Healthcare Claims Negotiator

JOB DESCRIPTION Essential Duties & Responsibilities: As a key member of the CNA team, the Complex Claims Consulting Director will play a critical role in managing the most complex and high-exposure Lawyers Professional Liability Claims. The ideal candidate will have a strong background in claims management, with expertise in Lawyers Professional...

Job SummaryAs a Field Claims Adjuster at Progressive Insurance, you will serve as the primary point of contact for customers, directing and making decisions regarding the repair process from start to finish. This role requires strong leadership and conflict management skills, as well as attention to detail and a passion for delivering exceptional customer...

Job Title: Pharmacy Adjudication SpecialistWe are seeking a highly skilled Pharmacy Adjudication Specialist to join our team at Onco360 Pharmacy in Louisville, KY. This is a full-time position with a hybrid work style, requiring a location within driving distance to our pharmacy.Job Summary:The Pharmacy Adjudication Specialist will be responsible for...

Make a Difference in InsuranceAt The Cincinnati Insurance Companies, we put people first and apply the Golden Rule to our daily operations. We're seeking extraordinary individuals to join our talented team as Field Claims Representatives. Our service-oriented, ethical, knowledgeable, and caring associates are the heart of our vision to be the best company...

Job DescriptionAt Isaacs & Isaacs PSC, we are dedicated to providing exceptional service to our clients. As a Pre-Litigation Paralegal, you will play a critical role in handling personal injury claims from inception to settlement.Key Responsibilities:Enter new files into our case management system and gather relevant information.Analyze intake data and...

Job OverviewAt Isaacs & Isaacs PSC, we are seeking a highly skilled Pre-Litigation Paralegal to join our team. This role will be responsible for handling pre-lit personal injury claims from inception to settlement.Key ResponsibilitiesEnter new files into our Case Management System and gather relevant documents.Analyze intake information and enter pertinent...

Make a Difference with a Career in InsuranceAt The Cincinnati Insurance Companies, we prioritize people and apply the Golden Rule to our daily operations. To bring this vision to life, we're seeking exceptional individuals to join our talented team.Our service-oriented, ethical, knowledgeable, and caring associates are the heart of our mission to be the best...

About the Role:We are seeking a skilled Medical Claims Investigator to join our team at CenterWell Home Health. As a Medical Claims Investigator, you will be responsible for conducting comprehensive analytic reviews of clinical documentation to determine if an appeal is warranted.Key Responsibilities:Manage client medical denials by conducting thorough...

Pharmacist Job DescriptionHealthCare Support is seeking a skilled Pharmacist to join our team in Louisville, KY.Daily Responsibilities:Fill prescriptions and monitor inventory levels to ensure proper storage and security of drugs.Provide patient counseling and discuss challenges to medication adherence.Create a positive pharmacy department image through...

Job Summary:Carelon Payment Integrity, a proud member of the Elevance Health family of companies, is seeking a skilled Healthcare Investigator to join our team. As a Healthcare Investigator, you will play a critical role in detecting and preventing fraudulent, abusive, or wasteful activities in our healthcare insurance payments.Key...

Job SummaryDean Dorton Healthcare Solutions is seeking a detail-oriented and results-driven Healthcare Credentialing Specialist to join our Healthcare Consulting team. As a key member of our team, you will perform critical functions for our clients, including physicians, medical practice groups, and other healthcare entities.Key ResponsibilitiesComplete...

Unlock your potential in a dynamic role as a Healthcare Recruiter with PSG Global Solutions Careers. As a key member of our team, you will be responsible for sourcing and developing a network of healthcare professionals for contract, PRN, and permanent placements. Your expertise will be utilized to conduct initial phone screens, assist with onboarding, and...

Dean Dorton Healthcare Solutions is seeking a detail-oriented and results-driven Healthcare Credentialing Specialist to join our Healthcare Consulting team.In this role, you will perform critical functions for our clients, including physicians, medical practice groups, and other healthcare entities.Key Responsibilities:Completing physician credentialing...

Job SummaryCareRing Health, LLC is seeking a highly skilled Billing Specialist to join our team. As a key member of our revenue cycle team, you will be responsible for ensuring accurate and timely billing and collection of payments for medical services.Responsibilities:Generate and submit accurate and complete billing for all medical visits, including...

Job Summary:The Procurement Specialist will be responsible for managing the supply chain for a wide variety of corporate requirements and issuing contractual commitments with an estimated value of up to $100 million per year. This position will determine contract models and strategies, determine services and material supply chain models, interface and...

Payer Services Specialist Job DescriptionTrilogy Health Services is seeking a highly skilled Payer Services Specialist to join our team. As a Payer Services Specialist, you will be responsible for performing tasks related to prior authorizations, recertifications, and insurance verifications for potential admissions and therapy services.This role will report...

Job SummaryAs a key member of the Norton Healthcare team, the Senior Managed Care Operations Manager will be responsible for ensuring the overall operational effectiveness of the managed care team. This includes actively assisting the VP with managed care contracts and negotiations, as well as developing a communication process to address issues, problems,...

Job SummaryMolina Healthcare is seeking a skilled Pharmacy Technician to join our team. As a Pharmacy Technician - Medication Management Specialist, you will play a critical role in ensuring that our members have access to necessary prescription medications in a safe and cost-effective manner.Key ResponsibilitiesPerform initial receipt and review of...

Job Summary:CNS Cares is seeking a dedicated and compassionate Certified Nurse Assistant to join our team of direct care professionals. As a CNA, you will have the opportunity to provide high-quality care to individuals in their homes, promoting independence and comfort. Our team works in the privacy of each patient's home, allowing for one-on-one time with...

We're seeking an Emergency Medicine Physician for a locums assignment in a KY facility. Our team at CHG Healthcare can help you find the right opportunity to meet your needs.Willing to wait for licenseBC required8 or 9 or 10 hour shiftsAnnual ED volume 45,000 per facilityLevel 2 traumaCredentialing neededDEA neededWe negotiate better pay and deposit it...