- HCA Healthcare (Frankfort, KY)
- …**Introduction** Do you want to join an organization that invests in you as a Medicare Specialist ? At Parallon, you come first. HCA Healthcare has committed up ... have the opportunity to make a difference. We are looking for a dedicated Medicare Specialist like you to be a part of our team. **Job Summary and… more
- HCA Healthcare (Frankfort, KY)
- …to join an organization that invests in you as an Impatient Coding Denial Specialist ? At Parallon, you come first. HCA Healthcare has committed up to $300 million ... We are looking for a dedicated Impatient Coding Denial Specialist like you to be a part of our...CMS/AHCA policies and regulations + Federal Register, Center for Medicare and Medicaid Services, American Hospital Association, Food and… more
- Prime Therapeutics (Frankfort, KY)
- …our passion and drives every decision we make. **Job Posting Title** MTM Specialist Sr **Job Description** The Senior Medication Therapy Management (MTM) Service ... Specialist will act as a Subject Matter Expert for...meets the specialized needs of the targeted population; for Medicare , is Centers for Medicare & Medicaid… more
- TEKsystems (Louisville, KY)
- …EPIC, Home Health Top Skills Details Receptionist,AR Specialist ,AR Follow Up,Patient Registration,payment posting,claim, medicare ,customer service,Medical ... -Resolves all customer requests, inquiries, and concerns Skills Receptionist, AR Specialist , AR Follow Up, Patient Registration, payment posting, claim, medicare… more
- Sumitomo Pharma (Louisville, KY)
- …and experienced individual for the position of **Multi-Specialty Portfolio Specialist .** In this field-based role, the **Multi-Specialty Portfolio Specialist ... energetic and thrive in a nimble, start-up organization. The **Multi-Specialty Portfolio Specialist ** , will demonstrate a sense of urgency to prepare and… more
- Waystar (Louisville, KY)
- …senior level Application Engineer to join our growing team. While our Specialist Application Engineers are involved in multiple things throughout the Technology ... department in resolving issues relating to production processes. The Specialist Application Engineer is responsible for troubleshooting and resolving technical… more
- Waystar (Louisville, KY)
- …now, we are searching for an experienced, driven, detail-oriented Technical Support Specialist to join our rapidly growing Payment Operations team. The primary ... each case + When serving as a technical support specialist responsibilities include serving as a liaison between the...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- Molina Healthcare (Louisville, KY)
- …accordance with the standards and requirements established by the Centers for Medicare and Medicaid. **KNOWLEDGE/SKILLS/ABILITIES** + Serves as team lead for a small ... benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory… more
- Molina Healthcare (Louisville, KY)
- …with the standards and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research ... benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge of regulatory… more
- Humana (Frankfort, KY)
- …+ Facilitating cross-functional teams in various departments in Medicaid and/or Medicare + Strong influencing and process implementation skills. + Ability to ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Intermountain Health (Frankfort, KY)
- …Billing + Documentations + Communication + Customer Follow-Ups + Time Management + Medicare Billing + Medical Billing + Microsoft Office + Computer Literacy + HIPAA ... Billing, Follow-Up, Call-Center, or Collections) + Knowledge of Medicaid and Medicare billing regulations Preferred Qualifications: + Knowledge of Revenue and ICD… more
- Cardinal Health (Frankfort, KY)
- …a call center or customer service environment, preferred + Clear knowledge of Medicare , Medicaid & Commercial payer policies and guidelines for coverage, preferred + ... Knowledge of Diagnostic Medical Expense and Medicare Administrative Contractor practices, preferred + Clear understanding of Medical, Supplemental, and pharmacy… more
- BrightSpring Health Services (Louisville, KY)
- …(pharmacy preferred) + Familiarization with on-line claims processing and Medicaid and Medicare billing practices + Proficient with Microsoft Word & Excel required ... About our Line of Business Pharmacy Alternatives(R), an affiliate of PharMerica, is a specialized pharmacy provider focused on serving individuals with cognitive or intellectual and developmental disabilities (I/DD). Pharmacy Alternatives offers long-term… more
- Waystar (Louisville, KY)
- …hospitals and health systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out our organizational values: ... honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic & fun. Waystar products have won multiple Best in KLAS(R) or Category Leader awards since 2010 and earned multiple #1 rankings from Black Book… more
- Waystar (Louisville, KY)
- …hospitals and health systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out our organizational values: ... honesty; kindness; passion; curiosity; fanatical focus; best work, always; making it happen; and joyful, optimistic & fun. Waystar products have won multiple Best in KLAS(R) or Category Leader awards since 2010 and earned multiple #1 rankings from Black Book… more
- Signature Healthcare (Elizabethtown, KY)
- …facilities have achieved a 4 or 5-star overall rating from the Centers for Medicare & Medicaid Services. Additionally, we have been awarded as a certified Great ... (RAI), Prospective Payment Systems (PPS), Quality Measures (QM's), Medicaid Casemix and Medicare guidelines for all SHC stakeholders. + Assist and collaborate with… more
- CenterWell (Louisville, KY)
- …+ Oversee daily operations of physician services. + Build strong relationship with specialist , hospitalist, SNF and other providers to form a narrow network of ... consumer experiences **Preferred Qualifications** + Active and unrestricted DEA license + Medicare Provider Number + Medicaid Provider Number + Minimum of three to… more
- CenterWell (Frankfort, KY)
- …has a strong emphasis on senior-focused primary care for members of Medicare Advantage health plans and is committed to providing personalized, high-quality primary ... Identify and act on opportunities to better manage & coordinate with high-quality specialist , hospital, and community partners to serve patient needs and deepen our… more
- ChenMed (Louisville, KY)
- …opportunities within the CPL. + Responsible for meeting with high volume community specialist at least monthly to give them feedback on their referring trends and ... related field is required + Healthcare experience within the Medicare HMO population is a plus + A valid,...within the market + Prior experience working in a Medicare Managed Care environment preferred We're ChenMed and we're… more
- ChenMed (Louisville, KY)
- …is used accurately and effectively. Collaborates with referral management to ensure specialist network is adequate for the geography and escalates accordingly when ... Understanding of the communities served by ChenMed, including the complexities of Medicare programs to patients in the healthcare marketplace + Ability to determine… more