- Molina Healthcare (KY)
- …modules within the core processing system (QNXT). * Conducts focal healthcare Medical claim audits on samples of processed transactions impacted by these ... improvements based on audit results. **Job Qualifications** **REQUIRED EDUCATION:** Associate 's Degree or equivalent combination of education and experience… more
- Molina Healthcare (Covington, KY)
- …+ Valid driver's license required. **Preferred Experience** + Healthcare Anti-Fraud Associate (HCAFA), Accredited Health Care Fraud Examiner (AHFI) and/or ... providers and recipients. The position will review claims data, medical records, and billing data from all types of...well as Marketplace + Understanding of claim billing codes, medical terminology, anatomy, and health care delivery systems +… more
- Centene Corporation (Frankfort, KY)
- …to escalated provider inquiries. **Education/Experience:** Bachelor's degree in related field or Associate 's degree with 6 years of applicable experience, or a High ... Access. Knowledge and understanding of managed care claims processing systems and medical claims coding preferred **Licenses and Certifications:** A license in one… more