- Highmark Health (Frankfort, KY)
- …charges. The incumbent will also conduct or assist with provider and subscriber investigations to verify the validity of services and charges; will monitor internal ... facility and professional provider over-payments. + Investigation Support: Assist with investigations : Assist in the interviews of customers and providers to obtain… more
- Cardinal Health (Frankfort, KY)
- …of applicable regulations, standards, and operating procedures. + Conduct investigations /root cause analysis and formulate corrective action recommendations. + Show ... an understanding of the program requirements and be capable of conducting gap assessments based on those requirements. + Uphold quality standards that adhere to company, regulatory, and HIPAA policies and procedures. + Collaborate across various functions,… more
- Cardinal Health (Frankfort, KY)
- …regulations, standards and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- CVS Health (Frankfort, KY)
- …product or contract drafting; compliance and regulatory analysis; special investigations ; provider relations; customer service or audit experience. **Preferred ... Qualifications** -Experience in research and analysis of claim processing a plus. **Education** -Some college preferred. -High School or GED equivalent. **Anticipated Weekly Hours** 40 **Time Type** Full time **Pay Range** The typical pay range for this role… more
- Cardinal Health (Frankfort, KY)
- …+ Experience conducting and documenting patient health insurance benefit investigations , prior authorizations, and appeals, preferred (2+ years) + Knowledge ... of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred + Critical and creative thinking, preferred + Knowledge of Medical/Pharmacy billing and coding, preferred + Strong attention to detail is vital + Bilingual, preferred… more
- Cardinal Health (Frankfort, KY)
- …regulations, standards, and operating procedures. + Demonstrates ability to perform investigations / root cause analysis and develop corrective actions. + ... Demonstrates an understanding of the requirements and has the ability to perform gap assessments to those requirements. + Demonstrates an understanding of quality concepts such as: cost of quality, analytical metrics and / or statistics, trending, quality… more
- BJs Wholesale Club (Independence, KY)
- …Description: Team Member Relations: + Initiates, conducts, and concludes all investigations throughout the Distribution Center and present recommendations to the ... Human Resources Business Partner (HRBP) and DC Director. + Advises DC leadership on team member relations issues, including conflict resolution, corrective actions, and complaints. + Fosters a positive and collaborative relationship between leadership and team… more
- Jabil (Florence, KY)
- …are a victim of identity theft, contact the Federal Bureau of Investigations internet crime hotline (www.ic3.gov), the Federal Trade Commission identity theft ... hotline (www.identitytheft.gov) and/or your local police department. Any scam job listings should be reported to whatever website it was posted in. Jabil, including its subsidiaries, is an equal opportunity employer and considers qualified applicants for… more
- Jabil (Florence, KY)
- …are a victim of identity theft, contact the Federal Bureau of Investigations internet crime hotline (www.ic3.gov), the Federal Trade Commission identity theft ... hotline (www.identitytheft.gov) and/or your local police department. Any scam job listings should be reported to whatever website it was posted in. Jabil, including its subsidiaries, is an equal opportunity employer and considers qualified applicants for… more