following MCI brands: MCI BPO, MCI BPOaaS, MarketForce, GravisApps, Gravis Marketing, MarchEast, Mass Markets, MCI Federal Services (MFS), OnBrand24, The Sydney Call Center, Valor Intelligent Processing (VIP), BYC Aqua, EastWest BPO, TeleTechnology, and Vinculum.
Adjudicator, Provider Claims-KY-On the phone-closing shift Molina Healthcare IncAdjudicator, Provider Claims-KY-On the phone-closing shiftAdairville, KYAt least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims.
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.
Mailroom Processor Conduent IncMailroom ProcessorLexington, KY$26,600–$33,250 / yearThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. As a member of the team, you will be responsible for performing tasks such as mailroom sorting and machine operation, high and low speed mail opening and scanning, processing, and similar activities.
Claims Processing Representative Humana IncClaims Processing RepresentativeKY$40,000–$52,300 / yearTo ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended. NOTE: Depending on the number of openings, the number of candidates who apply, and the schedules of interviewers and recruiters, this process may take several weeks or less; however, know that we are working hard to proceed as quickly as possible and to keep you informed.
Data Entry Processor Conduent IncData Entry ProcessorLexington, KY$26,600–$33,250 / yearThrough our dedicated associates, Conduent delivers mission-critical services and solutions on behalf of Fortune 100 companies and over 500 governments - creating exceptional outcomes for our clients and the millions of people who count on them. In addition, Conduent provides a variety of benefits to employees including health insurance coverage, voluntary dental and vision programs, life and disability insurance, a retirement savings plan, paid holidays, and paid time off (PTO) or vacation and/or sick time.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistKY$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Documents claim information in the company system, assigning appropriate codes, modifiers, and other necessary data elements to ensure accurate tracking, reporting, and processing of claims.
Pharmacy Claims Analyst 2 SS&C Technologies Holdings IncPharmacy Claims Analyst 2KYRemoteWhat You Will Get To Do: As a Pharmacy Claims Analyst 2, you will support critical processes to ensure accuracy and compliance for pharmacy point-of-sale processing as it relates to Prescriber requirements and error override logic when a disaster has been declared by a state or federal government agency. Unless explicitly requested or approached by SS&C Technologies, Inc. or any of its affiliated companies, the company will not accept unsolicited resumes from headhunters, recruitment agencies, or fee-based recruitment services.
NewWFRP Claims Specialist Sompo International Holdings LimitedWFRP Claims SpecialistKY$70,000–$90,000 / yearThe employee is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading; visual inspection involving small defects, small parts, and/or operation of machines (including inspection); using measurement devices; and/or assembly or fabrication parts at distances close to the eyes. As one of the leading writers of Federal Crop Insurance, AgriSompo North America combines industry experience, resources, capital and talent to deliver both traditional and innovative crop insurance and productivity tools to farmers, ranchers, insurers and agribusinesses in the United States.
Supervisor, Transaction Processing Conduent IncSupervisor, Transaction ProcessingLondon, KY$37,961–$49,300 / yearReporting to the Senior Delivery Manager, the Transaction Processing Supervisor leads a high-performing operations team responsible for processing medical and pharmacy bills, correspondence, and supporting documentation for the U.S. Department of Labor Office of Workers' Compensation Programs (OWCP). The ideal candidate is a results-oriented leader with experience managing transaction processing, document management, mail operations, healthcare administration, business process outsourcing (BPO), production operations, or claims processing teams in a fast-paced, highly regulated environment.
Independent Insurance Claims Adjuster in Morehead, Kentucky MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Morehead, KentuckyMorehead, KentuckyHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Florence, Kentucky MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Florence, KentuckyFlorence, KentuckyHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Owensboro, Kentucky MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Owensboro, KentuckyOwensboro, KentuckyHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Benton, Kentucky MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Benton, KentuckyBenton, KentuckyHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.
Independent Insurance Claims Adjuster in Union, Kentucky MileHigh Adjusters HoustonIndependent Insurance Claims Adjuster in Union, KentuckyUnion, KentuckyHow We Can Help You Succeed: At MileHigh Adjusters Houston, we offer comprehensive training programs tailored to equip you with the essential skills and knowledge needed to excel in the field of claims adjusting. You can also find us on YouTube at: ( https://www.youtube.com/channel/UC9nTRXrwnbC2TuYphDUVhWg ) and Facebook at: ( https://www.facebook.com/milehighadjustershouston ) for additional resources and updates.