Current jobs related to Medical Claim Analyst - Frankfort - CVS Health
-
Healthcare Claims Specialist
1 week ago
Frankfort, Kentucky, United States CVS Health Full timeJoin CVS HealthAt CVS Health, we are united by a common goal: to enhance the health and well-being of our communities. Our mission is to provide personalized health care solutions that adapt to the evolving needs of our customers.Position OverviewAs a Healthcare Claims Specialist, you will be responsible for reviewing claims submitted by providers and...
-
Travel Nurse
1 month ago
Frankfort, United States FlexCare Medical Staffing Full timeFlexCare Medical Staffing is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in Frankfort, KY. Shift: 3x12 hr nights Start Date: 08/25/2024 Duration: 13 weeks Pay: $1831.51 / Week NOTE: THIS IS A TRAVEL STAFFING ASSIGNMENT. INQUIRE TODAY FOR JOB DETAILS. Licensing, certifications, and other...
-
Travel Nurse
2 months ago
Frankfort, United States FlexCare Medical Staffing Full timeFlexCare Medical Staffing is seeking an experienced Medical Surgical Registered Nurse for an exciting Travel Nursing job in Frankfort, KY. Shift: 3x12 hr nights Start Date: ASAP Duration: 13 weeks Pay: $1831.51 / Week NOTE: THIS IS A TRAVEL STAFFING ASSIGNMENT. INQUIRE TODAY FOR JOB DETAILS. Licensing, certifications, and other...
-
AR Reimbursement/Contract Modeling Analyst
1 month ago
Frankfort, United States University of Louisville Hospital Full timeOverview WE ARE HIRING! Location: Hybrid - 250 E. Liberty St. Louisville, KY 40202 About UofL Health UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations, and more than 1,000 providers in Louisville and the surrounding counties,...
-
AR Reimbursement/Contract Modeling Analyst
2 months ago
Frankfort, United States UofL Health Full timeOverview: WE ARE HIRING! Location: Hybrid - 250 E. Liberty St. Louisville, KY 40202 About UofL Health UofL Health is a fully integrated regional academic health system with nine hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations, and more than 1,000 providers in Louisville and the surrounding...
-
Lead Business Intelligence Analyst
1 week ago
Frankfort, Kentucky, United States Humana Full timeJoin a dedicated team focused on health and wellnessThe Senior Business Intelligence Engineer addresses intricate business challenges by leveraging data from various internal and external sources to deliver insights that aid decision-makers in supporting Medicaid HEDIS reporting and quality improvement initiatives. This role necessitates advanced expertise...
-
Healthcare Reimbursement Analyst
1 week ago
Frankfort, Kentucky, United States UofL Health Full timePosition Overview:We are seeking a dedicated professional to join our team as a Reimbursement Analyst. This role is pivotal in ensuring optimal revenue generation through detailed analysis and interpretation of contractual agreements.About UofL Health:UofL Health is a comprehensive regional academic health system, committed to delivering advanced healthcare...
-
Healthcare Reimbursement Analyst
4 days ago
Frankfort, Kentucky, United States UofL Health Full timePosition Overview:We are seeking a dedicated professional to join our team as a Reimbursement Analyst. This role is essential in ensuring the financial integrity of our healthcare services through effective contract analysis and reimbursement strategies.About UofL Health:UofL Health is a comprehensive regional academic health system, committed to delivering...
-
Healthcare Reimbursement Analyst
4 days ago
Frankfort, Kentucky, United States UofL Health Full timePosition Overview:We are seeking a dedicated professional to join our Reimbursement Analysis team. This role involves collaborating with various departments to optimize hospital revenue through effective contract analysis and reimbursement strategies.About UofL Health:UofL Health is a comprehensive regional academic health system dedicated to providing...
-
Healthcare Executive
1 week ago
Frankfort, Kentucky, United States Humana Full timeHumana Healthcare Executive - Medical LeadershipJoin our dedicated team and contribute to prioritizing health in our communities.Role Overview:The Healthcare Executive utilizes their medical expertise to assess health claims and make informed decisions regarding service authorizations. This position involves addressing moderately complex to intricate issues,...
-
Analyst, Global Royalty
2 months ago
Frankfort, United States Universal Music Group Full timeWe are UMG, the Universal Music Group. We are the world’s leading music company. In everything we do, we are committed to artistry, innovation and entrepreneurship. We own and operate a broad array of businesses engaged in recorded music, music publishing, merchandising, and audiovisual content in more than 60 countries. We identify and develop recording...
-
Workers Compensation Manager
4 weeks ago
Frankfort, United States Environmental Resources Management Full timeWorkers Compensation Manager (Senior Level) Apply to locations: Houston, Texas; Minneapolis, Minnesota; Atlanta, Georgia; Tampa, Florida; Dallas, Texas Time Type: Full time Posted on: Posted Yesterday Job Requisition ID: R00023967 As a member of our internal Health & Safety team, utilize your knowledge of Workers Compensation to independently...
-
Lead Financial Analyst
1 week ago
Frankfort, Kentucky, United States Ryder Full timePosition Overview:The Lead Financial Analyst will be a key member of the Supply Chain Solutions division within the Retail, Tech & Health sector. This role is essential in delivering financial insights and analytical support to both Financial Management and Logistics Management.Key Responsibilities:Month-End Closing: Execute necessary journal entries to...
-
Lead Financial Analyst
1 week ago
Frankfort, Kentucky, United States Ryder Full timePosition Overview:The Lead Financial Analyst will be an integral part of the Supply Chain Solutions division within the Retail, Tech & Health sector. This role involves delivering comprehensive financial and analytical support to both Financial Management and Logistics Management.Key Responsibilities:Month-End Closing: Execute necessary journal entries to...
-
SAP Service Management Specialist
4 days ago
Frankfort, Kentucky, United States VOLT Management Full timePosition Overview:VOLT Management is seeking a highly skilled Service Management Consultant/Business Functional Analyst to join our dynamic team in a fully remote capacity. This role involves a diverse range of responsibilities, primarily focusing on the integration of SAP Service Management systems.Key Responsibilities:As a Service Management Consultant,...
-
Senior Business Analyst
1 week ago
Frankfort, Kentucky, United States Oracle Full timeJob OverviewThe GPO organization for Deal Management is seeking a skilled Business Analyst to enhance our transactional processes within Oracle's quote and contract systems. Candidates should have a robust understanding of project management, data analysis, quoting systems, and contract assembly.Key Qualifications:Proven leadership capabilities to facilitate...
-
Frankfort, United States Ardor Health Solutions Full timeDescription: Estimated payment breakdown $1,787 per week in taxable pay and non-taxable stipends Specialty: RN Start Date: 8/25/2024 Duration: 13 36 hours per week Shift: 3x12 Nights Employment Type: Traveler Ardor Health Solutions is looking for a Medical Surgical-General - M/S to join our travel team in Frankfort, KY! This is a full time travel contract...
-
Senior Business Analyst
1 week ago
Frankfort, Kentucky, United States Oracle Full timeJob OverviewThe GPO organization for Deal Management is seeking a skilled Business Analyst with a comprehensive understanding of the transactional processes within Oracle's quote and contract systems. Key Qualifications:Applicants should demonstrate proficiency in Project Management, Data Analysis, Quoting Systems, and Contract Assembly.Additionally,...
-
Travel Medical Technologist
4 weeks ago
Frankfort, United States Supplemental Health Care Remote Work Freelance Full timeSupplemental Health Care is seeking a travel Medical Technologist for a travel job in Frankfort, Kentucky.Job Description & RequirementsSpecialty: Medical TechnologistDiscipline: Allied Health ProfessionalStart Date: ASAPDuration: 13 weeks36 hours per weekShift: 12 hours, nightsEmployment Type: TravelJob Description:Supplemental Health Care has been named...
-
RN - Medical Nursing Nights
1 month ago
Frankfort, KY, United States Ardor Health Solutions Full timeArdor Health Solutions is seeking a travel nurse RN Med Surg for a travel nursing job in Frankfort, Kentucky. Shift: 12 hours, nights ~ Employment Type: Travel Hospital Ardor Health Solutions is looking for a Medical Surgical-General - M/S to join our travel team in Frankfort, KY! This is a full time travel contract position. 2+ years of Medical...
![CVS Health](https://media.trabajo.org/img/noimg.jpg)
Medical Claim Analyst
1 month ago
Bring your heart to CVS Health. Every one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as what we deliver. Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. Position Summary Review provider and member claims to determine if they meet CCR review requirements. Follow applicable workflows, templates, and legal and compliance requirements to provide a complete picture of what is requiring reviewto the CCR clinicians and medical directors. Organizes and prioritizes work to help meet regulatory and CCR claim turn around times. Determines coverage, verifies eligibility, benefits, identifies discrepancies, and applies all Medical Claim Management policies and procedures to assist in ensuring claims are handled per policy and legal requirements. Works with all appropriate internal and external departments and personnel to accurately review specified claims and/or clarify any issues found in the course of the review. Maintains and utilizes all resource materials and systems to effectively manage job responsibilities. Adheres to company policies to protect member confidentiality. This role is a Hybrid role which means a hybrid Colleague works some of their scheduled workdays each week in an assigned company office location, and some workdays from a designated virtual work location, usually located in the Colleague's home. Required Qualifications 2+ years claim processing experience and demonstrated ability to handle multiple assignments competently, accurately and efficiently. Customer service experience Knowledge of Medical Terminology Education High School Diploma or equivalent GED. Pay Range The typical pay range for this role is: $18.50 - $31.72 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company’s 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long term disability benefits. CVS Health also offers numerous well-being programs, education assistance, free development courses, a CVS store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (“PTO”) or vacation pay, as well as paid holidays throughout the calendar year. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit jobs.CVSHealth.com/benefits CVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work. CVS Health is committed to recruiting, hiring, developing, advancing, and retaining individuals with disabilities. As such, we strive to provide equal access to the benefits and privileges of employment, including the provision of a reasonable accommodation to perform essential job functions. CVS Health can provide a request for a reasonable accommodation, including a qualified interpreter, written information in other formats, translation or other services through ColleagueRelations@CVSHealth.com If you have a speech or hearing disability, please call 7-1-1 to utilize Telecommunications Relay Services (TRS). We will make every effort to respond to your request within 48 business hours and do everything we can to work towards a solution. #J-18808-Ljbffr