Top 20 Patient access lead Jobs in Kentucky

Claims Specialist Team Lead
PharMerica —Louisville, KY
- Full-time
- Remote
- Word processing
- Computer literacy
- No high school diploma
- Health insurance
- Dental insurance
Enrollment Lead- Aetna Employer Portal
CVS Health —Frankfort, KY
- $54,300 - $159,120 a year
- Full-time
- 5 years
- Analysis skills
- Bachelor's degree
- Health insurance
- Dental insurance
LEAD HEALTHCARE ACCESS REP
PIKEVILLE MEDICAL CENTER INC. —Pikeville, KY
- Full-time
- Hospital
- Mid-level
- Office
Quick Apply
9d
Lead Pharmacy Prior Authorization Coordinator
PharMerica —Louisville, KY
- Full-time
- Microsoft Word
- Customer service
- HIPAA
- Disability insurance
- Health insurance
9d
Lead Director - Medical Pharmacy Network
CVS Health —Kentucky
- $100,000 - $231,540 a year
- Full-time
- Remote
- 3 years
- Bachelor's degree
- Fair chance
- Health insurance
- Dental insurance
14d
Lead Marketing Data Quality Engineer
Humana —Kentucky
- $117,600 - $161,700 a year
- Full-time
- Remote
- Computer Science
- Marketing
- Writing skills
- Paid parental leave
- Paid holidays
2d
Lead Medical Office Coordinator
Concentra —Lexington, KY
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Inventory management
- Commuter assistance
- Disability insurance
PMO, Senior Project Lead (Central Labs)
Thermo Fisher Scientific —Highland Heights, KY
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Office
Cash Application Lead
Confluent Health —Louisville, KY
- Full-time
- 5 years
- Computer literacy
- Mid-level
- Health insurance
- Dental insurance
16h
Lead Engineer - Observability Platform
CVS Health —Kentucky
- $106,605 - $284,280 a year
- Full-time
- Remote
- Azure
- High school diploma or GED
- Bachelor's degree
- Health insurance
- Dental insurance
3d
Lead Driver
Pillar Health Group —Louisville, KY
- $19 - $21 an hour
- Full-time
- Spanish
- Clean driving record
- Management
- Paid holidays
- Health insurance
Quick Apply
Specialty Pharmacy Care Coordinator – Team Lead - Call Center
Baptist Health System KY & IN —Lagrange, KY
- Full-time
- Mid-level
- High school diploma or GED
- 1 year
3d
Lead Medical Receptionist
Centerwell —Louisville, KY
- $39,000 - $49,400 a year
- Full-time
- Microsoft Word
- Microsoft Outlook
- Sanitation
- Paid parental leave
- Paid holidays
4d
Lead Core Tech, Lab, Days, Full-Time
Harrison Memorial Hospital —Cynthiana, KY
- $0.01 an hour
- Full-time
- Hospital
- Customer service
- Computer literacy
Quick Apply
Adolescent Treatment Team Leader
Holly Hill Child & Family Solutions —California, KY
- $21.50 an hour
- Weekends as needed
- Mid-level
- Residential
- High school diploma or GED
- Paid training
- Health insurance
Quick Apply
8d
Branch Sales Leader - Louisville Market
Lifeway Mobility Holdings LLC —Louisville, KY
- $60,000 - $120,000 a year
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Inventory management
- Paid holidays
- Disability insurance
Quick Apply
Lead CT Technologist - New Hampshire Hospital
Fulton Recruiting —United States
- $80,000 - $110,000 a year
- Full-time
- Hospital
- Mid-level
- US work authorization
- Health insurance
- Paid time off
Quick Apply
13d

More jobs to discover

Find similar jobs that you might be interested in.

Enrollment Lead- Aetna Employer Portal
CVS Health —Frankfort, KY
Partner with business stakeholders to document current vs. future state enrollment processes and capabilities. * Position may sit anywhere in the United States.
$54,300 - $159,120 a year

Explore jobs in cities nearby

Check out jobs in cities near your current location, Columbus

Enrollment Lead- Aetna Employer Portal
CVS Health —Columbus, OH
Partner with business stakeholders to document current vs. future state enrollment processes and capabilities. Our people fuel our future.
$54,300 - $159,120 a year
Patient Access Lead- Ambulatory Clinics
Nationwide Children's Hospital —Columbus, OH
Acts as support to line staff in answering questions of immediacy and serves in a supervision capacity as appropriate. Monday to Friday 7:30am - 4pm.

Show more jobs in cities nearby

I want to receive the latest job alert for patient access lead in kentucky

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

patient access lead jobs near kentucky

Claims Specialist Team Lead

PharMerica -
Louisville, KY

Apply Now

Job Details

Full-time

Benefits

Health insurance
Dental insurance
401(k)
Flexible spending account
Paid time off
Vision insurance
Employee discount
Pet insurance

Qualifications

Optimizing workflow processes
Resource allocation
Computer operation
Staff supervision
Medicare
Variance analysis
Team supervision
Phone communication
Word processing
Computer literacy
Overseeing healthcare denial management
Coaching
Performance feedback (performance evaluation method)
Mid-level
3 years
High school diploma or GED
Quality assurance audits
Analysis skills
Health insurance knowledge
Continuous improvement
Team training
Medical denial root cause analysis (RCA)
Mentoring
AS400
Organizational skills
Centers for Medicare & Medicaid Services (CMS) billing regulations
Managing insurance claims teams
Management reporting
Medical claims submission
Medicaid

Full Job Description

Our Company:

PharMerica

Overview:

PharMerica, a part of Brightspring Health Services, is a long‑term care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organizations across the United States.

The 3rd Party Claims Specialist Team Lead is a subject matter expert (SME) on the company’s denial research methods, internal and external databases, reporting tools and policies and procedures. The Team Lead is a SME on all types of denials and functions performed by both the Claims Specialist I and Claims Specialist II and acts as a trainer and mentor to both.

Shift: Multiple Shifts Available

Remote position

Benefits and perks for You!

Medical, Dental, Vision insurance
Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)
Tuition discounts & reimbursement
401(k)
Company Paid Time Off*
Shift Differential
DailyPay
Pet Insurance
Employee wellness and discount programs

Benefits may vary by employment status

Responsibilities:

Trains new employees and ensures all applicable training materials are provided and reviewed
Provides support to staff and acts as a mentor/coach to promote a positive environment
Provides feedback on all levels of staff to supervisor to be used in employees one on ones, check-ups and reviews
Identifies staff performance issues and discuss with Supervisor
Provides the necessary re-training or one on one support with staff to assist in meeting the performance expectations
Assists management with fair distribution of work/site assignments being sure to communicate when the workloads are off balance and make suggestions on how to reconcile
Reviews variances and write-offs submitted by staff for accuracy of information and approval requirements before giving to Supervisor for approval
Performs monthly quality assessments on staff to ensure accuracy. Report any identified training needs to Supervisor and Manager for further review and follow-up action plan as needed
Prepares and maintain reports and records for processing as well as run and produce miscellaneous reports as assigned or necessary
Identifies potential financial exposure and risk to the company with underperforming or non-compliant payers
Stays up to date on third-party billing requirements
Monitors and provide support to those assigned to work convert billing exception reports to ensure claims are billed to accurate financial plans timely
Completes billing transactions for non standard order entry situations as required
Provides education to management and team members on payer specific claim processing rules, reimbursement, and other policy guidelines as gleaned by, and confirmed through working directly with payers
Takes initiative to find opportunities and make suggestions for process improvement within the department

Qualifications:

EDUCATION/EXPERIENCE

High School graduate, GED or equivalent experience.
Desired: Associates degree, 4 year college or technical degree.
3+ years insurance billing experience.
Specialized understanding of billing requirements in one of the following areas: Medicare Part D, Medicaid, and Commercial billing.
Understanding of revenue cycle functions within pharmacy practice or equivalent setting.

LICENSE/CERTIFICATION/OTHER SPECIAL REQUIREMENTS

Desired: Pharmacy Technician.

KNOWLEDGE/SKILLS/ABILITIES

Strong analytical skills, excellent time management and attention to details.
Working knowledge in MS Office Products (Excel, Word) and basic computer knowledge.
Comfortable making phone calls and interacting with internal/external entities.
AS400, Frameworks or QS1, Computer Systems Experience.
Communication, problem solving, detail oriented and teamwork, customer service, and accuracy.
Strong organization skills, self-starter, and confidence.
Must be a positive mentor to all staff.

*This position will require sitting, standing, and walking. It will also require frequent typing on a keyboard. Ability to push/pull 21-30 lbs, and carry up to 21-30 lbs.*

About our Line of Business: PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.

Apply Now

Refine Your Search

patient access lead jobs in kentucky

Claims Specialist Team Lead

Enrollment Lead- Aetna Employer Portal

LEAD HEALTHCARE ACCESS REP

Lead Pharmacy Prior Authorization Coordinator

Lead Director - Medical Pharmacy Network

Lead Marketing Data Quality Engineer

Lead Medical Office Coordinator

PMO, Senior Project Lead (Central Labs)

Cash Application Lead

Lead Engineer - Observability Platform

Lead Driver

Specialty Pharmacy Care Coordinator – Team Lead - Call Center

Lead Medical Receptionist

Lead Core Tech, Lab, Days, Full-Time

Adolescent Treatment Team Leader

Branch Sales Leader - Louisville Market

Lead CT Technologist - New Hampshire Hospital

More jobs to discover

Explore jobs in cities nearby

I want to receive the latest job alert for patient access lead in kentucky

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected