Provider Relations Coordinator Morgan & Morgan, P.A.Provider Relations CoordinatorLexington, KY$70,000–$75,000 / yearThis employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. This individual will act as a primary resource for designated providers and groups to establish and maintain positive relationships by assisting with/or responding to complex issues as it relates to our clients' requirements and lien resolutions.
Provider Enrollment Specialist II - Full Time Experity IncProvider Enrollment Specialist II - Full TimeKY$19.10–$22.50 / hourFlexibility - Experity is committed to helping team members face the demands of juggling work, family and life-related issues by offering flexible work scheduling to manage your work-life balance. Experity is a mission-driven team transforming on-demand healthcare across the U.S., empowering urgent care clinics with industry-leading software that makes care faster, easier, and more patient-focused.
Associate Representative, Health Plan Provider Relations Molina Healthcare IncAssociate Representative, Health Plan Provider RelationsLexington, KYDuties may include: price-specific services based on the plans fee schedule, communicating and educating providers on important changes to regulations, procedures and access to information, assisting providers in dismissing or moving members incorrectly assigned to them, and educating providers to ensure appropriate dismissal letters are sent to Molina members. Provides support for provider-related inquiries; successfully engages with providers and maintains provider satisfaction primarily for non-complex providers including but not limited to fee-for-service (FFS) and pay-for-performance (P4P) providers.
Adjudicator, Provider Claims - Remote Must reside in KY Molina Healthcare IncAdjudicator, Provider Claims - Remote Must reside in KYLexington, 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.
Provider Quality and Resource Manager Baptist Healthcare System IncProvider Quality and Resource ManagerLexington, KYThe Provider Quality and Resource Manager coordinates and directs the delivery of services for Cardiology providers by facilitating the direction of human and physical resources and adjusting the daily operations to meet the changing needs/ environment. The Provider Quality and Resource Manager maintains staffing for the cardiology extenders and develops a highly skilled team through education, evaluation, and consistent feedback.
NewAdvanced Practice Provider (NP/PA) – Skilled Nursing Facility Telos Health SystemsAdvanced Practice Provider (NP/PA) – Skilled Nursing FacilityKentuckyTelos Health Systems is seeking an experienced Advanced Practice Provider — either a Nurse Practitioner (NP) or Physician Assistant (PA) — to serve as an in-house SNF-ist, providing general medicine care to geriatric residents in Skilled Nursing Facilities (SNFs) and Assisted Living Facilities (ALFs) in the Mayfield, KY area. This role is ideal for a clinically confident provider who values autonomy, collaboration, and making a meaningful impact in long-term care.
Midlevel Provider (FNP or PA) PIEDMONT ACCESS TO HEALTH SERVICES INCMidlevel Provider (FNP or PA)Danville, KYObtain and document or cause to be obtained and documented appropriate chief complaint, past medical, family, and social history, review of systems, examination, medications, and allergies assessment and plan for each patient within the electronic medical record. • License to practice as a Family Nurse Practitioner or Physicians Assistant in the Commonwealth of Virginia • Current DEA license • Able to bill for services provided to patients with Medicare, Medicaid, and all private insurances.
Provider Relations Representative, Behavioral Health (Kentucky) CVS Health CorpProvider Relations Representative, Behavioral Health (Kentucky)Georgetown, 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.
Health Plan Provider Contracts Manager - Complex Molina Healthcare IncHealth Plan Provider Contracts Manager - ComplexLexington, 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).
NewRepresentative II, Customer Service - New Patient Care Cardinal HealthRepresentative II, Customer Service - New Patient CareFrankfort, KY$15.75–$18.50 / hourThe Representative II, Customer Service - New Patient Care is responsible for engaging with patients referred by partner pharmacies to initiate service and ensure timely delivery of durable medical equipment and diabetes-related supplies. Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution.
Representative II, Customer Care Order Placement Cardinal HealthRepresentative II, Customer Care Order PlacementFrankfort, KY$15.75–$18.50 / hourCustomer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution. The Representative II, Customer Care Order Placement operates as a “Universal Agent”, who is able to meet the needs of our customers throughout the entire order placement lifecycle.
Pharmaceutical Sales Rep - Primary Care (Entry Level) Pharmagen IncPharmaceutical Sales Rep - Primary Care (Entry Level)Lexington, KY$84,150–$109,700 / yearCalling on territory healthcare providers and informing those healthcare providers about the features and benefits of our products, explaining the characteristics, uses, dosages, value add programs for our HCP's and their patients as well as the ability to effectively communicate other relevant educational information as directed by management in order to grow market share; Consistently develop a partnership selling style that includes an ability to use all available promotional literature and selling tools (excel based reports, market share & usage reports, etc,) during sales calls as assigned; Educate, develop and maintain strong relationships with assigned territory healthcare providers and their staff, to further the progress of the company business; Pharmaceutical Sales Rep QUALIFICATIONS: Must be authorized to be employed in the United States. PharmaGen is healthcare leader in Pharmaceutical Sales Rep management, product launches, clinical communication, scientific marketing, Pharmaceutical Rep services, Contract Sales Organizational implementation, physician detailing, as well as clinical and packaging services.
Patient Care Technician The Kroger CoPatient Care TechnicianKYClean and organize the clinic space daily, including, but not limited to, taking out trash, logging and putting away supply orders, cleaning the floor under counters and around furniture, cleaning examination rooms after patient visits, and equipment disinfection. Our clinics are staffed by board-certified nurse practitioners or physician assistants, licensed practical nurses, and patient care technicians who all work as a team to supply high-quality, affordable healthcare found in convenient retail settings.
Manager, Care Services The ALS AssociationManager, Care ServicesKentuckyAs the Care Services Manager you will be responsible for the management of care services programs which may include but not limited to ensuring the uniform delivery of high quality, consistent services for individuals with ALS and their families and/or supervising of care services staff within an assigned territory area. The ALS Association funds global research collaborations, assists people with ALS and their families through its nationwide network of care and certified clinical care centers, and advocates for better public policies for people with ALS.
Intermediate Care Technician - Emergency Department U.S. Department of Veterans AffairsIntermediate Care Technician - Emergency DepartmentLexington, KY$50,460–$65,599 / yearSpecial Employment Consideration: VA encourages persons with disabilities to apply, including those eligible for hiring under 5 CFR 213.3102(u), Schedule A, Appointment of persons with disabilities [i.e., intellectual disabilities, severe physical disabilities, or psychiatric disabilities], and/or Disabled veterans with a compensable service-connected disability of 30% or more. The Department of Veterans Affairs performs pre-employment reference checks as an assessment method used in the hiring process to verify information provided by a candidate (e.g., on resume or during interview or hiring process); gain additional knowledge regarding a candidates abilities; and assist a hiring manager with making a final selection for a position.
Care Coordinator Appalachian Regional Healthcare, Inc.Care CoordinatorLexington, KentuckyFull timeThe Care Coordinator will work in collaboration and continuous partnership with the patient to ensure that the patient understands every aspect of their care and will promote adherence to a care plan developed in coordination with the patient, primary care provider, and family / caregivers. This coordinated, team-based care will be provided to individuals through effective partnerships with patients, caregivers, families, community resources, and their physician with the Care Coordinator serving as the primary contact point, advocate, and resource.
Primary Care Physician Humana IncPrimary Care PhysicianFrankfort, KY$255,000–$298,500 / yearAs the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients. About CenterWell Senior Primary Care: CenterWell Senior Primary Care provides proactive, preventive care to seniors, including wellness visits, physical exams, chronic condition management, screenings, minor injury treatment and more.
Care Transitions Coordinator Home Health Enhabit Home Health & HospiceCare Transitions Coordinator Home HealthLexington, KYWith strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what’s possible for care in the home. Integrates evidence-based clinical guidelines, preventative guidelines, protocols, and other metrics in the development of transition plans that are patient-centered, promoting quality and efficiency in the delivery of post-acute care.
PRN - Patient Care Specialist (Medical Receptionist) Fast Pace HealthPRN - Patient Care Specialist (Medical Receptionist)Frankfort, KentuckyTemporaryMaintains 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. Posting Title: PRN - Patient Care Specialist (Medical Receptionist) Overview: At Fast Pace Health, Patient Care Specialist provides administrative support essential for effective patient care under the direct supervision of a Nurse Practitioner or Physician Assistant.
Care Transitions Coordinator Home Health Enhabit IncCare Transitions Coordinator Home HealthLexington, KYp>With strong organizational stability, a commitment to excellence, and careers rooted in purpose, Enhabit empowers team members to build forward-moving careers while expanding what's possible for care in the home. Integrates evidence-based clinical guidelines, preventative guidelines, protocols, and other metrics in the development of transition plans that are patient-centered, promoting quality and efficiency in the delivery of post-acute care.
Primary Care Sales Representative - Lexington, KY IQVIA Holdings IncPrimary Care Sales Representative - Lexington, KYLexington, KY$100,000–$120,000 / yearContinuously enhance understanding of customer needs, market landscape, competitors, segments, account dynamics, disease areas, product knowledge, clinical insights, and sales expertise; share relevant market intelligence with field teams, brand team, and sales management to foster alignment, anticipate market changes, and refine brand strategy and execution. Demonstrated history of success in sales within relevant therapeutic areas; prior experience in pharmaceutical industry roles such as physician/account-based selling, training, managed health care, specialty pharmacy, or marketing is preferred.
Medical Equipment Customer Service Representative Rotech Healthcare Inc.Medical Equipment Customer Service RepresentativeFrankfort, KYWith hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. As a national leader in ventilators, oxygen therapy, sleep apnea treatment, wound care, diabetic solutions, and other home medical equipment, we empower patients to manage their health from the comfort of home.
Medical Equipment Driver & Customer Service Rotech Healthcare Inc.Medical Equipment Driver & Customer ServiceLEXINGTON, KentuckyWith hundreds of locations across 45 states, our team delivers high-quality products, exceptional service, and compassionate support that helps patients live more comfortably, independently, and actively. Manages all aspects of intake: answering the phone and receiving faxes, collecting patient and referral source information, data input into IMBS, printing tickets, assembling charts and processing paperwork .
Home Infusion Intake Customer Service Specialist Baptist Healthcare System IncHome Infusion Intake Customer Service SpecialistLexington, KYThe Home Infusion Intake Customer Service Specialist is responsible for handling intake requests, providing excellent customer service, and ensuring that patient information is accurately processed and communicated to the appropriate departments. 1 year of job-related experience required, healthcare experience preferred; prior discharge planning or intake experience; prior customer service experience beneficial.
Work at Home Customer Service Advisor (Kentucky residents) MorleyWork at Home Customer Service Advisor (Kentucky residents)KentuckyFull timeWe do this by leading with humility, embracing everyone, sweating the details and moving mountains (making the impossible possible) – for our associates and for the world-leading companies that partner with us. You’ll spend most of your day handling health insurance questions from customers, health care providers and beneficiaries via phone and email, including benefits, eligibility and payments.