- St. George Tanaq Corporation (Frankfort, KY)
- Dispute Resolution Reviewer III Fully...Must have 2-3 years of medical dispute resolution or Medicare appeals, medical review , clinical, or ... and shareholders. **About the Role** We are seeking a ** Dispute Resolution Reviewer III (DRR...and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical… more
- St. George Tanaq Corporation (Frankfort, KY)
- Dispute Resolution Reviewer I Fully Remote*GA Job Type Full-time Description **Overview** Tanaq Support Services (TSS) delivers professional, scientific, and ... and shareholders. **About the Role** We are seeking a ** Dispute Resolution Reviewer I (DRR...and impartial and supports the determination made, and documents review + Makes sound, independent decisions based on medical… more
- Molina Healthcare (Lexington, KY)
- …recognition and timely routing of member complaints. * Trains each state's provider dispute resolution unit on CMS standards and requirements, including the ... experience. **Required Experience** * 7 years experience in healthcare claims review and/or member appeals and grievance processing/ resolution , including 2… more
- Cardinal Health (Frankfort, KY)
- …other services by acting as a liaison in problem-solving, research and problem/ dispute resolution . **_Job Summary_** The Senior Representative, Customer Service ... by acting as a liaison in problem-solving, research and problem/ dispute resolution . + Collects and reviews customer...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Cardinal Health (Frankfort, KY)
- …other services by acting as a liaison in problem-solving, research and problem/ dispute resolution . **_Job Summary_** Responsible for answering inbound calls from ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
- Cardinal Health (Frankfort, KY)
- …and/or other services by acting as a liaison in problem-solving, research and problem/ dispute resolution **_Job Summary_** This position is a customer care ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
- Cardinal Health (Frankfort, KY)
- …services by acting as a liaison in problem-solving, research and problem/ dispute resolution **Responsibilities:** + Conducts in-depth insurance verifications for ... customer business through contract administration, customer orders, and problem resolution . Customer Service Operations is responsible for providing outsourced… more
- CVS Health (Frankfort, KY)
- …you will manage negotiations, conduct high-level reviews and analysis, and manage dispute resolution and settlement negotiations of contracts, with large and ... and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement… more
- Fujifilm (Frankfort, KY)
- …requirements. + Support antitrust, trade, and environmental compliance, pre-litigation, dispute resolution , government inquiries, and investigation, settlement ... chemicals and ink subsidiaries, ensuring operational and regulatory compliance. + Draft, review , revise, and negotiate a large volume of strategic and complex… more
- Cardinal Health (Frankfort, KY)
- …expense. **_Responsibilities_** + Conduct proactive research, customer and supplier inquiries and dispute resolution all with a concentration on customer pricing ... other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more
- Humana (Frankfort, KY)
- …community and help us put health first** The Claims Research and Resolution Representative 2 manages claims operations that involve customer contact, investigation, ... of both for and against the organization. The Claims Research & Resolution Representative 2 manages intakes with insurance companies, providers, members, and… more