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Contract Health Insurance Jobs in Kentucky (NOW HIRING)

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Contract Health Insurance information

What is contract health insurance?

Contract health insurance refers to a type of health coverage provided based on a contractual agreement, often for a specific period or project. It is commonly used by independent contractors, freelancers, or temporary workers who do not receive employer-sponsored health benefits. These plans can be purchased individually and typically cover essential medical services, though coverage options and costs may vary. It's important to review the terms of the contract to ensure the plan meets your healthcare needs, including network providers and out-of-pocket expenses.

What are the key skills and qualifications needed to thrive as a contract health insurance specialist?

To thrive as a Contract Health Insurance Specialist, you need a thorough understanding of health insurance policies, regulatory compliance, and contract negotiation, often supported by a relevant degree or certification in health insurance or healthcare administration. Familiarity with claims management software, policy administration systems, and healthcare regulations like HIPAA is typically required. Attention to detail, strong communication, and problem-solving skills help professionals excel in client interactions and complex documentation. These skills ensure accurate policy management, regulatory compliance, and effective service delivery in the dynamic health insurance industry.

What are some common challenges faced by professionals working in contract health insurance roles, and how can they be managed?

Professionals in contract health insurance often face challenges such as adapting to rapidly changing regulations, managing a diverse client portfolio, and meeting tight deadlines for policy renewals or claims processing. To manage these challenges, staying updated on industry standards, utilizing robust organizational tools, and maintaining clear communication with clients and internal teams are crucial. Additionally, strong problem-solving skills and continuous professional development can help professionals excel and deliver quality service in this fast-paced environment.

What is the difference between Contract Health Insurance vs Contract Nurse?

AspectContract Health InsuranceContract Nurse
Required CredentialsHealth insurance licenses, certifications in insurance sales or administrationRN license, nursing certifications
Work EnvironmentOffice settings, insurance companies, remoteHospitals, clinics, healthcare facilities
Employer & IndustryInsurance providers, healthcare administrationHospitals, healthcare agencies
Common Search IntentInsurance policies, coverage options, job rolesNursing assignments, healthcare staffing

Contract Health Insurance professionals focus on insurance policies and administration, often working in office environments, while Contract Nurses provide direct patient care in healthcare settings. Both roles require specialized credentials and serve different functions within the healthcare industry.

What are the most commonly searched types of Health Insurance jobs in Kentucky?

The most popular types of Health Insurance jobs in Kentucky are:

What are popular job titles related to Contract Health Insurance jobs in Kentucky?

For Contract Health Insurance jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Contract Health Insurance jobs in Kentucky look for?

The top searched job categories for Contract Health Insurance jobs in Kentucky are:

What cities in Kentucky are hiring for Contract Health Insurance jobs?

Cities in Kentucky with the most Contract Health Insurance job openings:

Contract Health Insurance jobs near you
Infographic showing various Contract Health Insurance job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, and 5% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

Health Payer Escalated Contract and Billing Specialist

BrightSpring Health Services

Louisville, KY • On-site

$17.50 - $23.75/hr

Full-time

Posted 12 days ago

BrightSpring Health Services rating

4.9

Company rating: 4.9 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

222nd of 245 rated social care providers

Job description

Overview

Key responsibilities include ability to interpret complex health insurance contracts, understand billing processes, and effectively communicate and resolve escalated payment issues with insurance carriers working within the billing and contracting teams.


Responsibilities

  • Contract & Benefit Interpretation: Review and apply health insurance contracts to billable services, benefit policy terms, and coverage limitations to determine eligibility and payment eligibility for claims per contract expectations according to benefit parameters.
  • Demonstrate billing process expertise to identify and address escalated payment issues as a result of internal billing discrepancies.
  • Investigate and resolve escalated payment disputes, including denied, underpaid, or delayed claims, by coordinating with health insurance contract stakeholders as well as internal stakeholders.
  • Build data-driven cases to support, justify, and advocate for escalated claims payments.
  • Able to review claims submission for internal errors creating escalated payment issues and communicating those details

Qualifications

  • Bachelor’s degree in related field preferred
  • Experience or strong understanding in contracting & contract management
  • Experience in medical or insurance billing with a track record of resolving escalated payment issues.
  • Proficiency in billing software, EHR systems, and claims submission platforms.
  • Experience of or strong understanding of ICD-10, CPT, modifiers, and insurance payment terms.
  • Experience with MPPR/Sequestration, coinsurance and Deductibles
  • Coding Certification a plus
  • Excellent time management, prioritization and organizational skills
  • Experience in Outlook, Word, and PowerPoint desired
  • Detail-oriented with strong organizational and problem-solving abilities
  • Self-motivated and results oriented
  • Proficiency in Microsoft Office applications, including Excel, Word and PowerPoint
  • Excellent verbal and written communication and presentation skills
  • Mininmal travel

What BrightSpring Health Services employees say

Pay

Benefits

Hours and flexibility

Workplace

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