- Molina Healthcare (KY)
- …their financial and clinical performance is achieving desired results + Keep abreast of Medicaid and Medicare reforms and their impact on Molina Healthcare **Job ... + 5+ years of related experience in healthcare + Demonstrated understanding of Medicaid and Medicare programs or other healthcare plans + Analytical work… more
- Humana (Frankfort, KY)
- …day to day flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare , Medicaid , and/or and Group Account members and create actionable ... match * Generous Paid Time Off accrual * Tuition Reimbursement * Parent Leave * Go365 perks for well-being...to a better quality of life for people with Medicare , Medicaid , families, individuals, military service personnel,… more
- Cardinal Health (Frankfort, KY)
- …insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare , Medicaid , Managed Care, and ... + High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred… more
- Baylor Scott & White Health (Frankfort, KY)
- …in a timely way. . Responds to inquiries and guidance requests utilizing applicable Medicare and Medicaid rules and regulations. Serves as a compliance resource ... to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends… more
- Baylor Scott & White Health (Frankfort, KY)
- …lessons are completed in a timely way. . Responds to inquiries utilizing applicable Medicare and Medicaid guidance. Serves as a compliance resource to BSWH ... to ensure compliance with BSWH policies and CMS and Texas Medicaid regulations, providing reports, recommendations, and corrective action follow-up. Monitors trends… more
- Cognizant (Frankfort, KY)
- …making for right configuration by working with Business team . Familiarity with Medicaid and Medicare programs are minimum requirements. **Salary and Other ... Fee schedules, Service groups, etc. . Understand and build solutions for Medicaid - QNXT Benefit configuration matrix. . Conduct requirements discovery sessions with… more
- Waystar (Louisville, KY)
- …1K+ hospitals and health systems, and is connected to over 5K commercial and Medicaid / Medicare payers. We are deeply committed to living out our organizational ... of hospital & professional coding and billing workflows and the provider reimbursement process, obtained either through direct experience in a healthcare setting or… more
- BrightSpring Health Services (Louisville, KY)
- …national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines ... Dental, Vision, and Life Insurance + Company-Paid Disability Insurance + Tuition Assistance & Reimbursement + Employee Discount Program + 401k Plan + Paid Time Off +… more
- AssistRx (Louisville, KY)
- …program business rules. + Strong understanding of Government benefits such as Medicare , Medicaid , and Tricare. + Documenting and reporting payment information. ... working knowledge of prescription plans and billing policies to ensure compliance and reimbursement . + Monitor profitability of orders, manage claim queues (eg, 3 &… more
- Banner Health (KY)
- …compliance with coding rules and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the ... information in accordance with national coding guidelines and appropriate reimbursement requirements. Consults with medical providers to clarify missing or… more