Medical Benefit Claims Monitoring

The Commonwealth of Kentucky is seeking a vendor to monitor medical benefit claims for the Public Employee Health Insurance Program. The vendor will be responsible for analyzing 100% of medical invoices and claims submitted for payment to identify errors and ensure accuracy. The vendor will also be required to submit quarterly reports to the Personnel Cabinet and the Legislative Research Commission. The contract will be for a period of 12 months, with the option to renew. The vendor must have at least 5 years of experience in providing similar services and must comply with all applicable federal and state laws, including HIPAA. Key aspects of the job include: * Analyzing medical invoices and claims to identify errors * Ensuring accuracy of medical benefit claims * Submitting quarterly reports to the Personnel Cabinet and the Legislative Research Commission * Complying with all applicable federal and state laws, including HIPAA * Having at least 5 years of experience in providing similar services * Providing sufficient staffing resources to ensure all services can be delivered