- Travelers Insurance Company (Frankfort, KY)
- …Claim Counsel team conducts thorough investigation, analysis, evaluation, and disposition of claims and claim litigation to achieve superior customer service and to ... optimize claim results. Travelers' Cyber Claim Team is responsible for handling claims focusing on cyber privacy and security breach incident response, computer… more
- Banner Health (KY)
- **Department Name:** Denial Recovery -Corp **Work Shift:** Day **Job Category:** Revenue Cycle **Estimated Pay Range:** $37.14 - $61.90 / hour, based on location, ... best place to work and receive care. As an Associate Manager of RN Denials Management, you will be...and/or appeals. Accurately and thoroughly completes documentation required for claims payment of services approved through concurrent review 2.… more
- Humana (Frankfort, KY)
- …looking for an experienced medical coding auditor to review inpatient hospital claims for proper reimbursement, handle provider disputes in a result-oriented and ... payments in our payer systems, and by ensuring correct claims payment and appropriate diagnosis related group (DRG) assignments....Experience in APR DRG coding/auditing * Experience in Financial Recovery * Experience in a fast paced, metric driven… more
- Molina Healthcare (Covington, KY)
- …for supporting the prevention, detection, investigation, reporting, and when appropriate, recovery of money related to health care fraud, waste, and abuse. ... Provider Services, Contracting and Credentialing, Healthcare Services, Member Services, Claims ) to gather documentation pertinent to investigations. + Detects… more
- Datavant (Frankfort, KY)
- …deadlines are met. + Prepare and present regular reports on denial metrics, recovery efforts, and opportunities for improvement. + Stay current on payer policy ... affecting claim adjudication. **What you will bring to the table:** + Associate 's or Bachelor's degree in Health Information Management, Health Administration, or… more