Adjudicator, Provider Claims - Remote Must reside in KY Molina Healthcare IncAdjudicator, Provider Claims - Remote Must reside in KYBowling Green, KYRemoteAt least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims.
Adjudicator, Provider Claims (must reside in Kentucky) Molina Healthcare IncAdjudicator, Provider Claims (must reside in Kentucky)Adairville, KYAt least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims.
Adjudicator, Provider Claims-KY-On the phone-closing shift Molina Healthcare IncAdjudicator, Provider Claims-KY-On the phone-closing shiftAdairville, KYp>At least 2 years of experience in a clerical role in a claims, and/or customer service setting, including experience in provider claims investigation/research/resolution/reimbursement methodology analysis within a managed care organization, or equivalent combination of relevant education and experience. Provides support for provider claims adjudication activities including responding to providers to address claim issues, and researching, investigating and ensuring appropriate resolution of claims.
Health Plan Provider Contracts Manager - Complex Molina Healthcare IncHealth Plan Provider Contracts Manager - ComplexBowling Green, KYRequired Qualifications At least 5 years of experience in network contracting with large specialty or multispecialty provider groups, and at least 3 years experience in provider contract negotiations in a managed health care setting ideally negotiating different provider contract types (i.e. physician/group/hospital), or equivalent combination of relevant education and experience. In conjunction with contracting leadership, negotiates complex provider contracts including high-priority physician group and facility contracts using preferred, acceptable, discouraged, unacceptable (PADU) guidelines (emphasis on number or percentage of membership in value-based relationship contracts).
Provider Relations Representative, Behavioral Health (Kentucky) CVS Health CorpProvider Relations Representative, Behavioral Health (Kentucky)Bowling Green, KY$54,300–$119,340 / yearActs as the primary resource for assigned, high profile providers and/or groups (i.e. local, individual providers, small groups/systems) to establish, oversee, and maintain positive relationships by assisting with or responding to complex issues regarding Medicaid policies and procedures, plan design, contract language, service, claims or compensation issues, and provider education needs. Monitors service capabilities and collaborate cross- functionally to ensure that the needs of constituents are met and that escalated issues related but not limited to, claims payment, contract interpretation or parameters, and accuracy of provider contract or demographic information are resolved.
Home Care Aide Silver Angels of Tennessee - Sumner, LLCHome Care AidePortland, Tennessee$14.50–$17 / hourThrough our VitalLink Program, Home Care Aides can connect to financial assistance with housing support, healthcare bills and access, utilities support, food support, transportation solutions, and educational opportunities, because we care for our caregivers. You can apply through the job posting or at our new local office at: Silver Angels of Tennessee - Sumner, LLC.
Patient Care Specialist (Medical Receptionist) Fast Pace HealthPatient Care Specialist (Medical Receptionist)Portland, TennesseeFull timePlease refer to the links below for information regarding your rights under certain federal laws: https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/fmlaen.pdf. Maintains the overall cleanliness of the office as needed to support the team and clinic environment, which may include, but not be limited to, taking out garbage, organization and cleanliness of desk, patient and office space and assistance with other team members to achieve a strong professional appearance for our employees, patients and visitors.
Primary Care Nurse Practioner or Physician Assistant VALOR HEALTHCARE, INC.Primary Care Nurse Practioner or Physician AssistantBowling Green, KYp>As a Primary Care Nurse Practitioner, you will provide prescribed medical treatment and personal care services to patients with diseases and injuries seeking treatment in the clinic, as directed by physician or mid-level provider. Valor Healthcare is a veteran- and physician-led provider of healthcare services for deserving, resilient patriots - those who serve or have served in the military as well as those who devote their careers to federal government service.
Home Care Aide Silver AngelsHome Care AideBowling Green, KY$13.50–$16 / hourSupport Beyond the JobThrough our VitalLink Program, Home Care Aides can connect to financial assistance with housing support, healthcare bills and access, utilities support, food support, transportation solutions, and educational opportunities, because we care for our caregivers. Why Home Care Aides Choose Us: Meaningful one-on-one client relationships Flexible scheduling and competitive pay Supportive leadership team and a culture that treats you like family, not a number Pay Range: How you Will make a Difference.
Patient Care Tech Ii--Medical Assistant Graves Gilbert ClinicPatient Care Tech Ii--Medical AssistantBowling Green, Kentuckyp>The Patient Care Tech II integrates responsibilities from Medical Assisting and Phlebotomy and patient support functions to ensure efficient workflow, quality patient care, and seamless clinical operations in a fast-paced Urgent Care environment. The ideal candidate is a proactive, detail-oriented, and comfortable managing multiple tasks while maintaining a compassionate, patient-focused approach.
Patient Care Coordinator Upperline Health IncPatient Care CoordinatorBowling Green, KYp>Upperline Health providers coordinate patients' care among a team of specialists - physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients' immediate and long-term health needs. The Patient Care Coordinator will be responsible for medical front desk receptionist duties including greeting patients in a friendly manner, and ensuring patients are accurately checked in and prepared for their appointments in a timely manner.
Home Care Aide Silver Angels of Kentucky - Bowling Green, LLCHome Care AideBowling Green, Kentucky$13.50–$16 / hourThrough our VitalLink Program, Home Care Aides can connect to financial assistance with housing support, healthcare bills and access, utilities support, food support, transportation solutions, and educational opportunities, because we care for our caregivers. • Pay Range: How you Will make a Difference: We’re looking for caregivers that offer compassionate care to our clients allowing them to age with dignity and respect in the comfort of home.
Medical Director, Value Based Care Upperline Health IncMedical Director, Value Based CareKYli>Through a patient-centered approach, we enhance the healthcare experience by living our Upperline CARES values-fostering strong Connections, holding ourselves to the highest level of Accountability, demonstrating Resilience in navigating and tackling complex challenges, committing to Excellence in patient care, and focusing on a Service mentality that places patients at the heart of everything we do. Upperline Health providers coordinate patients' care among a team of specialists - physicians, advanced practice providers, care navigators, pharmacists, dieticians, and social workers for integrated treatment that addresses patients' immediate and long-term health needs.