Claims Processing Jobs in Kentucky
1 - 15 of 15
Search Results - Claims Processing Jobs in Kentucky
Provalus-Monticello (KY)-
approach under pressure, and a willingness to learn are more important than prior technical
THE JOB
Provalus is actively hiring entry-level Healthcare Insurance Customer Support Representatives to support claims processing, member inquiries...
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Providence Health & Services-Lexington-
operations including billing, collections, accounts receivable, claims processing, and account auditing
• Ensure compliance with quality, regulatory, and organizational standards while achieving operational and financial targets
• Monitor revenue cycle key...
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Countryside Center for Rehabilitation and Nursing-Bardwell (KY)-
accurate claims processing.
• Maintain up-to-date knowledge of RAI guidelines, PDPM regulations, and CMS updates; communicate changes and provide training to clinical staff as needed.
• Review therapy documentation and collaborate with rehab leadership...
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Providence Health & Services-Louisville-
operations including billing, collections, accounts receivable, claims processing, and account auditing
• Ensure compliance with quality, regulatory, and organizational standards while achieving operational and financial targets
• Monitor revenue cycle key...
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Salient-Lexington-mindmatch.ai-
fundamentals: payer/provider landscape and plan types (Medicare, Medicaid, Managed Care, Commercial).
• Working knowledge of health plan operations: claims processing, membership and enrollment, provider, and benefits.
• Familiarity with medical claims data...
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Commonwealth Management LLC-Louisville-
or general education degree (GED)
• Two years’ relevant work experience in obtaining prior authorizations and referrals, preferred
• Knowledge of reimbursement and claims processing procedures to include billing and collection practices
• Basic CPT and ICD...
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TEKsystems-Louisville-
to detail
• pharmacy billing systems
• claims processing
• prior authorization management...
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Provalus-Monticello (KY)-
processing, member inquiries, and customer service activities for health insurance products. No prior healthcare or insurance experience is required — full paid training is provided on claims processes, healthcare terminology, HIPAA compliance, and internal...
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TEKsystems-Lexington-
to detail
• pharmacy billing systems
• claims processing
• prior authorization management...
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Trans.Appl.Group Inc. NE-Ashland (KY)-
Institute) or ICA (Insurance Claim Association) are preferred.
• 3 years of leadership experience managing claims teams, supervisors, and/or managers.
• Comprehensive knowledge of medical claims processing, adjudication, payment methodologies, benefits...
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Wellward-Lexington-
solving, working with data, understanding insurance systems, and contributing to a mission-driven healthcare organization.
Position Summary
The Billing Specialist is responsible for managing the revenue cycle from claim submission through payment posting...
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Randstad-Louisville-randstadusa.com-
to clarify benefit status and ensure timely claim processing.
• Maintain strict adherence to HIPAA guidelines, federal/state regulations, and company policy regarding data privacy and security.
• Maintain accurate group rosters, process terminations...
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Whitesburg (KY)-icims.com-
Overview:
Under general supervision, the Hospital Billing and Follow-Up Specialist handles essential billing and insurancefollow-up functions. This role requires a fundamental understanding of insurance claim processing, knowledgeof UB and HCFA...
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Kentucky Association of Electric Cooperatives Inc-Louisville-
customer stock order reports, sales agreement reports, warranty claim processing, and sales inbox coordination This position requires someone with a professional attitude and relevant work experience who is well versed in Excel and an ERP/CRM-type order...
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Addiction Recovery Care-Ashland (KY)-
management informed of changes in billing requirements and rejection or denial codes as they pertain to claim processing and coding.
• Communicates with Manager and staff regarding insurance carrier contractual and regulatory requirements that impact payment...
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