ZipRecruiter

Log In

2

Remote Claims Associate Jobs in Kentucky (NOW HIRING)

BrightSpring

Medicare D Billing Representative

Louisville, KY · Remote

$15.75 - $20.25/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... Remote: May reside anywhere with the Continental USA. No matter what time zone in which you reside ... Achieves productivity goals with regard to calls/claims per hour as determined by the Director and ...

PharMerica

Medicare D Billing Representative

Louisville, KY · On-site +1

$15.75 - $20.25/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... Remote: May reside anywhere with the Continental USA. No matter what time zone in which you reside ... Achieves productivity goals with regard to calls/claims per hour as determined by the Director and ...

PharMerica

Medicare D Billing Representative

Louisville, KY · On-site +1

$15.75 - $20.25/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... Remote: May reside anywhere with the Continental USA. No matter what time zone in which you reside ... Achieves productivity goals with regard to calls/claims per hour as determined by the Director and ...

ConnectMed360

Program Support Supervisor

Louisville, KY · Remote

$70K - $90K/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position can be fully remote. We offer quarterly incentive bonuses with plenty of growth ... Required: Associate's Degree or equivalent from a 2-year college or technical school, or ...

TEKsystems

Sr Powerplatform Developer

Frankfort, KY · Remote

$45/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Strong understanding of Microsoft Entra ID, SSO, Claims-Based Authentication, OAuth 2.0, OIDC, and ... Power Platform Solution Architect Expert, Power Platform Developer Associate, Azure Developer ...

previous page

Showing results 41-47

All JobsClaims Associate JobsRemote Claims Associate JobsRemote Claims Associate Jobs in Kentucky

Remote Claims Associate information

See Kentucky salary details

$11

$18

$26

How much do remote claims associate jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for remote claims associate in Kentucky is $18.23, according to ZipRecruiter salary data. Most workers in this role earn between $14.81 and $20.05 per hour, depending on experience, location, and employer.

How does a remote claims associate collaborate with other team members while working from home?

As a Remote Claims Associate, you'll regularly communicate with team members, supervisors, and other departments through digital channels like email, instant messaging, and video conferencing. Collaboration often involves sharing updates on claim statuses, seeking guidance on complex cases, and participating in virtual team meetings. Many organizations use workflow management platforms and secure document-sharing tools to ensure seamless coordination and maintain data security. Building strong virtual communication skills is important to stay connected and contribute effectively to team goals.

What skills and qualifications are needed to be a remote claims associate?

To excel as a Remote Claims Associate, you typically need knowledge of insurance processes, attention to detail, and a high school diploma or relevant experience. Familiarity with claims management software, CRM systems, and sometimes specific certifications like AIC (Associate in Claims) are highly beneficial. Strong organizational skills, effective communication, and the ability to work independently are crucial soft skills for remote success. These competencies ensure accurate claims processing, customer satisfaction, and efficient remote workflow management.

What is a remote claims associate?

A Remote Claims Associate is a professional who reviews, processes, and manages insurance claims from a remote location, typically working from home. They evaluate claim details, verify information, and communicate with policyholders, service providers, and other stakeholders to ensure claims are handled accurately and efficiently. This role often requires strong attention to detail, good communication skills, and proficiency with digital tools and claims management software. Remote Claims Associates may work for insurance companies, third-party administrators, or other organizations handling claims. The position allows for flexibility in work location while maintaining high standards of customer service and accuracy.

What are the most commonly searched types of Remote Claims jobs in Kentucky?

The most popular types of Remote Claims jobs in Kentucky are:

What are popular job titles related to Remote Claims Associate jobs in Kentucky?

For Remote Claims Associate jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Remote Claims Associate jobs in Kentucky look for?

The top searched job categories for Remote Claims Associate jobs in Kentucky are:

What cities in Kentucky are hiring for Remote Claims Associate jobs?

Cities in Kentucky with the most Remote Claims Associate job openings:

Remote Claims Associate jobs near you
Infographic showing various Remote Claims Associate job openings in Kentucky as of August 2026, with employment types broken down into 100% Part Time. Highlights an 100% Remote job distribution, with an average salary of $37,914 per year, or $18.2 per hour.

Medicare D Billing Representative

BrightSpring Health Services

Louisville, KY • Remote

$19 - $20/hr

Full-time

Posted 24 days ago

BrightSpring Health Services rating

5.1

Company rating: 5.1 out of 10

Based on 63 frontline employees who took The Breakroom Quiz

210th of 242 rated social care providers

Job description

Overview

PharMerica, a part of Brightspring Health Services, is a long‑term care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organizations across the United States.

The Medicare D Biller serves as a primary liaison for the Clinical Hub, maintaining proactive communication with pharmacists, healthcare facilities, physicians, and Prescription Drug Plans (PDPs) regarding therapeutic interchange opportunities and prior authorization requests. This role is responsible for researching payment denials by contacting insurance plans to determine the cause of denials and coordinating with facilities to obtain supporting information. Additionally, the Medicare D Biller updates and documents prior authorizations, including clinical justifications, while ensuring the accurate and timely completion of all required authorization forms.

The position requires a high level of attention to detail when initiating, processing, and tracking prior authorizations on behalf of customers. Working closely with EMAR systems, healthcare facilities, and clinical teams, the Medicare D Biller serves as a key point of contact throughout the prior authorization process, ensuring efficient coordination, thorough documentation, and successful resolution of authorization requests.

The ideal candiate will be a Certified Pharmacy Technician or Medical Assistant Certification (desired) and have Third party Medical Billing experience

Remote: May reside anywhere with the Continental USA.

No matter what time zone in which you reside, you must be able to work Central Time Zone hours

Schedule: Monday - Friday 11am - 7:30pm CENTRAL Time Zone

Benefits and perks for You!   

  • Medical, Dental, Vision insurance   
  • Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)   
  • Tuition discounts & reimbursement   
  • 401(k)
  • Company Paid Time Off*
  • Shift Differential
  • DailyPay
  • Pet Insurance
  • Employee wellness and discount programs

Responsibilities

  • Act as a resource to the facilities in obtaining information completing necessary documentation or following up on outstanding claims
  • Individual with an understanding of Insurance and Medicaid formularies and processes including the prior authorization processes
  • Makes outgoing calls to Facilities, Plans, and Physician’s offices as needed to obtain approvals
  • Works with Client Billing Service Offices, Pharmacy Directors, customers and prescription drug plans to effectively communicate and resolve customer issues
  • Performs other tasks as assigned
  • Achieves productivity goals with regard to calls/claims per hour as determined by the Director and Clinical Hub Manager
  • Provide clinical support to members of the RxAllow team regarding prior authorization concerns / submissions
  • Conducts job responsibilities in accordance with the standards set out in the Company’s code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and State Laws, and applicable professional standards
  • Familiar with the claim adjudication process
  • Develop a strong understanding of the insurance verification, adjudication, back-end billing process and become a subject matter expert on the insurance queues and billing workflow

Qualifications

  • High School Diploma, Associates degree; Bachelor's degree preferred
  • Certified Pharmacy Technician or Medical Assistant Certification desired
  • Third party Medical Billing experience
  • EMAR system knowledge
  • One to three years of pharmacy experience preferred
  • Three years of call center experience preferred
  • Understanding of insurance and medicaid formularies and processes including the prior authorization processes
  • Familiar with the claim adjudication process
  • Proficiency in Microsoft Office programs
  • Prioritize work to meet daily and competing deadlines

What BrightSpring Health Services employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom