• Medicaid Provider Hospital

    Humana (Frankfort, KY)
    …our caring community and help us put health first** The Medicaid (PPS) Provider Hospital Reimbursement Analyst also known as a Senior Business ... the Pricer Business and System Support team responsible for administering complex Medicaid provider reimbursement methodologies. The associate will support… more
    Humana (06/18/25)
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  • Provider Contracting Executive

    Humana (Frankfort, KY)
    …The Provider Contracting Executive initiates, negotiates, and executes physician, hospital , and/or other provider contracts and agreements for an ... organization that provides health insurance. The Provider Contracting Executive works on problems of diverse scope and complexity ranging from moderate to… more
    Humana (07/01/25)
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  • Inpatient Coding Denial Specialist

    HCA Healthcare (Frankfort, KY)
    …CMS/AHCA policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and Drug Administration, ... spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal… more
    HCA Healthcare (06/21/25)
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  • VP, Revenue Cycle Management and Payer Strategy

    Cardinal Health (Frankfort, KY)
    …understands the trends that affect current and future healthcare business models and reimbursement to make short and long term strategies. Will serve as an executive ... implements managed care contracting strategy including implementation of value-based reimbursement initiatives. Responsible for maintaining reimbursement strategy… more
    Cardinal Health (05/17/25)
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  • Nurse Auditor

    Humana (Frankfort, KY)
    …for services rendered is complete, compliant and accurate to support optimal reimbursement . The Nurse Auditor 2 work assignments are varied and frequently require ... for services rendered is complete, compliant and accurate to support optimal reimbursement . Identifies the root cause analysis of audit findings and submits… more
    Humana (07/01/25)
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  • Inpatient DRG Quality Auditor

    Humana (Frankfort, KY)
    …to quality review the inpatient hospital claims for proper reimbursement , handle provider disputes in a result-oriented and metrics-driven environment. ... Fortune 100 Company values associate engagement & your well-being. We also provide excellent professional development & continued education. **Use your skills to… more
    Humana (06/17/25)
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  • Inpatient Coding Auditor

    HCA Healthcare (Frankfort, KY)
    …spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal ... for our team to ensure that we continue to provide all patients with high quality, efficient care. Did...complete, accurate and consistent coding which result in appropriate reimbursement and data integrity. You will review outcomes are… more
    HCA Healthcare (06/21/25)
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  • Revenue Integrity Analyst II

    Intermountain Health (Frankfort, KY)
    …compliant application with charge/coding capture, charge editing, and audit and reimbursement practices. Researches and collaborates on regulation updates to ensure ... (3) years of direct related experience in revenue cycle operations Hospital Billing/Coding experience preferably with a large Health System preferred **Preferred**… more
    Intermountain Health (06/27/25)
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  • Nurse Case Manager - Full Time

    Jennie Stuart Medical Center, Inc. (Hopkinsville, KY)
    …Skills: A working knowledge and understanding of Medicare/Medicare Advantage, Medicaid , Commercial, and other third-party reimbursement processes. Proven ... the patient and their family at the time of admission and throughout the hospital stay. + In collaboration with the multi-disciplinary team, develop and implement an… more
    Jennie Stuart Medical Center, Inc. (06/26/25)
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