- Molina Healthcare (KY)
- …of benefits, subrogation, and eligibility criteria. + Familiarity with Medicaid and Medicare claims denials and appeals processing, and knowledge ... and requirements established by the Centers for Medicare and Medicaid **KNOWLEDGE/SKILLS/ABILITIES** + Responsible for the comprehensive research and resolution… more
- TEKsystems (Louisville, KY)
- …SIDE of Louisville, KY Job Description - Prepare & process various insurance claims , verifies data by conferring with appropriate agencies on a daily basis. -Create ... & process electronic claims submission for various payers on a daily basis...experience working with all payers - including Medicare and Medicaid + Experience working with rejections through a clearinghouse… more
- Cognizant (Frankfort, KY)
- …with a healthcare plan, not on behalf of provider or provider's office) Medicaid insurance customer service or claims processing Medicaid /Medicare Insurance ... **Provider Appeals & Grievances Specialist ** (remote) This is a remote position open...the desire to further their abilities and knowledge of Medicaid medical insurance processes as they will be responsible… more
- HCA Healthcare (Bowling Green, KY)
- …provide full-service revenue cycle management as well as targeted solutions, such as Medicaid Eligibility , for external clients across the country. Parallon has ... care like family! Jump-start your career as an Inpatient Coding Resolution Specialist today with Parallon. **Benefits** Parallon, offers a total rewards package that… more
- Centene Corporation (Frankfort, KY)
- …up accurately in the provider information system for state reporting, claims payment, and directories. Responsible for multiple state deliverables, network reporting ... and directories as well as claims payment resolution as it relates to provider set.... Knowledge of health care, managed care, Medicare or Medicaid .Pay Range: $22.79 - $38.84 per hour Centene offers… more
- Cognizant (Frankfort, KY)
- …accounts. . Maintain working knowledge of applicable health insurers' internal claims , appeals, and retro-authorization as well as timely filing deadlines and ... based on the review of clinical documentation in accordance with Medicare, Medicaid , and third-party guidelines. . Effectively document and log claims /appeals… more
- Cardinal Health (Frankfort, KY)
- …skills and prioritizes getting the right things done. **The Accounts Receivable Specialist is responsible for processing insurance claims and billing. They ... and support from AR & Billing leadership teams.** **_Responsibilities_** + Processes claims : investigates insurance claims ; and properly resolves by follow-up &… more