- HCA Healthcare (Bowling Green, KY)
- …in the department What qualifications you will need: + Minimum 1-year related healthcare experience preferred, such as EDI , ERA, and EFT configuration, ... join an organization that invests in you as an EDI Enrollment Specialist? At Work from Home, you come...Specialist? At Work from Home, you come first. HCA Healthcare has committed up to $300 million in programs… more
- Cardinal Health (Frankfort, KY)
- …preferred. + 4-8 years of professional experience preferred + Prior experience with healthcare data (HL7, 837/835 EDI files) required + Experience with data ... integration and JavaScript + Prior experience with Mirth Connect strongly preferred, certifications a plus + Knowledge of Agile and Scrum development practices + Experience with cloud platforms, specifically Google Cloud Platform and AWS + You are willing to… more
- Evolent (Frankfort, KY)
- …analyst, and/or product management + Experience working with FHIR - based solutions in the Healthcare IT space + Experience working with EDI - based solutions in ... + Microsoft Office experience (Excel, Visio) + Understanding of healthcare data formats (eg, eligibility, claims, configuration, authorizations, clinical data)… more
- Molina Healthcare (KY)
- …network adequacy and provider training and education, in alignment with Molina Healthcare 's overall mission, core values, and strategic plan and in compliance with ... Provider Relations staff are the primary point of contact between Molina Healthcare and contracted provider network. They are responsible for network management… more
- Molina Healthcare (Louisville, KY)
- …cloud offering/solutions + ITIL (Information Technology Infrastructure Library) Foundation + EDI (Electronic Data Interchange) - Experience in Healthcare + ... tools and the organization process. + Experience with various processes within Healthcare Domain + Analyzing the business impact that individual technical choices… more
- Cognizant (Frankfort, KY)
- …: + Review claim system data and verify against UB or HCFA paper or EDI information. + Evaluate medical records to determine if the service rendered was medically ... be able to work with minimal supervision. + Excellent problem-solving skill in healthcare claims adjudication. + Ability to work at a computer for extended periods.… more
- Molina Healthcare (Owensboro, KY)
- …with claim recovery audits and regulatory reporting requirements (Medicaid). Exposure to EDI transactions (837, 835) and COB data exchange protocols. Experience with ... for this position, please apply through the intranet job listing. Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare … more
- Elevance Health (Louisville, KY)
- …group files for various health plans with an expertise in Electronic Data Interchange ( EDI ) to drive key project deliverables. **How you will make it an impact:** + ... rules, core platforms, and applications for the data used in EDI exchanged preferred. + Develop comprehensive documentation outlining business rules, process… more
- NASCO (Frankfort, KY)
- …data strategy and AI architecture to enhance our industry leading SaaS healthcare payer products and corporate data management products. This hands-on leader will ... implementation, analytics strategy, platforms and patterns, AI/ML governance, and US healthcare payer regulatory compliance (eg, HIPAA, HITRUST, CMS). This person… more
- Waystar (Louisville, KY)
- …YOU'LL NEED** + 4-year bachelor's Degree is required + Experience working in healthcare , whether it be medical billing, coding, administration, etc. is preferred + ... a large number of tasks in a fast-paced environment + Working knowledge of EDI files is preferred + Strong sense of urgency + Proficient in Microsoft Office… more