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Medicare Claims Processing Jobs in Kentucky (NOW HIRING)

$66 - $106/hr

Responsibilities ThePeraton Health, State and LocalSectorisseeking a Software Development, Senior Associate to join us in supporting andmaintainingthe Medicare FeeforService claims processing system.

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D ... Prepares and maintains reports and records for processing * Performs other tasks as assigned ...

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D ... Prepares and maintains reports and records for processing * Performs other tasks as assigned ...

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D ... Prepares and maintains reports and records for processing * Performs other tasks as assigned ...

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D ... Prepares and maintains reports and records for processing * Performs other tasks as assigned ...

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D ... Prepares and maintains reports and records for processing * Performs other tasks as assigned ...

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D ... Prepares and maintains reports and records for processing * Performs other tasks as assigned ...

$80 - $128/hr

Responsibilities ThePeraton Health, State and LocalSectorisseeking a Software Development, Lead Associate to join us in supporting andmaintainingthe Medicare FeeForService claims processing system.

$86 - $138/hr

Designs, codes,unit tests, and debugs complexenhancementsand fixes tothe Medicare health claims processing systemwhile adhering to strict coding standards. * Leadstechnical design sessions ...

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Showing results 1-20

Medicare Claims Processing information

See Kentucky salary details

$10

$16

$22

How much do medicare claims processing jobs pay per hour?

As of Aug 28, 2026, the average hourly pay for medicare claims processing in Kentucky is $16.65, according to ZipRecruiter salary data. Most workers in this role earn between $14.18 and $17.93 per hour, depending on experience, location, and employer.

What is Medicare claims processing?

Medicare claims processing refers to the series of steps involved in reviewing, approving, and paying claims for healthcare services provided to Medicare beneficiaries. This process ensures that submitted claims meet Medicare’s rules and regulations and that providers are reimbursed correctly. Claims processors review documentation, verify patient eligibility, check for coding accuracy, and determine coverage based on Medicare guidelines. The process helps to prevent fraud, waste, and abuse while ensuring timely payment to healthcare providers.

What are the key skills and qualifications needed to thrive in Medicare claims processing, and why are they important?

To excel in Medicare Claims Processing, you need strong attention to detail, knowledge of healthcare billing procedures, and familiarity with Medicare regulations, often supported by experience or coursework in medical billing and coding. Proficiency with claims management software, electronic health record (EHR) systems, and understanding of ICD-10 and CPT coding are typically required. Excellent organizational skills, problem-solving abilities, and clear communication help professionals navigate complex claims and resolve issues efficiently. These skills ensure accurate, timely claims processing, minimize errors, and support compliance with Medicare guidelines, ultimately benefiting both providers and patients.

What are some common challenges faced in Medicare claims processing and how can I prepare for them?

Medicare claims processing specialists often encounter challenges such as navigating complex regulations, ensuring timely and accurate data entry, and resolving discrepancies or denials from insurance payers. To prepare, it's helpful to develop strong attention to detail, stay up to date on Medicare guidelines, and become proficient with claims management software. Regular communication with healthcare providers and insurance representatives is also crucial for resolving issues efficiently and ensuring claims are processed correctly.

What is the difference between Medicare Claims Processing vs Medical Billing Specialist?

AspectMedicare Claims ProcessingMedical Billing Specialist
CertificationsTypically requires claims processing training, possibly some Medicare-specific certificationsOften requires medical billing and coding certifications, such as CPC or CMA
Work EnvironmentHealthcare facilities, insurance companies, government agenciesMedical offices, clinics, healthcare billing companies
Job FocusReviewing, submitting, and managing Medicare claims for reimbursementPreparing and submitting medical bills to various insurance providers, including Medicare

Medicare Claims Processing involves handling Medicare-specific claims, ensuring compliance with government regulations. Medical Billing Specialists manage billing for various insurance types, including Medicare, focusing on accurate coding and documentation. While both roles require knowledge of healthcare billing, Medicare Claims Processing is more specialized in Medicare procedures and regulations.

How to get a job as a Medicare claims processor?

To become a Medicare claims processor, candidates typically need a high school diploma or equivalent, with some roles requiring postsecondary education or training in healthcare administration. Relevant skills include attention to detail, knowledge of medical billing and coding, and familiarity with claims processing software. Certification in medical billing or coding can improve job prospects, and positions often require working in a healthcare or administrative environment with standard office hours.

Is Medicare claims processing a stressful job?

Medicare claims processing can be stressful due to strict deadlines, high accuracy requirements, and the need to handle complex regulations. Employees often work in fast-paced environments and must pay close attention to detail, which can contribute to job-related stress.

Is a Medicare Claims Processing job in demand?

Medicare Claims Processing jobs are in demand due to the ongoing need for healthcare administration and the aging population. These roles often require knowledge of healthcare policies and claims software, and employment is expected to grow as healthcare services expand and evolve.
Infographic showing various Medicare Claims Processing job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 16% Part Time, 1% Temporary, 3% Contract, and 1% Nights. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $34,622 per year, or $16.6 per hour.

External Job Posting Title Cobol Software Developer

Peraton

On-site

$66 - $106/hr

Other

Posted 6 days ago


Peraton rating

8.3

Company rating: 8.3 out of 10

Based on 56 frontline employees who took The Breakroom Quiz

51st of 225 rated it services


Job description

Responsibilities

ThePeraton Health, State and LocalSectorisseeking aSoftware Development, Senior Associateto join us in supporting andmaintainingthe Medicare FeeforService claims processing system. In this role,you’llbe a keycontributing memberof an Agile teamprovidingmaintenance and operations supportfor the Medicare Durable Medicare Equipment (DME) contract.

As aSoftwareDevelopment, Senior Associate, you will work within a highly structured and rigorous development environment that follows theSAFeAgile/Scrum framework. Thisrolefocuseson the ongoing support, maintenance, and stability of the legacy mainframe systems, including COBOL and Assembler components, thatprovidecritical Medicare Claims processing operations.

Responsibilities:

  • Designs, codes,unit tests, and debugsenhancementsand fixesto the health claims processing systemwhile adhering to strict coding standards.
  • Participates as akey contributingmember of a persistent development teamsupporting maintenance andoperations.
  • Completes development to implement complex componentswithin a legacy mainframe environment.
  • Works under general directionto resolve defects, implement change requests, and support operational stability.
  • Participatesin design activitiesrelated tomaintenance solutions.
  • Demonstratesgeneral useand application ofdevelopmentconcepts, practices, and techniques.
  • Designs,preparesand executes unit teststovalidatechangeprior to release,andrepresentsteam to clients.
  • Provides solutions to a variety oftechnicalproblems.
  • Applies technical knowledge todelivermaintenance solutions across one or more technology areas.
  • Applies company and 3rd party technologies tosoftware solutions of moderate complexity.
  • Implements end-user or enterprise solutions of moderate complexitywithonlygeneral directionprovided.
  • Integrates technicalexpertiseand business understanding to createstable andreliablesolutions for clients.
  • Consults with team members and other organizations, clients,and vendors on complex issues.
  • Provides timeandresource estimates for assignedtasks andprojects.
  • Assistsin developingsolutions to complex business and technology problems in areas of provenexpertise.
Qualifications
  • Education & Experience:2 years withBS/BA, or a High School diploma with6years of experience.
  • Requires 2-5 years of mainframe development experience.
  • Proficiencywith mainframe technologies such as COBOL, JCL, CICS, TSO and VSAM.
  • Abilityto perform well in a highly rigorous, structureddevelopment environment.
  • Demonstrates experience as a software developer in a mainframe environment, preferred.
  • Demonstrates ability todetermineand decompose businessand technicalrequirements.
  • Experience with application lifecyclemethodology,specifically Agile/SCRUM.
  • Strong communicationskills and technical writingability.
  • Ability to develop application project solutions andprovideaccurateestimates.
  • Experience with DevOps/DevSecOpstools and frameworks through plan, define, build, test, release and deploy processes.
  • Familiarity with development and collaboration tools: GitHub, Jira, Confluence, Eclipse (IDz/RDz)
  • SAFeexperience and/or certification.
  • Must be able to obtain andmaintainPublicTrust clearance.
  • Must be a US Citizen.
Preferred Qualifications
  • Knowledge of health care claims processing, particularly Medicare FeeForService.
  • Experience with Medicare Part A, Medicare Part B, DME or Medicare Common Working File (CWF) specific processingsystems.
  • Experience working with or in support ofCMSprograms or contracts.
  • Experience with Assembler language in a mainframe environment.
  • Familiarity with development and collaboration tools:GitHub, Jira, Confluence, Eclipse (IDz/RDz).
  • Exposure to modern languages such asJava or Python.
Peraton Overview

Peraton is a next-generation national security company that drives missions of consequence spanning the globe and extending to the farthest reaches of the galaxy. As the world’s leading mission capability integrator and transformative enterprise IT provider, we deliver trusted, highly differentiated solutions and technologies to protect our nation and allies. Peraton operates at the critical nexus between traditional and nontraditional threats across all domains: land, sea, space, air, and cyberspace. The company serves as a valued partner to essential government agencies and supports every branch of the U.S. armed forces. Each day, our employees do the can’t be done by solving the most daunting challenges facing our customers. Visit peraton.com to learn how we’re keeping people around the world safe and secure.

Target Salary Range

$66,000 - $106,000. This represents the typical salary range for this position. Salary is determined by various factors, including but not limited to, the scope and responsibilities of the position, the individual’s experience, education, knowledge, skills, and competencies, as well as geographic location and business and contract considerations. Depending on the position, employees may be eligible for overtime, shift differential, and a discretionary bonus in addition to base pay.

EEO

EEO: Equal opportunity employer, including disability and protected veterans, or other characteristics protected by law.

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About Peraton

Sourced by ZipRecruiter

At Peraton, we re at the forefront of delivering the next big thing every day. We re the partner of choice to help solve some of the world s most daunting challenges, delivering bold, new solutions to keep people around the world safer and more secure.

Industry

It services

Company size

10,000+ Employees

Headquarters location

Herndon, VA, US

Year founded

2017