NewMedicare Auditor - CONTRACT Vaco LLCMedicare Auditor - CONTRACTlouisville, KY$21–$22Determining compensation for this role (and others) at Vaco by Highspring depends upon a wide array of factors including but not limited to: the individual’s skill sets, experience and training; licensure and certification requirements; office location and other geographic considerations; other business and organizational needs. This role evaluates documentation accuracy, coding correctness, medical necessity, and adherence to CMS guidelines to identify compliance risks, overpayments, and process improvement opportunities.
NewEDI Enrollment Specialist A-Line Staffing SolutionsEDI Enrollment SpecialistLouisville, KYFull timeThis role focuses on managing Electronic Data Interchange (EDI), Electronic Remittance Advice (ERA), and Electronic Funds Transfer (EFT) enrollment processes while ensuring accurate documentation, timely implementation, and resolution of enrollment-related issues. A-Line Staffing is seeking a motivated and detail-oriented Healthcare EDI Enrollment Specialist This role offers career growth, a supportive work environment, and full-time hours (40+ per week).
Commercial Lines Claims Specialist AAA-Mid-Atlantic, Inc.Commercial Lines Claims SpecialistWhitley City, KY$26–$28.50 / hourAt ACA, we are committed to cultivating a welcoming and inclusive workplace of team members with diverse backgrounds and experiences to enable us to meet our goals and support our values while serving our Members and customers. Report claims to the appropriate carrier and maintain records in the agency management system by documenting claim actions in accordance with established procedures.
Workers’ Compensation Claims Specialist (FL, KY) REMOTE HMA Group HoldingsWorkers’ Compensation Claims Specialist (FL, KY) REMOTEKentuckyRemoteWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Consistent merit increase and promotion opportunities — Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important — not only with your financial wellbeing, but also your career wellbeing.
Bodily Injury Claims Specialist Auto-Owners Insurance GroupBodily Injury Claims SpecialistLouisville, KYThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Bodily Injury Claims Specialist Auto-Owners Insurance CompanyBodily Injury Claims SpecialistLexington, KentuckyThe position requires the person to: Assemble facts, determine coverage, evaluate the amount of loss, analyze legal liability, make payments in accordance with coverage, damage and liability determination, and perform other functions or duties to properly adjust the loss. Our group of caring associates create financial security by helping individuals and businesses make a new start when a loss occurs.
Workers’ Compensation Claims Specialist (FL, KY) REMOTE Holmes MurphyWorkers’ Compensation Claims Specialist (FL, KY) REMOTEKentuckyRemoteWe do this through empowering employees to build trust through honest and caring actions, ensuring clear and constructive communication, establishing meaningful client relationships that support their unique potential, and contributing to the organization's success by effectively influencing and uplifting team members. Consistent merit increase and promotion opportunities — Annually, employees are reviewed for merit increases and promotion opportunities because we believe growth is important — not only with your financial wellbeing, but also your career wellbeing.
Senior Environmental Technical Claims Specialist Argo Group International Holdings IncSenior Environmental Technical Claims SpecialistKY$99,200–$118,100 / yearAlternatively, we are also open to consider candidates working from home anywhere in the continental United States This individual will report to a manager who works in New York City and is focused on adjudicating first and third party commercial environmental claims (mostly complex storage tank claims) and contributing to providing superb results for our clients. Boston metro area, California outside of Los Angeles & San Francisco metro area, Connecticut, Chicago metro area, Denver metro area, New Jersey (outside of New York City metro area), New York State (outside of New York City metro area), Washington, D. C.
Sr. Claim Recovery Specialist The Phia GroupSr. Claim Recovery SpecialistLouisville, KY$50,000–$65,000 / yearMeanwhile, from a regional perspective, both The Boston Globe and Louisville Business First also recognized our unwavering commitment to upholding an internal culture of inclusivity, enjoyment, and empathy for our valued employees by listing The Phia Group in their respective lists for the Top Places to Work in 2025. At The Phia Group, whose mission is to provide high quality yet affordable healthcare to American employees and their families, you can look forward to not only unparalleled benefits for yourself but also being immersed in a company that was named one of USA Today’s Top Workplaces for 2025.
Claim Benefit Specialist CVS Health CorpClaim Benefit SpecialistWork At Home, KY$17–$28.46 / hourAnalyzes claims data and generate reports to identify trends, patterns, or areas for improvement to help inform process enhancements, policy changes, or training needs within the claims processing department. Performs claim documentation review, verifies policy coverage, assesses claim validity, communicates with healthcare providers and policyholders, and ensures accurate and timely claims processing.
Claim Specialist - Property Field Inspection State FarmClaim Specialist - Property Field InspectionAshland, KY$59,059.65–$90,000 / yearCompetitive candidates should reside within one of the listed zip codes and will service this same territory: 41101 41102 41121 41124 41129 41132 41139 41141 41143 41144 41146 41149 41159 41160 41166 41168 41169 41174 41175 41180 41183 41201 41203 41219 41222 41226 41230 41232 41234 41238 41240 41254 41255 41256 41257 41260 41263 41264 41268 41271 41274. With the opportunity to initially earn up to 20 days annually plus parental leave, paid holidays, celebration day, life leave (40 hours/year), bereavement leave, and community service/education support days, there will be plenty of time for you!
Senior Auto Claims Adjuster - Freelance AI Trainer MindriftSenior Auto Claims Adjuster - Freelance AI TrainerLouisville, KYcontributory) and assess likelihood of recovery; Develop supervisor-escalation scenarios that test whether the agent correctly recognizes authority-limit thresholds ($25,000) and stops short of auto-approving; Draft and evaluate reservation-of-rights letter scenarios, verifying language stays within the bad-faith line; Validate coverage-limits math when multiple endorsements (OEM, rideshare, extended rental) stack on a single claim; Document test cases clearly with correct answers, policy citations, and payout calculations. Ideally, contributors will have: Degree in Finance, Business, Insurance, or related field — or equivalent professional experience; no specific degree is required if AIC, CPCU, or comparable credentials are present, or if the candidate has 4+ years of hands-on claims adjusting experience; 3+ years of hands-on auto claims adjusting, examining, or supervisory experience at a U.S. carrier, independent adjusting firm, or SIU team; Ability to make coverage decisions (collision vs.
Insurance Specialist (Revenue Cycle) Remote opportunity for KY and So IN candidates only Seven Counties ServicesInsurance Specialist (Revenue Cycle) Remote opportunity for KY and So IN candidates onlyLouisville, KentuckyRemoteResearches line item EOB’s for incorrect payment levels and works directly with insurance companies for assurance of benefits and correct reimbursement through oral and written communication. Maintains a workable knowledge regarding specifications in billing Medicare, Medicaid, Tricare and Commercial: monitoring those accounts to meet specifications.
Insurance Specialist CorroHealth IncInsurance SpecialistKYRemoteResolve unpaid/denied claims by leveraging proprietary software system, making phone calls, generating letters, accessing client systems and insurance carrier web portals in the pursuit of getting a claim resolved. Specific tasks, responsibilities or competencies may be documented in the Team Member's performance objectives as outlined by the Team Member's immediate Leadership Team Member.
Insurance Specialists AECOMInsurance SpecialistsLouisville, KY$34–$44 / hourWe invite you to bring your bold ideas and big dreams and become part of a global team of over 50,000 planners, designers, engineers, scientists, digital innovators, program and construction managers and other professionals delivering projects that create a positive and tangible impact around the world. **Qualifications** **Minimum Requirements** + BA/BS + 2+ years of demonstrated past performance with FEMA Public Assistance or other relevant programs at the state and/or federal level or demonstrated equivalency of experience and/or education + Must pass a state and federal criminal history/security background check.
Environmental Practice, Insurance Marketing Specialist Marsh & McLennan Companies IncEnvironmental Practice, Insurance Marketing SpecialistLexington, KYAs our Insurance Marketing Specialist on the Environmental Practice team, you'll support producers and account teams by owning the marketing and placement workflow for environmental/pollution liability business insurance submissions. Working as the primary placement resource for the environmental practice, you will analyze submissions, recommend market strategies, negotiate coverage and pricing with carriers, prepare proposals, and binds coverage as appropriate.
Dental Insurance Verification Specialist 360careDental Insurance Verification SpecialistLouisville, KentuckyOverview: This position is responsible for providing insurance verification for insured patients; responds to all internal and external phone calls regarding patients’ insurance verification inquiries; Responsible for confirming eligibility within a specific territory; ensures that collection of all managed care and third-party claims are followed up in accordance with department policies, procedures and performance goals. Responsibilities: Verifying specific benefit coverage and ensures appropriate data has been obtained and documented into the registration system to secure reimbursement.
KY-Lexington Insurance Sales Specialist 😎 AMERICAN SENIOR BENEFITS LLCKY-Lexington Insurance Sales Specialist 😎Kentucky$41,500–$101,000 / yearAt American Senior Benefits, we put people first—helping retirees protect their income and understand the safeguards available to them. Backed by Integrity Marketing Group, the nation’s largest FMO, we provide the resources and support to set you up for success.
NewEntry-Level Medical Billing Specialist ReveljobsEntry-Level Medical Billing SpecialistLouisville, KentuckyThe Entry-Level Medical Billing Specialist will assist with preparing and reviewing insurance claims, updating patient and insurance information, supporting basic billing and coding processes, and helping patients with billing-related questions. A confidential healthcare organization is seeking a detail-oriented Entry-Level Medical Billing Specialist to support medical billing, insurance claims, patient account questions, coding-related workflows, and general administrative functions.
Life Insurance Position - State Farm Agent Team Member Travis Easterling - State Farm AgentLife Insurance Position - State Farm Agent Team MemberBardstown, KYAs a customer-oriented expert, you will market Life insurance services and products to benefit customers and their families. As a strategic and emotionally intelligent resource to the community, we are excited to expand our successful agency with your skillset.
Denials Resolution Specialist Addiction Recovery CareDenials Resolution SpecialistAshland, KentuckyARC has been leading the way and has become one of the fastest-growing healthcare systems in Kentucky (and beyond!) in addiction treatment, mental health services, and improving lives by creating opportunities for people to discover hope and live their God-given destiny! Communicates effectively over the phone and through written correspondence to explain why a balance is outstanding, denied and/or underpaid using accurate and supported reasoning based on EOBs, reimbursement, and payer specific requirements.
Hospital Billing Specialist Appalachian Regional Healthcare, Inc.Hospital Billing SpecialistWhitesburg, KentuckyKnowledge of medical terminology preferred · Basic computer proficiency · Typing speed: minimum 40 WPM · Familiarity with CPT and ICD-9 coding is helpful · Good written and verbal communication skills are essential for account follow-up. office responsibilities related to patient accounts, including charge import, diagnostics and procedural coding, and claim follow-up with third-party payers to achieve a zero-balance resolution.
Life Insurance Position - State Farm Agent Team Member State Farm AgentLife Insurance Position - State Farm Agent Team MemberHodgenville, KentuckyAs a customer-oriented expert, you will market Life insurance services and products to benefit customers and their families. As a strategic and emotionally intelligent resource to the community, we are excited to expand our successful agency with your skillset.
AR Follow Up Specialist 360careAR Follow Up SpecialistLouisville, KentuckyCustomer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds. Working aged receivable reports; identify errors and work claims, calling insurance companies if necessary and posting adjustments and payments as well.
Part Time Billing A/R Specialist New Beginnings Therapy ServicesPart Time Billing A/R SpecialistRichmond, KYCollaborating with patients or customers, third party institutions and other team members to resolve billing inconsistencies and errors. Searching each financial statement for any payment inconsistencies or errors and balancing billing in the EMR.
Accounts Receivable Specialist Ramey-Estep / Re-groupAccounts Receivable SpecialistAshland, KYFull timeSupports and facilitates positive interaction with clients and staff by exhibiting both in-office and in-public when carrying out job duties: individual maturity, respect for others, a team-centered approach, maintenance of confidential information, and awareness and sensitivity to cultural and other differences in clients and staff. Function: The Accounts Receivable Representative is responsible for reviewing, researching, appealing, and resolving denied or underpaid insurance claims to maximize reimbursement and reduce outstanding accounts receivable.
Accounts Receivable Specialist Solaris DiagnosticsAccounts Receivable SpecialistNicholasville, KY$20–$24 / hourResearch disputed delinquent account balances, correct any errors including misapplied payments, direct deposit, and overpayment from insurance errors. · Review outstanding client invoices and initiate appropriate collection action including telephone calls and correspondence on delinquent accounts.
Medicare Billing Specialist HealthPoint Family CareMedicare Billing SpecialistFlorence, KYThe organization employs over 170 highly qualified physicians, nurse practitioners, dentists and support staff who are dedicated to providing care for children, adolescents and adults. HealthPoint Family Care is a private primary care medical, women's health, dental, vision and mental health practice located in Northern and Central Kentucky.
PFS Collection Specialist Confluent HealthPFS Collection SpecialistKentucky$20–$25 / hourProvides clear communication and customer service on collection issues to external customers and internal business partners. Responsible for collecting commercial, government, and patient balances by following the approved processes, policies and procedures set by the revenue cycle department.
Revenue Cycle Specialist NorthKey Community CareRevenue Cycle SpecialistCovingtonFull timeWith multiple convenient locations throughout the Northern Kentucky region (Kenton, Boone, Campbell, Grant, Carroll, Gallatin, Pendleton, and Owen counties), NorthKey offers a wide array of mental health, substance use, and developmental disabilities services unparalleled in the region. Since 1966, NorthKey Community Care (NorthKey) has provided effective and efficient mental health, substance use, and developmental disabilities services to the Northern Kentucky region with the commitment to providing the right service, at the right time, and in the right place.
NewP&C Licensed and Experienced Inside Sales Retention Specialist**Must Be LICENSED AND EXPERIENCED** Buckman Agency LLCP&C Licensed and Experienced Inside Sales Retention Specialist**Must Be LICENSED AND EXPERIENCED**Florence, KYRemote$45,000–$55,000 / yearInsurance Reviews & Coverage Optimization: Conduct regular insurance reviews with clients, identifying potential gaps in coverage and recommending cost-effective solutions to enhance their protection. Manage Cancellations: Address and manage cancellations due to non-payment, working proactively to retain clients and provide payment solutions when possible.
Certified Coding Specialist Ramey-Estep / Re-groupCertified Coding SpecialistAshland, KYFull timeThe Coding Specialist works collaboratively with providers, billing staff, compliance personnel, and clinical leadership to improve coding accuracy, reduce denials, and support optimal reimbursement for behavioral health and integrated care services. Supports and facilitates positive interaction with clients and staff by exhibiting both in-office and in-public when carrying out job duties: individual maturity, respect for others, a team-centered approach, maintenance of confidential information, and awareness and sensitivity to cultural and other differences in clients and staff.
Payer Services Specialist Trilogy Health Services LLCPayer Services SpecialistLouisville, KYValidate and verify patient's active insurance benefits, demographics, prior authorization requirements, network status, and financial information for the purpose of guaranteeing reimbursement for services rendered and to minimize collection issues and/or bad debt expense. Assist in researching escalated issues from payers, case managers, revenue cycle team or campuses in a timely and effective manner and provide audit of process to identify system or process failures.
Risk Management Specialist Schulte Hospitality Group IncRisk Management SpecialistLouisville, KYSchulte Hospitality Group provides a rewarding, fun and flexible work environment, exciting perks, an atmosphere designed to encourage and promote career growth within the company and a robust benefit package including, but not limited to: Work Today, Get Paid today, with Daily Pay! Our portfolio includes a wide array of reputable brands like Marriott, Hilton, IHG and Hyatt as well as many unique, independent, boutique and lifestyle properties and restaurants.
Medicare Specialist Baptist Healthcare System IncMedicare SpecialistKentucky, KYRemoteWorks with minimum supervision, exhibits knowledge of ethical and legal billing procedures, and observes confidentiality in all matters and adheres to HIPAA guidelines regarding PHI. Performs all duties associated with this role including billing, follow up, payment auditing, refunds, adjustments, correspondence and telephone calls.
Senior Right of Way Specialist Marathon Petroleum CorpSenior Right of Way SpecialistOwensboro, KYPOSITION SUMMARY: MPL's ROW Specialist roles and responsibilities include establishing and maintaining positive relations with landowners; negotiating agreements and enforcing land agreements in place; and working with landowners, commercial businesses, contractors, and other company personnel to ensure Company assets are protected. At MPC, we're committed to being a great place to work - one that welcomes new ideas, encourages diverse perspectives, develops our people, and fosters a collaborative team environment.
Inventory Specialist Rumpke of Kentucky, Inc.Inventory SpecialistMorehead, KYPart timeInventory Specialists are responsible for ensuring the availability of parts for the maintenance department (Corporate Inventory Specialists are responsible for multiple departments) in a cost-effective manner, while maintaining compliance with all local, state, and federal regulations and company policies and procedures. This position maintains records on a computerized system and is responsible for maintaining proper inventory to ensure demands are met in the most efficient manner possible.
Inventory Specialist - Night Shift Rumpke of Kentucky, Inc.Inventory Specialist - Night ShiftButler, KYPart timeInventory Specialists are responsible for ensuring the availability of parts for the maintenance department (Corporate Inventory Specialists are responsible for multiple departments) in a cost-effective manner, while maintaining compliance with all local, state, and federal regulations and company policies and procedures. This position maintains records on a computerized system and is responsible for maintaining proper inventory to ensure demands are met in the most efficient manner possible.
Prior Authorization Specialist Graves Gilbert ClinicPrior Authorization SpecialistBowling Green, KentuckyWork collaboratively with clinicians, practice managers, and other team members to obtain clinical notes and documentation necessary for prior authorization approval. The Specialist will obtain, monitor, and maintain authorizations through payer websites, fax, and telephone, including all necessary follow-up and reauthorization activities.
Food Labeling Compliance Specialist Lyons MagnusFood Labeling Compliance SpecialistWalton, KYThe position supports the Lyons Magnus Regulatory Department ensuring accurate completion of technical documentation, marketing claims, labeling claims, finished product label development, formula management, and export documentation. • Complete technical document requests (statements to include specifications, nutritional composition, GMO, gluten, export certs, etc) to meet customer expectations in documentation turnaround time and accuracy.
Leave Specialist Trilogy Health Services LLCLeave SpecialistLouisville, KYWith collaborative workspaces, rotating cubicles, and meditation areas, our freshly renovated Home Office will accommodate the working style that works best for you. Provides customer service and leave administration support to employees, researching and triaging issues with vendors to resolve concerns in a timely manner.
Recovery Specialist Associate - Call Center Elevance Health IncRecovery Specialist Associate - Call CenterLouisville, KYAnticipated End Date: 2026-05-08 Position Title: Recovery Specialist Associate - Call Center Job Description: Recovery Specialist Associate - Call Center Hybrid: This role requires associates be in the office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. Responds to calls, letters, faxes and emails from policyholders, agents, vendors and/or providers Show initiative and resourcefulness in solving problems and meeting customer needs.
Inventory Specialist Rumpke Consolidated Companies IncInventory SpecialistButler, KYInventory Specialists are responsible for ensuring the availability of parts for the maintenance department (Corporate Inventory Specialists are responsible for multiple departments) in a cost-effective manner, while maintaining compliance with all local, state, and federal regulations and company policies and procedures. This position maintains records on a computerized system and is responsible for maintaining proper inventory to ensure demands are met in the most efficient manner possible.
Inventory Specialist - Night Shift Rumpke Consolidated Companies IncInventory Specialist - Night ShiftButler, KYInventory Specialists are responsible for ensuring the availability of parts for the maintenance department (Corporate Inventory Specialists are responsible for multiple departments) in a cost-effective manner, while maintaining compliance with all local, state, and federal regulations and company policies and procedures. This position maintains records on a computerized system and is responsible for maintaining proper inventory to ensure demands are met in the most efficient manner possible.
Senior Quality Specialist CVS Health CorpSenior Quality SpecialistWork At Home-Kentucky, KY$18.50–$38.82 / hourActs as an advocate and subject matter expert guiding the business by serving as a quality champion through measuring and monitoring the quality and effectiveness of work processes in claim processing and customer service that impact customer satisfaction, medical cost management, and operational efficiency. Acts as a subject matter expert on Quality Specialist workflows, policies, systems requirements, and enhancements as well as daily operations and programs to consistently drive optimal results.
Marketing Specialist Environmental Practice Marsh & McLennan Companies IncMarketing Specialist Environmental PracticeLouisville, KY$71,800–$133,700 / yearAs our Marketing Specialist on the Environmental Practice team, you'll support producers and account teams by owning the marketing and placement workflow for environmental/pollution liability business insurance submissions. Working as the primary placement resource for the environmental practice, you will analyze submissions, recommend market strategies, negotiate coverage and pricing with carriers, prepare proposals, and binds coverage as appropriate.
Operations Control Specialist Philip Morris International IncOperations Control SpecialistOwensboro, KYThe U.S. Food and Drug Administration has authorized versions of PMI's IQOS electronically heated tobacco devices and Swedish Match's General snus as Modified Risk Tobacco Products and renewal applications for these products are presently pending before the FDA. Since 2008, PMI has invested $12.5 billion globally to develop, scientifically substantiate and commercialize innovative smoke-free products for adults who would otherwise continue to smoke with the goal of transitioning legal-age consumers who smoke to better alternatives.
Entry Level Safety Specialist Actalent IncEntry Level Safety SpecialistParis, KY$26–$32 / hourThis role coordinates and conducts safety trainings to meet state and federal requirements, maintains safety records, analyzes new equipment and process changes for safety risks, assists with workers' compensation claims, tracks injuries, and recommends safety improvements. While on contract, you receive paid time off and paid holidays, and upon transition to direct employment, you become eligible for a comprehensive benefits package that includes medical, vision, and dental insurance, retirement benefits, company-paid life and disability coverage, uniforms, and other supportive programs designed to promote well-being and long-term career growth.
Client Success Specialist The Hayden AgencyClient Success SpecialistOwensboro, KY$45,000–$65,000 / yearThis is an in-office role where youll play a key part in retaining clients, supporting our sales team, and helping our agency continue to grow. Were looking for a Client Success Specialist who thrives in a structured, team-oriented environment and takes pride in delivering an exceptional client experience.
Personnel Specialist PROMOTIONAL Louisville-Jefferson County Metro GovernmentPersonnel Specialist PROMOTIONALLouisville, KYAside from community-wide initiatives like the Mayors Hike, Bike and Paddle event every Memorial Day and Labor Day, and the Healthy Hometown Movement, Metro Government provides employees with programs designed to enhance their life and well-being, like a Wellness Center that allows employees and their dependents with Metro health insurance to take care of their basic medical and health needs for a $5 co-pay. Determines hours worked from time sheets, adds total hours worked, determines overtime hours, verifies pay rates and submits payroll.