Medical Claims Specialist Jobs in Kentucky

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53 Kentucky Medical Claims Specialist jobs found on Monster.

Jobs 1 to 20 of 53
Manage within company standards and best practices complex and problematic high visibility workers' compensation claims within delegated limited authority to determine benefits due; work closely with case managers and attorneys; manage subrogation and negotiate settlements to ensure specific customer service requirement to achieve the best possible outcome in the claim. Create action plans discuss...
Manage within company best practices lower-level non-complex and non-problematic workers' compensation claims within delegated limited authority to best possible outcome, under the direct supervision of a senior claims professional. Claims reflect handling with no lost time or litigation. Essential Job Duties: 1. Receives claim, confirms policy coverage and acknowledgement of the claim 2. Deter...
Aetna Inc. Louisville, KY
Job Description POSITION SUMMARY Presents information effectively to various levels of employees and management and providers. Proposes streamlined workload assistnments. Mentors other employees with claim data management. Fundamental Components: Handles claims that are pended to Health Services to identify and address any issues impacting authorization and claim accuracy. Responsible for inte...
POSITION SUMMARY Presents information effectively to various levels of employees and management and providers. Proposes streamlined workload assistnments. Mentors other employees with claim data management. Fundamental Components: Handles claims that are pended to Health Services to identify and address any issues impacting authorization and claim accuracy. Responsible for interfacing with prov...
Role: Service Operations Information Specialist Assignment: Quality Audit Location: Louisville, KY We’re looking for associates who are dedicated to service and believe in following the Golden Rule of treating others the way you want to be treated. Humana was founded on this premise, and this value is reflected in our expectations for providing perfect service to our consumers, providers, emplo...
Humana Inc. Louisville, KY
Quality Audit Claims Specialist Requisition ID 135634 Business Overview Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportunities...
Kindred Healthcare Louisville, KY
Liability Claims Analyst ( Job Number: 194083 ) Description We are recruiting for a Liability Claims Analyst to join our Liability Department in Louisville, Kentucky. This position reviews medical charts of actual and potential claimants and conducts related follow-up inquiries to assist in assessing liability exposure in the care of patients and residents. Works with facilities in relation to ...
Trover Solutions, Inc. is a leading independent provider of outsourced insurance subrogation, claims recovery and cost containment solutions for the healthcare payor and property and casualty industries. Trover delivers exceptional recovery outcomes by leveraging the expertise of our highly-trained staff with leading-edge technology, integrated systems and processes. We seek to attract, develop an...
Trover Solutions, Inc. is a leading independent provider of outsourced insurance subrogation, claims recovery and cost containment solutions for the healthcare payor and property and casualty industries. Trover delivers exceptional recovery outcomes by leveraging the expertise of our highly-trained staff with leading-edge technology, integrated systems and processes. We seek to attract, develop an...
Excellent Medical Billing/Collections Opportunity with a Leader in Home Healthcare: Recognized for Excellence by Forbes and Fortune Magazine. We are seeking Multiple Medical Billing & Collections Specialists with Experience in Medicaid, Waiver or Commercial Health Insurance! Almost Family, Inc is a leading provider of home health nursing, rehabilitation and personal care services headquartered i...
Medical Billing Manager Louisville, KY
Apply Now ? Apply to this Job Attach your resume By providing us with your information, you agree to become a Bullhorn Reach User, and to our use and disclosure of your information as described by our Privacy Policy. Job Description Company Overview Special Care Management is in the business of improving its customers’ lives by improving access to care. Key ways it does this is through prac...
About this company: ExamWorks Clinical Solutions is a national provider of case management, pharmaceutical and Medicare compliance solutions providing coverage at the local, regional and national levels. Our wide spectrum of customers includes Carriers, Employers, Excess Carriers, and Third Party Administrators. ExamWorks Clinical Solutions provides direct medical management services and works c...
Position Title: Compliance Analyst- Compliance, Coding, & Education Department: Compliance & Audit Services (010180) Full/Part Time: Full-Time Exempt/Non-exempt: Exempt Requisition Number: COMPANLY121714 JOB SUMMARY The ideal candidate will be responsible for conducting professional coding, documentation and posted charges audits of a sample of claims to determine whether services ordered by...
Company Confidential Louisville, KY, 40202
Downtown Louisville Law Firm is looking for an experienced Paralegal/Case Manager/Legal Assistant to help coordinate new clients for personal injury cases and to assist with all responsibilities regarding initial sign up. Duties include but are not limited to: · Managing multiple client case files · Tracking medical treatment and policy coverages · Facilitating appointments with medical specia...
Humana Inc. Louisville, KY
Competitive Data Entry Specialist Requisition ID 139349 Business Overview Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it can better explore opportuniti...
Humana Inc. Louisville, KY
Clinical Guidance / Auditing Coder Specialist - Cincinnati, OH Requisition ID 139174 Business Overview Humana Inc., headquartered in Louisville, Ky., is a leading health care company that offers a wide range of insurance products and health and wellness services that incorporate an integrated approach to lifelong well-being. By leveraging the strengths of its core businesses, Humana believes it c...
JOB SUMMARY: Vacancy Identification Number (VIN) 1321111 Full Time -Recent Graduate NTE 1 year OUR MISSION: To fulfill President Lincoln's promise "To care for him who shall have borne the battle, and for his widow, and his orphan" by serving and honoring the men and women who are America's Veterans. How would you like to become a part of a team providing compassionate care to Veterans? This po...
JOB SUMMARY: A career with the Forest Service will challenge you to manage and care for more than 193 million acres of our nation's most magnificent lands, conduct research through a network of forest and range experiment stations and the Forest Products Laboratory, and provide assistance to State and private forestry agencies. It's an awesome responsibility - but the rewards are as limitless as t...
JOB SUMMARY: The mission of the United States Air Force is to fly, fight and win in air, space and cyberspace. To achieve that mission, the Air Force has a vision of Global Vigilance, Reach and Power. That vision orbits around three core competencies: Developing Airmen, Technology-to-Warfighting and Integrating Operations. Core competencies and distinctive capabilities are based on a shared commi...
JOB SUMMARY: The mission of the United States Air Force is to fly, fight and win in air, space and cyberspace. To achieve that mission, the Air Force has a vision of Global Vigilance, Reach and Power. That vision orbits around three core competencies: Developing Airmen, Technology-to-Warfighting and Integrating Operations. Core competencies and distinctive capabilities are based on a shared commi...

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