Claims Reimbursement Analyst
6 days ago
About the Role: We are seeking a skilled and detail-oriented Claims Reimbursement Analyst to join our team. As a key member of our Recovery Department, you will be responsible for reviewing plan documents for possible exclusions, drafting, mailing, and faxing correspondence, and using MS Word, Excel, Microsoft Outlook, and other programs to prepare correspondence and documents.
Key Responsibilities: Your primary duties will include reviewing case laws, negotiating with attorneys, calling insurance carriers for claim information, providing clients with accident details, reduction requests, etc., and managing a large case load.
Requirements: To succeed in this role, you must have an associate's degree or higher, 1-3 years of subrogation/reimbursement experience, and strong analytical skills to identify and resolve issues. You must also be able to communicate effectively with internal and external stakeholders.
What We Offer: We offer a collaborative and dynamic work environment, opportunities for professional growth and development, and a comprehensive benefits package, including medical, dental, and vision coverage, as well as 401(k) matching and paid time off.
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Senior Claims Data Specialist
2 weeks ago
Louisville, Kentucky, United States Molina Healthcare Full timeThe Senior Business Analyst role at Molina Healthcare offers a unique opportunity to make a meaningful impact on the company's success. As a key member of the claims processing team, you will be responsible for providing regular, timely, and accurate reports to support business needs and critical functions. This position requires strong analytical skills,...
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Pharmacy Claims Processor
3 weeks ago
Louisville, Kentucky, United States BrightSpring Health Services Full timeWe are seeking a skilled professional to fill the role of Pharmacy Claims Processor at PharMerica, a leading pharmacy services provider. In this role, you will be responsible for the accurate and timely adjudication of all prescriptions, as well as performing other clerical duties as assigned.The ideal candidate will have excellent customer service and...
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Business Systems Analyst
2 weeks ago
Louisville, Kentucky, United States Molina Healthcare Full timeCompany Overview: Molina Healthcare is a leading provider of health care services. We are committed to making a difference in the lives of our members and communities we serve.Job Summary:The Senior Business Analyst will play a key role in supporting the claims processing teams by providing regular, timely, and accurate reports. This position will lead...
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Medical Reimbursement Specialist
2 weeks ago
Louisville, Kentucky, United States Synchrony Health Services Full timeJob DescriptionPrimary Responsibilities: Run daily ECS log report to identify denied claims for Medicare or other insurers Review and complete all denied claims in the ECS log for Medicare and other insurers Request prior authorization on drugs that are denied for prior authorization Obtain third-party insurance information on all...
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Senior Business Intelligence Analyst
2 weeks ago
Louisville, Kentucky, United States Recruit Monitor Full timeJob Title: Senior Business Intelligence AnalystAbout the Company: Recruit Monitor is a leading recruitment agency that helps businesses find top talent. We are looking for a Senior Business Intelligence Analyst to join our team.Job Summary:We are seeking a highly skilled Senior Business Intelligence Analyst to create and maintain a system of reports,...
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Financial Analyst
2 weeks ago
Louisville, Kentucky, United States Jobot Full timeJob SummaryCareer Opportunities with Jobot. We are seeking a highly motivated, detail-oriented Financial Analyst - Pharmacy to join our dynamic healthcare team in Louisville, KY.We offer an excellent opportunity to delve into the world of healthcare financial analysis and data analytics. As a Pharmacy Data Specialist, you will play a crucial role in our...
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Healthcare Financial Data Analyst
2 weeks ago
Louisville, Kentucky, United States Jobot Full timeJob OverviewWe are seeking a detail-oriented Healthcare Financial Data Analyst to join our dynamic team at Jobot.This is an excellent opportunity to apply your financial and analytical skills in a fast-paced healthcare environment.Key ResponsibilitiesAnalyze and report on pharmaceutical costs, reimbursements, and utilization patterns to inform strategic...
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Trade Promotion Auditor
1 month ago
Louisville, Kentucky, United States Danone North America Full timeAbout Danone North America, you'll work with some of the best-known food and beverage brands in the world like Activia, Silk, Two Good, Oikos, evian, and Happy Family. You'll be part of one of the largest Certified B CorpsTM in the world, working together to make sure our brands create real benefits for people, communities, and the planet.We're seeking a...
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Healthcare Claims Processor
2 weeks ago
Louisville, Kentucky, United States BrightSpring Health Services Full timeAbout Our CompanyPharMerica is a full-service pharmacy solution providing value beyond medication. We offer unmatched employee development, exceptional company culture, seemingly endless opportunities for advancement, and the highest hiring goals in decades.We provide comprehensive benefits, including DailyPay, Flexible schedules, Competitive pay, Health,...
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Healthcare Billing Specialist
2 weeks ago
Louisville, Kentucky, United States Synchrony Health Services Full timeJob Title: Healthcare Billing SpecialistWe are seeking a skilled Healthcare Billing Specialist to join our team at Synchrony Health Services. As a Rehab Billing Associate, you will be responsible for accurately and efficiently processing billing transactions related to rehabilitation services. This position requires attention to detail, strong organizational...
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Medical Billing Specialist
1 week ago
Louisville, Kentucky, United States BrightSpring Health Services Full timeJob SummaryWe are seeking a highly skilled Medical Billing Specialist to join our team at PharMerica. As a key member of our revenue cycle operations, you will be responsible for ensuring the accurate and timely adjudication of prescriptions, onsite training of new hires, and maintenance of pharmacy unbilled claims.ResponsibilitiesEnsure the accuracy and...
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Insurance Business Development Associate
6 days ago
Louisville, Kentucky, United States Tracy Haus - State Farm Agent Full timeJob OverviewThe Insurance Business Development Associate role at Tracy Haus - State Farm Agent is an exciting opportunity for a sales-minded professional to grow their career while making a meaningful impact on customers' lives.As an Account Associate, you will be the key liaison between customer needs and agency departments, proactively marketing relevant...
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Pharmacy Data Specialist
2 weeks ago
Louisville, Kentucky, United States Jobot Full timeJob SummaryWe're looking for a detail-oriented and analytical individual to serve as a Pharmacy Analyst. In this role, you'll play a critical part in analyzing and reporting on pharmaceutical costs, reimbursements, and utilization patterns. You'll work closely with our cross-functional teams to drive process improvements and cost efficiencies, and contribute...
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Medical Billing and Analytics Professional
2 weeks ago
Louisville, Kentucky, United States Jobot Full timeAbout the RoleThis is an exciting opportunity to apply your financial and analytical skills in a fast-paced healthcare environment. As a Pharmacy Analyst, you'll conduct comprehensive financial analysis of pharmacy data, including costs, reimbursements, and utilization patterns. You'll prepare and present monthly reports to senior management, highlighting...
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Traveling Telemetry RN
2 weeks ago
Louisville, Kentucky, United States All Medical Personnel Full timeAbout the CompanyAll Medical Personnel is a national leader in healthcare staffing recognized by Staffing Industry Analysts (SIA) as one of the nation's largest healthcare staffing firms.Job DescriptionOur client, a reputable healthcare organization, is seeking an experienced Telemetry RN to join their team. The successful candidate will be responsible for...
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Medical Revenue Cycle Manager
6 days ago
Louisville, Kentucky, United States Christian Care Communities Full timeBilling Specialist Job DescriptionWe are seeking a detail-oriented and organized Billing Specialist to join our team in Middletown, KY. As a key member of our Program Support Center, you will be responsible for the timely and efficient billing and collections of account receivables while maintaining compliance with applicable laws and organizational...
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Healthcare Financial Professional
2 weeks ago
Louisville, Kentucky, United States Jobot Full timeYour Career with UsWe offer a unique opportunity to grow and develop your career in the healthcare industry. As a Pharmacy Data Analyst, you will be responsible for conducting comprehensive financial analysis of pharmacy data, including costs, reimbursements, and utilization patterns. You will also prepare and present monthly reports to senior management,...
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Healthcare Financial Analyst
2 weeks ago
Louisville, Kentucky, United States Jobot Full timeJob OverviewAt Jobot, we are seeking a highly motivated and detail-oriented Pharmacy Cost Specialist to join our dynamic healthcare team. This role offers an excellent opportunity to delve into the world of healthcare, financial analysis, and data analytics.The Pharmacy Cost Specialist will play a crucial role in our organization, analyzing and reporting on...
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Travel Nursing Position
1 month ago
Louisville, Kentucky, United States All Medical Personnel Full timeJob SummaryWe are seeking an experienced Medical Professional to fill a Travel Nursing Position in PCU/Stepdown. The ideal candidate will have 2-3 years of recent Telemetry experience and possess excellent communication and problem-solving skills.About the RoleAs a Travel Nursing Position, you will be responsible for providing high-quality patient care in a...
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Travel Telemetry Nurse Specialist
2 weeks ago
Louisville, Kentucky, United States All Medical Personnel Full timeCompany OverviewAll Medical Personnel is a national leader in healthcare staffing recognized by Staffing Industry Analysts (SIA) as one of the nation's largest healthcare staffing firms. Our goal is to simplify the process with a flexible and personalized approach.SalaryThe estimated salary for this position is $1,500 - $2,250 per week, based on experience...