Clinical Denials Specialist

Job SummaryThe Clinical Denials Coordinator plays a crucial role in managing the initial clinical denials process for hospital patients. This involves reviewing and analyzing payer denials, developing strategies for resolution, and communicating with insurance companies, providers, and case managers.Key ResponsibilitiesReviews and analyzes payer denials to...

Job SummaryThe Clinical Denials Coordinator is a critical role within Owensboro Health, responsible for managing the initial clinical denials process related to authorizations, notifications, and medical necessity denials for all government and commercial payers for hospital patients.Key Responsibilities:Review and analyze payer denials to determine the...

Job SummaryAs a Clinical Laboratory Specialist at Owensboro Health, you will play a vital role in collecting and processing clinical laboratory specimens of the patient population. This position requires strong communication skills, attention to detail, and the ability to work in a fast-paced environment.Key ResponsibilitiesDeliver physicians' reports via...

Clinical/Specialty Pharmacist RoleCPS Solutions, LLC is seeking a highly motivated and customer service-oriented Clinical/Specialty Pharmacist to join our team at Owensboro Health Regional in Owensboro, KY. As a Clinical/Specialty Pharmacist, you will be responsible for providing outstanding service to patients with complex, specialty diseases to help them...

Job SummaryTrueScripts Limited is seeking a highly skilled Clinical Care Representative to join our team. This role is responsible for performing all clinical tasks related to in-house and external communications with clients, members, pharmacies, and physicians.Key ResponsibilitiesRespond to clinical inquiries, prior authorization requests, and paper claims...

pbJob Summary/bbrbrThe Clinical Care Representative will be responsible for performing all clinical tasks related to in-house and external communications with TrueScripts clients, members, pharmacies, and physicians. This role will respond to clinical inquiries, prior authorization requests, and paper claims requests, analyze data, assist members with...

Job SummaryMolina Healthcare is seeking a skilled Pharmacy Technician to join our team. As a Clinical Pharmacy Services Specialist, you will play a critical role in ensuring that our members have access to safe and cost-effective medications.Key Responsibilities:Collaborate with Molina pharmacists to improve medication adherence and identify barriers to...

Women's Health Specialist OpportunityWe are seeking a board-certified or board-eligible OBGYN to join our hospital-employed team. This opportunity offers a comprehensive women's health services package, including high-risk obstetrics, Level III NICU, OB Hospitalist Group, and three maternal-fetal medicine specialists.Key Highlights: Average of...

DaVita Registered Dietitian Job DescriptionAs a Registered Dietitian at DaVita, you will be a vital member of our patient care team. Your role will involve analyzing lab-work results and educating patients and their families on what to eat accordingly. Your ability to influence and lead will be critical in helping them live better lives.Key...

Clinical Therapist Job Description**Job Summary:**We are seeking a skilled Clinical Therapist to join our team at The Methodist Home of Kentucky, Inc. As a Clinical Therapist, you will provide behavioral health assessments, diagnostics, and clinical treatment for mental health and/or substance use/abuse for children, adults, and families.**Key...

Owensboro Health is a thriving, independently owned health system serving a population of nearly 600,000 in Northwestern Kentucky and Southern Indiana.As a Cardiovascular Specialist, you will have the opportunity to advance our cardiovascular service line in Owensboro, KY with the support of 11 cardiologists in the communities we serve.Full spectrum CT...

Job Title: Registered Nurse - Addiction Recovery SpecialistAre you passionate about helping individuals overcome substance abuse addiction? Join Addiction Recovery Care, LLC as a Registered Nurse - Addiction Recovery Specialist and be part of a dynamic team that makes a positive impact in the lives of others.Key Responsibilities:Conducts nursing assessments...

Excelling at Physical Therapy with Upstream Rehabilitation, Inc.We're seeking a skilled Physical Therapist to join our team at Upstream Rehabilitation, Inc. where you'll excel in providing specialized evaluation and evidence-based treatment for our patients. As a valued member of our clinical team, you'll connect with patients and colleagues, delivering the...

Job SummaryWe are seeking a highly skilled Clinical Social Worker to join our team at Owensboro Health. As a Clinical Social Worker, you will apply specialized clinical knowledge and advanced clinical skills in the areas of assessment, diagnosis, and treatment of mental, emotional, and behavioral disorders, conditions, and addictions.Key...

Job Title: Nurse PractitionerJob Summary:BoldAge PACE is seeking a skilled Nurse Practitioner to join our interdisciplinary team. As a key member of our healthcare team, you will provide primary medical management to our participants, working collaboratively with our physicians to ensure comprehensive care.Responsibilities:Conduct initial, semi-annual, and...

Job SummaryAs a Clinical Pharmacist-Retail at Owensboro Health, you will play a vital role in ensuring the appropriate selection, dosing, administration, and dispensing of medication orders in our Retail Pharmacy. This position requires a strong understanding of medication therapy and the ability to communicate effectively with patients and healthcare...

Job Summary As a Clinical Pharmacist-Retail at Owensboro Health, you will play a vital role in ensuring the appropriate selection, dosing, and dispensing of medication orders in our Retail Pharmacy. This position requires a strong understanding of medication therapy and the ability to communicate effectively with patients and healthcare professionals. Key...

Job Title: PhysicianJob ID: 65693Location: OwensboroTEEMA - Eagle is seeking a skilled Physician to provide direct primary medical care to patients and supervise medical care personnel in our outpatient clinic. The ideal candidate will have a strong background in geriatric medicine and the ability to work with a frail or elderly population.Key...

Owensboro Health Medical Group is seeking a skilled Hematology/Oncology specialist to join our hospital-employed team in Owensboro, KY. Our group consists of four experienced Hematologist-Oncologists supported by two APRNs, working closely with two Radiation Oncologists on the same campus.Our state-of-the-art clinic and infusion area offer a collaborative...

OverviewEnhabit Home Health & Hospice is a national leader in home-based care, consistently ranked as one of the best places to work in the country. We're committed to expanding what's possible for patient care in the home, fostering a unique culture that's both innovative and collaborative.ResponsibilitiesAs a Clinical Team Leader, you'll play a key role in...