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Remote Chiropractic Utilization Review Jobs in Kentucky

vitu

Account Executive (Remote: Kentucky)

Louisville, KY · Remote

$55K - $58K/yr

Account Executive (Remote: Kentucky) CENTRAL REGION As the leading innovator in Vehicle-to ... Regular review and action of all utilization dashboards * Ensure State compliance in all related ...

New

Cayenta

(Remote) Application Consultant

Canada, KY · Remote

... reviews and documentation, and requirements elicitation, allowing the project team to gain a ... utilization of assigned resources. * Be a leader in providing subject matter expertise to R&D and ...

Harrow, Inc.

Conduct regular, structured business reviews with accounts to assess reimbursement performance ... Remote Travel * Up to 80%

Humana

Senior Cybersecurity Engineer

Louisville, KY · Remote

$110K - $150K/yr

Identifies the need for new security technology solutions; designs, reviews and collaborates on the ... Additional Information Remote/WAH requirements: * WAH requirements: Must have the ability to ...

Humana

Senior Cybersecurity Engineer

Louisville, KY · Remote

$110K - $150K/yr

Identifies the need for new security technology solutions; designs, reviews and collaborates on the ... Additional Information Remote/WAH requirements: * WAH requirements: Must have the ability to ...

Humana

Senior Cybersecurity Engineer

Louisville, KY · Remote

$110K - $150K/yr

Identifies the need for new security technology solutions; designs, reviews and collaborates on the ... Additional Information Remote/WAH requirements: * WAH requirements: Must have the ability to ...

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Remote Chiropractic Utilization Review information

What is a remote chiropractic utilization review?

A Remote Chiropractic Utilization Review is a process where licensed chiropractors or healthcare professionals assess the necessity, efficiency, and appropriateness of chiropractic care provided to patients, but do so remotely—often from home or a centralized office. This review typically involves examining patient records, treatment plans, and billing information to ensure that care meets established clinical guidelines and insurance requirements. The goal is to improve patient outcomes, prevent unnecessary treatments, and ensure that services billed to insurance are medically necessary. Remote reviews use secure online systems and may require coordination with treating chiropractors, insurance companies, and other healthcare providers.

What are the key skills and qualifications needed to thrive as a remote chiropractic utilization review specialist?

To thrive as a Remote Chiropractic Utilization Review specialist, you need a Doctor of Chiropractic degree, a valid state license, and comprehensive knowledge of chiropractic procedures and medical necessity guidelines. Familiarity with utilization management software, electronic health records (EHRs), and relevant certification such as Certified Professional Utilization Review (CPUR) is often required. Strong analytical skills, attention to detail, and effective communication are crucial for evaluating clinical documentation and collaborating with providers. These skills ensure accurate, evidence-based reviews that support appropriate patient care and compliance with insurance standards.

What are some common challenges faced in a remote chiropractic utilization review role, and how can they be managed?

One of the main challenges in a remote Chiropractic Utilization Review role is effectively evaluating clinical documentation to ensure treatment appropriateness without direct patient interaction. Communication with providers can sometimes be limited or delayed, requiring strong written and verbal skills to clarify cases efficiently. Managing time and workflow independently is crucial, as the workload may fluctuate throughout the week. Staying updated with payer guidelines and evidence-based practices is also essential for accurate reviews. Building strong virtual collaboration with team members and providers can help overcome these challenges and maintain high-quality standards.

What is the difference between Remote Chiropractic Utilization Review vs Remote Chiropractic Billing Specialist?

AspectRemote Chiropractic Utilization ReviewRemote Chiropractic Billing Specialist
Primary RoleAssessing medical necessity and appropriateness of chiropractic treatmentsManaging billing, coding, and insurance claims for chiropractic services
Required CredentialsChiropractic license, possibly certifications in utilization reviewMedical billing certifications, knowledge of coding and insurance policies
Work EnvironmentRemote, healthcare or insurance companiesRemote, healthcare providers or billing companies
Industry UsageUsed by insurance companies and healthcare organizations to approve treatmentsUsed by billing companies and healthcare providers for claims processing

Remote Chiropractic Utilization Review focuses on evaluating the medical necessity of chiropractic treatments, while Remote Chiropractic Billing Specialist handles billing, coding, and insurance claims. Both roles are remote and require healthcare knowledge, but they serve different functions within the chiropractic industry.

What are the most commonly searched types of Chiropractic Utilization Review jobs in Kentucky?

The most popular types of Chiropractic Utilization Review jobs in Kentucky are:

What are popular job titles related to Remote Chiropractic Utilization Review jobs in Kentucky?

For Remote Chiropractic Utilization Review jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Remote Chiropractic Utilization Review jobs in Kentucky look for?

The top searched job categories for Remote Chiropractic Utilization Review jobs in Kentucky are:

What cities in Kentucky are hiring for Remote Chiropractic Utilization Review jobs?

Cities in Kentucky with the most Remote Chiropractic Utilization Review job openings:

Remote Chiropractic Utilization Review jobs near you
Infographic showing various Remote Chiropractic Utilization Review job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution.

Manager, Accounts Receivable- Remote

Lifepoint Health

Louisville, KY • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago

LifePoint Health rating

5.9

Company rating: 5.9 out of 10

Based on 273 frontline employees who took The Breakroom Quiz

766th of 898 rated healthcare providers

Job description


Schedule: Days: M-F
Job Location Type: [Remote]
Your experience matters
At Lifepoint Health, we are committed to empowering and supporting a diverse and determined workforce who can drive quality, scalability, and significant impact across our hospitals and communities. As a member of the Health Support Center (HSC) team, you'll support those that are in our facilities who are interfacing and providing care to our patients and community members to positively impact our mission of making communities healthier ®.
More about our team
The Manager, Accounts Receivable (AR) is responsible for providing leadership and oversight of accounts receivable operations within the Centralized Business Office (CBO) for behavioral health services. This role ensures timely, accurate third-party billing, payment posting, and follow-up activities across the operating system, clearinghouse, and denial management platforms. The Manager oversees AR workflows to drive optimal reimbursement performance, including claim resolution, denial prevention and appeals, and accurate adjustment processing. This position plays a key role in managing daily AR operations, monitoring performance metrics, and ensuring compliance with payer requirements, while supporting a high-performing CBO servicing multiple behavioral health facilities.
How you'll contribute
A Manager, Accounts Receivablewho excels in this role:
  • Ensure staff accurately perform billing, collections, and accounts receivable follow-up for multiple facilities across all payer types.
  • Partner closely on accounts receivable strategy, performance, and revenue cycle initiatives.
  • Maintain financial integrity of daily operations through continuous monitoring of AR performance, productivity metrics, and workflow efficiency.
  • Provide professional, operational, and technical guidance to AR staff; address escalated issues related to payer responses, account balances, and patient or family inquiries.
  • Serve as administrator for payer portals and website access as needed to support staff efficiency and security.
  • Ensure accurate capture, posting, reconciliation, and maintenance of all financial transactions, adjustments, and balances in alignment with payer mix and acuity across facilities.
  • Communicate effectively with Utilization Review departments to ensure timely and accurate exchange of information impacting billing, authorizations, and denials.
  • Assign and manage staff work queues through billing software; monitor progress and ensure timely completion of assigned tasks.
  • Maintain ongoing communication with facility Business Office Managers to address facility-specific AR issues and operational needs.
  • Develop, implement, monitor, and evaluate AR quality assurance processes to ensure compliance with applicable laws, regulations, payer requirements, and internal policies.
  • Recommend, develop, and update accounts receivable policies and procedures to support operational consistency and best practices.
  • Review and approve all adjustments and refunds to ensure accuracy, compliance, and appropriate documentation.
  • Attend, prepare for, and actively participate in weekly accounts receivable review calls.
  • Support month-end A/R close activities, including reconciliation, reporting, and variance resolution.
  • Participate in the hiring, training, supervision, and performance evaluation of assigned accounts receivable staff.
  • Conduct routine audits of collection documentation and notes to assess effectiveness, identify training needs, and address performance or corrective actions as appropriate.
  • Always exhibit the company's core values of champion patient care, do the right thing, embrace individuality, act with kindness, and making a difference together.
  • Other duties as assigned.

Why join us
We believe that investing in our employees is the first step to providing excellent patient care. In addition to your base compensation, this position also offers:
  • Comprehensive Benefits: Multiple levels of medical, dental and vision coverage for full-time and part-time employees.
  • Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave and paid time off.
  • Financial & Career Growth: Higher education and certification tuition assistance, loan assistance and 401(k) retirement package and company match.
  • Employee Well-being: Mental, physical, and financial wellness programs (free gym memberships, virtual care appointments, mental health services and discount programs).
  • Professional Development: Ongoing learning and career advancement opportunities.

What we're looking for
Applicants should have a Associate's degree in business administration, healthcare administration, or related field from an accredited school required with 4 years of experience in medical billing/accounts receivable management required and 1 year of experience in behavioral healthcare required.
EEOC Statement
"Lifepoint Health is an Equal Opportunity Employer. Lifepoint Health is committed to Equal Employment Opportunity for all applicants and employees and complies with all applicable laws prohibiting discrimination and harassment in employment."
You must be authorized to work in the United States without employer sponsorship.
About Us
Lifepoint Health is a leader in community-based care and driven by a mission of Making Communities Healthier. Our diversified healthcare delivery network spans 29 states and includes 63 community hospital campuses, 32 rehabilitation and behavioral health hospitals, and more than 170 additional sites of care across the healthcare continuum, such as acute rehabilitation units, outpatient centers and post-acute care facilities. We believe that success is achieved through talented people. We want to create places where employees want to work, with opportunities to pursue meaningful and satisfying careers that truly make a difference in communities across the country.
About the Team
We employ and provide care to people from all walks of life. We are committed to promoting healing, providing hope, preserving dignity and producing value with an inclusive workforce in which diversity is leveraged, respected, and reflective of the patients, family members, customers and team members we serve.

What LifePoint Health employees say

Pay

Benefits

Hours and flexibility

Workplace

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About LifePoint Health

Sourced by ZipRecruiter

Lifepoint Health serves patients, clinicians, communities and partners across the healthcare continuum. Our diversified healthcare delivery network extends from coast to coast, consisting of community hospitals, rehabilitation and behavioral health hospitals, and additional sites of care.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Brentwood, TN, US

Year founded

1999

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