- Banner Health (KY)
- …Demonstrates extensive knowledge of clinical documentation and its impact on reimbursement under Medicare Severity Adjusted System (MS-DRG),All Payer Group ... to apply your unique experience and expertise in support of a nationally-recognized healthcare leader. We offer stimulating and rewarding careers in a wide array of… more
- Humana (Frankfort, KY)
- …to day flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group Account members and create actionable and ... match * Generous Paid Time Off accrual * Tuition Reimbursement * Parent Leave * Go365 perks for well-being...benefits are designed to encourage personal wellness and smart healthcare decisions for you and your family while also… more
- Cardinal Health (Frankfort, KY)
- …processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial ... experience + Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to… more
- NASCO (Frankfort, KY)
- …+ Serves as the legal subject matter expert on federal and state healthcare laws and regulations, including HIPAA + Provides legal guidance on privacy and ... laws and regulations related to our products and services, including for our Medicare Advantage and ACA Exchanges business + Interacts with vendors and customers on… more
- Waystar (Louisville, KY)
- …business, industry, and operations, including an intimate understanding of healthcare specific billing requirements, reimbursement , enrollment, and patient ... with some of the largest, most successful and prestigious Healthcare Enterprise organizations in the US **WHAT YOU'LL DO**...systems, and is connected to over 5K commercial and Medicaid/ Medicare payers. We are deeply committed to living out… more
- ChenMed (Louisville, KY)
- …and procedures. Employees model and deliver the highest level of quality healthcare while working directly with patients and their families, doctors and other ... + Reviews and complies with the Pharmacy Technician Code of Conduct. + Helps healthcare providers and patients by greeting them in person or by phone; answering… more
- Waystar (Louisville, KY)
- …reports, and assessing strengths and weaknesses of competitors + Studying healthcare industry standards and staying up-to-date on industry changes and compliance ... & professional coding and billing workflows and the provider reimbursement process, obtained either through direct experience in a... process, obtained either through direct experience in a healthcare setting or an RCM focused HIT company +… more
- Cardinal Health (Frankfort, KY)
- …data, CMS and CCI initiatives, OIG work plans and advisories and healthcare industry best-practices. + Develops and implements compliance training to ensure ... hospital facility fee coding and auditing. + Expert-level knowledge of Medicare and Medicaid documentation and coding rules and guidelines; ICD/CPT/HCPCS/DRG/APC… more
- Prime Therapeutics (Frankfort, KY)
- …resolve regulatory inquiries/complaints related to claims, contracting and pharmacy reimbursement . Works directly with business partners across the enterprise. ... duties as assigned **Education & Experience** + Bachelor's degree in business, healthcare , or related area of study, or equivalent combination of education and/or… more
- BeOne Medicines (Frankfort, KY)
- …Account Manager - Targeted Accounts will provide physicians, pharmacists, and healthcare professionals with products, services, and information that will enable them ... handling of BeOne's Hematology and Solid Tumor products. + Ensures that healthcare professionals have realistic expectations concerning the use of BeOne's Hematology… more