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Associate State Farm Remote Jobs in Kentucky (NOW HIRING)

Pharmacy Claims Processor / Remote

Louisville, KY ยท Remote

$15.50 - $19.75/hr

... all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines ... Associate's or Bachelor's Degree Work Experience: * Required: Customer Service * Desired: Up to one ...

This position is remote but requires you to reside in one of the following locations: Chicago, IL ... Associates who live and work from Home in the state of California, Illinois, Montana, or South ...

This position is remote but requires you to reside in one of the following locations: Chicago, IL ... Associates who live and work from Home in the state of California, Illinois, Montana, or South ...

This position is remote but requires you to reside in one of the following locations: Chicago, IL ... Associates who live and work from Home in the state of California, Illinois, Montana, or South ...

Grant Writer

Louisville, KY ยท On-site +1

$75/hr

ABOUT ASHLEY|ROUNTREE & ASSOCIATES As the region's leading provider of consulting services for ... remote work and the support of a collaborative team. THE OPPORTUNITY Ashley|Rountree is seeking a ...

Creditor's Rights Attorney

Louisville, KY ยท On-site +1

$90K - $110K/yr

Additional state licenses are highly valued and can increase overall fit Location: Kentucky preferred. Remote or regionally based candidates may be considered, especially those located in Indiana or ...

Creditor's Rights Attorney

Louisville, KY ยท On-site +1

$90K - $110K/yr

Additional state licenses are highly valued and can increase overall fit Location: Kentucky preferred. Remote or regionally based candidates may be considered, especially those located in Indiana or ...

Research state-specific recording requirements, transfer taxes, exemptions, notarization standards ... Associate's or Bachelor's degree preferred; Paralegal certificate strongly preferred.

This position is remote eligible but you MUST be located in our business footprint, which includes ... state regulations * Examine and implement closing processes as required to maintain accurate loan ...

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Associate State Farm Remote information

What is the difference between Associate State Farm Remote vs Customer Service Representative?

AspectAssociate State Farm RemoteCustomer Service Representative
Required CredentialsHigh school diploma; licensing may be requiredHigh school diploma; licensing may be required
Work EnvironmentRemote, home-basedOffice or remote, depending on employer
Employer & Industry UsageState Farm, insurance industryVarious insurance companies, customer service roles
Common Search & ComparisonYesYes

The Associate State Farm Remote and Customer Service Representative roles share similar credentials and industry settings, often involving remote work and insurance-related customer interactions. The main difference lies in the specific employer, with the Associate State Farm Remote working directly for State Farm, while Customer Service Representatives may work for various companies. Both roles focus on customer support, but the Associate State Farm Remote may have more specialized training related to State Farm products and services.

What are the most commonly searched types of State Farm Remote jobs in Kentucky? The most popular types of State Farm Remote jobs in Kentucky are:
What are popular job titles related to Associate State Farm Remote jobs in Kentucky? For Associate State Farm Remote jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Associate State Farm Remote jobs in Kentucky look for? The top searched job categories for Associate State Farm Remote jobs in Kentucky are:
What cities in Kentucky are hiring for Associate State Farm Remote jobs? Cities in Kentucky with the most Associate State Farm Remote job openings:

Pharmacy Claims Processor / Remote

BrightSpring

Louisville, KY โ€ข Remote

$15.50 - $19.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 23 days ago


Job description

Our Company
PharMerica
Overview
Step Into a Rewarding Role as an LTC Pharmacy Claims Specialist with PharMerica!
Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly matters-delivering exceptional care and service.
Why Join PharMerica?
  • Focused on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals, rehabilitation centers, long-term acute care hospitals, and specialized care centers across the nation.
  • Career Growth: We're in high growth mode, offering plenty of opportunities for those looking to advance their careers.
  • Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!

What You'll Do: As a dynamic Claims Specialist, you will:
  • Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our clients get the support they need.
  • Be a vital part of a team that's dedicated to enhancing patient care through meticulous claims management and customer service.
Shift: Varying shifts available from 4:30am-12:00am. Overnight & Weekend shifts required.
Must have pharmacy claims or adjudication background.
What We Offer:
  • DailyPay
  • Flexible Schedules
  • Competitive Pay with Shift Differentials
  • Health, Dental, Vision, and Life Insurance
  • Company-Paid Disability Insurance
  • Tuition Assistance & Reimbursement
  • Employee Discount Program
  • 401k Plan
  • Paid Time Off
  • Non-Retail, Closed-Door Environment

Responsibilities
The Claims Specialist - 3rd Party:
  • Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks
  • Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines
  • Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement
  • Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes
  • Works as a team to identify, document, communicate and resolve payer/billing trends and issues
  • Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans
  • Prepares and maintains reports and records for processing
  • Performs other tasks as assigned

Qualifications
Education/Learning Experience:
  • Required: High School Diploma or GED
  • Desired: Associate's or Bachelor's Degree
Work Experience:
  • Required: Customer Service
  • Desired: Up to one year of related experience. Pharmacy Technician experience
Skills/Knowledge:
  • Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast-paced environment. Basic math aptitude. Microsoft Office Suite
  • Desired: Knowledge of the insurance industry's trends, directions, major issues, regulatory considerations and trendsetters
Licenses/Certifications:
  • Desired: Pharmacy technician, but not required

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.
Additional Job Information
This is an excellent opportunity to move from a retail to office environment for those who are willing to learn claims, billing and insurance processing.
Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.