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.
Pharmacy Prior Authorization Specialist Onco360Pharmacy Prior Authorization SpecialistLouisville, KentuckyWhat You’ll Do The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests. Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds.
Director Data Science Sedgwick Claims Management Services, Inc.Director Data ScienceKYDefine and lead Sedgwicks enterprise data science strategy aligned to claims optimization, risk management, fraud detection, and client performance analytics. Sedgwick is building a diverse, equitable, and inclusive workplace and recognizes that each person possesses a unique combination of skills, knowledge, and experience.
Field Roof Inspector - (Louisville, KY) - Weekend Availability Expected Hancock Claims Consultants TechniciansField Roof Inspector - (Louisville, KY) - Weekend Availability ExpectedLouisville, KYAs a Roof Field Inspector , you'll be part of our dynamic network of independent contractors, conducting assessments on steep and high roofs, evaluating exterior and interior damage, and performing underwriting property inspections. Hancock Claims Consultants specialize in Ladder Assist and Property Inspection Services, collaborating directly with numerous insurance agencies for efficient claims management.
Pharmacy Technician Non-Certified Costco Wholesale CorporationPharmacy Technician Non-CertifiedLOUISVILLE, KentuckyAssists Pharmacists in filling prescriptions by bringing stock bottles, counting, pouring, re-stocking, labeling, and pricing prescriptions under direct Pharmacist’s supervision. Answers phones and provides prompt and courteous member service including answering questions at pharmacy windows, directing members to product location.
Pharmacy Technician-Certified Costco Wholesale CorpPharmacy Technician-CertifiedJEFFERSONVILLE, INAssists Pharmacists in filling prescriptions by bringing stock bottles, counting, pouring, re-stocking, labeling, and pricing prescriptions under direct Pharmacist's supervision. Answers phones and provides prompt and courteous member service including answering questions at pharmacy windows, and directing members to product location.
Claims Representative II - REMOTE Ryder System IncClaims Representative II - REMOTEFrankfort, KYRemoteCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( http://wd5.myworkday.com/ryder/d/task/1422$3.htmld ) to log in to Workday to apply using the internal application process.
Pharmacy Claims Processor / Remote BrightSpring Health ServicesPharmacy Claims Processor / RemoteLouisville, KYRemoteResearches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines. 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 Analyst - REMOTE Ryder System IncClaims Analyst - REMOTEFrankfort, KYCompensation Information: The compensation offered to a candidate may be influenced by a variety of factors, including the candidate's relevant experience; education, including relevant degrees or certifications; work location; market data/ranges; internal equity; internal salary ranges; etc. Current Employees: If you are a current employee at Ryder, please click here ( https://wd5.myworkday.com/ryder/d/task/2998$46522.htmld ) to log in to Workday to apply using the internal application process.
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.
\n Dental Office Assistant - Business Assistant\n Heartland Dental Care\n Dental Office Assistant - Business Assistant\nLouisville, KYMore about the roleGreet and welcome patients as they enter the officexa0to create a great first impression of our teamManagexa0front office duties, including answering phones, checking office mail and email, communicating with patients and insurance companiesUtilize Dentrix for patient scheduling and recordsSchedule and confirm appointments for multiple providers in the officeFile patient insurance claims and follow up on outstanding claims, verification of benefits and explanation of coverage Post insurance and patient payments and process accounts receivablesReview treatment plan fees and payment options with patientsPartner with the providers and team to implement Heartland Dental systems to optimize office potentialxa0What You'll Gainxa0Competitive benefits including health insurance, retirement savings plans, six paidxa0holidays,xa0and PTO (paid time off)Front loaded educationxa0and training, providing youxa0thexa0opportunity to develop to your full potentialOpportunity to be a part of a secure company with 20+ years of industry leading experience that provides a stable career with unlimited growth potentialAccess to on-demand Daily Payxa0About Standiford Plaza Dental CareStandiford Plaza Dental Care, like each Heartland Dental supported office, is unique to the community and the patients they serve.xa0 Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties of the positionProlonged periods sitting at a desk and working on a computerMust be able to lift up to 15 pounds at timesAvailability to attend virtual training sessions (or in-person)xa0periodically throughout the yearAs part of our commitment to maintaining a safe and healthy environment for both team members and patients, a tuberculosis (TB) test is required for all new hires in dental office positions.
Dental Office Assistant - Business Assistant Heartland Dental CareDental Office Assistant - Business AssistantClarksville, INMore about the roleGreet and welcome patients as they enter the officexa0to create a great first impression of our teamManagexa0front office duties, including answering phones, checking office mail and email, communicating with patients and insurance companiesUtilize Dentrix for patient scheduling and recordsSchedule and confirm appointments for multiple providers in the officeFile patient insurance claims and follow up on outstanding claims, verification of benefits and explanation of coverage Post insurance and patient payments and process accounts receivablesReview treatment plan fees and payment options with patientsPartner with the providers and team to implement Heartland Dental systems to optimize office potentialxa0What You'll Gainxa0Competitive benefits including health insurance, retirement savings plans, six paidxa0holidays,xa0and PTO (paid time off)Front loaded educationxa0and training, providing youxa0thexa0opportunity to develop to your full potentialOpportunity to be a part of a secure company with 20+ years of industry leading experience that provides a stable career with unlimited growth potentialAccess to on-demand Daily Payxa0About Clarksville Family DentistryClarksville Family Dentistry, like each Heartland Dental supported office, is unique to the community and the patients they serve.xa0 Tuesday 8:15a-5:30p, Wednesday 8:15a-5:30p, Thursday 8:15a-5:30p and Friday 9:00a-2:30p Minimum Qualificationsxa0Experience working in a fast-paced and customer-centric environmentExcellent communication and organizational skillsThe position will have access to minimum PHI necessary for performing job-related functions; regular HIPAA training, aligning with the specific role and responsibilities, will be required; and the individual will need to protect PHI and maintain data safeguards.xa0Preferred
Claims Representative I Elevance HealthClaims Representative ILouisville, KY$16.23–$24.36 / hourPreferred Skills, Capabilities and Experiences: Good oral and written communication skills, previous experience using PC, database system, and related software (word processing, spreadsheets, etc.) strongly preferred. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
Customer Service Representative Career StrategiesCustomer Service RepresentativeLouisville, KentuckyWork Hours: 10am-7pm Handling incoming calls and emails: Answering patient inquiries regarding billing statements, insurance verification, appointment scheduling, pre-authorization for procedures, and general healthcare information. Addressing patient concerns and complaints: Listening to patient issues, investigating concerns, and finding solutions to resolve complaints in a timely manner.
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.
Collision Consultant- Louisville, KY, Detroit, MI, Indianapolis, IN, Columbus, OH, Chicago, IL OEConnection LLCCollision Consultant- Louisville, KY, Detroit, MI, Indianapolis, IN, Columbus, OH, Chicago, ILLouisville, KYCollision ConsultantHelp Shape the Future of Safe, OEM-Certified Collision RepairWe are seeking a knowledgeable and customer-focused Collision Consultant to serve as a trusted advisor to OEM-certified collision repair facilities. As a subject matter expert, you will provide consulting, coaching, and training that helps collision centers improve repair quality, operational efficiency, customer satisfaction, and profitability.
Process Manager, Commercial Casualty Claims - Remote CSAA Insurance GroupProcess Manager, Commercial Casualty Claims - RemoteKYRemote$136,890–$152,100 / yearAlabama - Home Teleworkers, Alabama - Home Teleworkers, Arizona - Home Teleworkers, Arkansas - Home Teleworkers, Colorado - Home Teleworkers, Connecticut - Home Teleworkers, Delaware - Home Teleworker, District of Columbia - Home Teleworkers, Florida - Home Teleworkers, Georgia - Home Teleworkers, Idaho - Home Teleworkers, Illinois - Home Teleworkers, Indiana - Home Teleworkers, Iowa - Home Teleworkers, Kansas - Home Teleworker, Kentucky - Home Teleworkers, Louisiana - Home Teleworkers, Maine Home Teleworkers, Maryland - Home Teleworkers, Massachusetts - Home Teleworkers, Michigan - Home Teleworkers, Minnesota - Home Teleworkers, Mississippi - Home Teleworker, Missouri - Home Teleworker, Montana - Home Teleworkers {+ 21 more}. Project management experience and skills to accurately complete detailed data assignments and to understand and interpret broad operational concepts and their application to the business unit and CSAA.
Medical Director - PI, Claims Humana IncMedical Director - PI, ClaimsKYRemote$223,800–$313,100 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, which may include an understanding of Humana processes, as well as a focus on collaborative business relationships, value based care, population health, or disease or care management.
Sr. Manager, Enterprise Risk Management & Business Continuity Genentech IncSr. Manager, Enterprise Risk Management & Business ContinuityLouisville, KY$112,400–$208,800 / yearThe Senior Manager, Enterprise Risk Management & Business Continuity is a high-impact individual contributor responsible for designing, implementing, and continuously improving the comprehensive ERM and BCM programs at Genentech's Primary US Distribution Center in Louisville, KY. This role is a highly valuable part of our Enterprise Risk Management (ERM) and Business Continuity Management (BCM) team, which is committed to safeguarding Genentech's primary US distribution network and ensuring the uninterrupted delivery of life-saving medicines to patients.
Claims Processing Supervisor BrightSpring Health ServicesClaims Processing SupervisorLouisville, KYRemoteEducation/Learning Experience• Required: Associates degree, 4 year college, technical degree or 4+ years equivalent experienceWork Experience• Required: 3+ years direct supervisory experience• Desired: 3rd Party Billing or collections/billing experience in the healthcare industry, AS400 computer systems experience or Pharmacy Technician. Mentor and provide oversight of Team Leads and Associate II staff to insure they are adequately communicating staff training needs, shadowing staff when assigned, performing monthly quality assessment reviews, and taking a lead role in any special projects that may be assigned by Supervisor or Manager.•