Healthcare Payment Specialists Jobs in Louisville

Legal Assistant - Corporate The candidate will perform legal assistant duties related to Corporate legal matters. Meet the physical and sensory requirements stated below and be able to work in the ..

Job Information Humana Healthcare Data Analyst in Louisville Kentucky ... in Louisville Kentucky Description The Payment Integrity Professional 2 uses technology ... and our financial recovery. The Payment Integrity Professional..

OverviewnPoint of contact for the billing scrubber system, responsible for running reports, creating edits and rules to improve the clean claim rate submission.  Cross trained and assist in the billing for ..

Description The Supervisor, Pre-Authorization Nursing reviews prior authorization requests for appropriate care and setting, following guidelines and policies, and approves services or forward requests to the appropriate stakeholder. The Supervisor, Pre-Authorization ..

Description The Medical Director relies on medical background and reviews health claims. The Medical Director work assignments involve moderately complex to complex issues where the analysis of situations or data requires ..

Description Humana Healthy Horizons in Kentucky is seeking a Community Health Worker to join our growing team. The Community Health Worker cultivates the organization's social community through community advocacy programs and ..

Job Information Centerwell Medical Front Office Specialist - Outer Loop Clinic in Louisville Kentucky Description Healthcare isn't just about health anymore. It's about caring for family, friends, finances, and personal life ..

Job Information Humana Senior Integration Specialist - Cloud in Louisville Kentucky Description The Senior DevOps/Cloud Solutions Engineer Enables the automation of software code deployment by eliminating functional silos existing between development ..

Job Information Humana Pharmacy Claims Specialist, Remote in Louisville Kentucky Description The Pharmacy Claims Representative 2 adjudicates pharmacy claims and process pharmacy claims for payment. The Pharmacy Claims Representative 2 performs ..

Description The UM Compliance Letters Specialist/Coordinator 2 contributes to administration of utilization management in the Compliance department. The UM Administration Coordinator 2 performs varied activities and moderately complex administrative/operational/customer support assignments. ..

Description The Medical Director's primary responsibility is the review of medical authorizations or claims to determine the medical necessity of a given service or level of care. The Medical Director's work ..

Description The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing appeals for Medicare Part C Line of Business. The Medical Director provides medical interpretation and determinations ..

Description iCare is seeking an Enrollment Specialist who will support the iCare enrollment processing duties for all lines of business including Medicare, Medicaid, Family Care Partnership (FCP) and BadgerCare Plus. Responsibilities ..

Description Humana Healthy Horizons in Kentucky is seeking a Community Health Worker to join our growing team. The Community Health Worker cultivates the organization's social community through community advocacy programs and ..

... Qualifications Minimum 5 years of healthcare fraud investigations and/or auditing experience ... of Florida and Wisconsin Medicaid healthcare payment methodologies Strong organizational, interpersonal, and ... the required qualifications. Understanding..

... is looking for an experienced Healthcare Investigator to join its industry ... areas Bachelor's degree or significant healthcare fraud and investigation experience At ... At least 1 year of..

Description The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and techniques to manage a member's physical, environmental and psycho-social health issues. Identifies and resolves barriers that hinder ..

Job Information Humana Special Investigations Professional / Lab Investigator (Fraud, Waste & Abuse) Remote/Virtual in US in Louisville Kentucky Description The Fraud and Waste Professional 2 conducts investigations of allegations of ..

Description Humana Healthy Horizons in Kentucky is seeking a Community Health Worker to join our growing team. The Community Health Worker cultivates the organization's social community through community advocacy programs and ..

Description As a Senior Software Engineer within Centerwell Clinical IT engineering team, you will develop applications which have a distinct positive impact upon members services utilization and case management. He/ She ..

OverviewnPoint of contact for the billing scrubber system, responsible for running reports, creating edits and rules to improve the clean claim rate submission along with timely and efficient outstanding claim follow ..

Description Humana Healthy Horizons in Kentucky is seeking a Community Health Worker to join our growing team. The Community Health Worker cultivates the organization's social community through community advocacy programs and ..

Description Humana Healthy Horizons in Kentucky is seeking a Community Health Worker to join our growing team. The Community Health Worker cultivates the organization's social community through community advocacy programs and ..