- PharmaCord (Lexington, KY)
- …of experience in relevant field. Certification examples include PACS (Prior Authorization Certified Specialist ), CHES (Certified Health Education Specialist ... and communicates patient's plan benefit coverage including the need for prior authorization , appeal, tier exception, and/or formulary exclusions. Serves as a subject… more
- Option Care Health (Frankfort, KY)
- …talent in healthcare. **Job Description Summary:** Submits accurate and timely authorization requests to ensure proper reimbursement for patient services. This role ... accounts, obtaining necessary clinical documentation, and verifying medical necessity. The specialist must have a solid understanding of basic medical coding,… more
- The Walsh Group (Lexington, KY)
- **OVERVIEW** We are currently seeking **HSE Specialist I's** for projects in the following locations: Mount Pleasant, WI; Phoenix, AZ; Lexington, KY, and Dallas, TX. ... The HSE Specialist coordinates, implements and monitors all aspects of the...Drug-Free Workplace Policy, ensuring proper testing for Pre-Employment, Vehicle Authorization , Reasonable Suspicion, Post-Accident, Random, and Follow-Up. + Facilitates… more
- General Motors (Frankfort, KY)
- …right opportunity for you. The Business Operations Incident Management & Applications Specialist will be responsible for becoming a subject matter expert (SME) in ... the immigration employer of record on a government form, and any work authorization requiring a written submission or other immigration support from the company (eg,… more
- Centene Corporation (Frankfort, KY)
- …to monitor network compliance with State requirements. The Provider Data Management Specialist I position is primarily remote, with an expectation to travel onsite ... Create and maintain multiple databases, including, contract provider network, prior authorization , third party liability, provider set ups and related corrections +… more
- CVS Health (Frankfort, KY)
- …**Additional Responsibilities:** Reviews pre-specified claims or claims that exceed specialist adjudication authority or processing expertise. - Applies medical ... - Handles phone and written inquiries related to requests for pre-approval/pre- authorization , reconsiderations, or appeals. - Ensures all compliance requirements are… more
- Medtronic (Lexington, KY)
- …license is essential for this role. Join Medtronic as an Affera Mapping Specialist and be at the forefront of transforming lives through advanced medical technology! ... in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify… more
- Lumen (Frankfort, KY)
- …position is fully remote / work from home in the continental US. **Work Authorization ** : US Work Authorization required for this role. Program eligibility is ... contingent on the candidate's commitment to the entire 10-week program. No exceptions will be made. **The Main Responsibilities** We are currently seeking an undergraduate or graduate level student to join the Global Security organization for a full-time, 10… more
- Cognizant (Frankfort, KY)
- …working knowledge of applicable health insurers' internal claims, appeals, and retro- authorization as well as timely filing deadlines and processes. . Review ... clinical denials including but not limited to referral, preauthorization, medical necessity, non-covered services, investigational/experimental and billing resulting in denials and/or delays in payment. . Draft and submit the medical necessity determinations… more
- Sharecare (Frankfort, KY)
- …that all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Essential Job Functions:** + Completes ... release of information requests including retrieving patient's medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and… more
- Sharecare (Frankfort, KY)
- …all releases of information are in compliance with the request, authorization , company policy and HIPAA regulations. **Essential Functions:** + Completes release ... of information requests including retrieving patient's medical chart and returning chart, scanning medical record accurately and correctly and transmitting daily, according to requests, established procedures, and established standards of quality and… more
- Medtronic (Lexington, KY)
- …in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify ... program, please click here (https://www.e-verify.gov/employees) . For updates on job applications, please go to the candidate login page and sign in to check your application status. If you need assistance completing your application please email… more
- Humana (Frankfort, KY)
- …the team as a Senior Product Manager working anywhere in the US. As a Specialist in NBA Execution, you'll play a hands-on role in translating strategy into real-time ... capabilities; upskill others on best practices in journey orchestration **Only persons with authorization to work permanently in the US need apply. EEO** **Use your… more
- Toyota (Georgetown, KY)
- …offer sponsorship of job applicants for employment-based visas or any other work authorization for this position at this time._ **Who we're looking for** Toyota's ... Assembly Department is looking for a passionate and highly motivated Production Engineering Specialist . The primary responsibility of this role is to report to the… more
