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Remote Claims Processor Evening Jobs in Kentucky

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

... remote, giving you the freedom to work from anywhere! What You'll Do: As a dynamic Claims ... Prepares and maintains reports and records for processing * Performs other tasks as assigned ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

... remote, giving you the freedom to work from anywhere! What You'll Do: As a dynamic Claims ... Prepares and maintains reports and records for processing * Performs other tasks as assigned ...

PharMerica

Claims Processing Supervisor

Louisville, KY · Remote

This is a remote opportunity . Applicants can live anywhere within the Continental USA. Night Shift ... and process changes as directed by 3rd Party Claims Manager, Director or Senior Management and ...

PharMerica

Claims Processing Supervisor

Louisville, KY · On-site +1

This is a remote opportunity . Applicants can live anywhere within the Continental USA. Night Shift ... and process changes as directed by 3rd Party Claims Manager, Director or Senior Management and ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

Shift: Nights and Weekends Remote position Benefits and perks for You! * Medical, Dental, Vision ... Prepares and maintain reports and records for processing as well as run and produce miscellaneous ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

Multiple Shifts Available Remote position Benefits and perks for You! * Medical, Dental, Vision ... Prepares and maintain reports and records for processing as well as run and produce miscellaneous ...

Deloitte

Epic Denials Management Operator

Louisville, KY · Remote

$17.25 - $23/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

Erie Insurance

Liability Specialist

Lexington, KY · Remote

$63K - $100K/yr

Casualty Claims Division Department of Position: Home & Auto Liability Dept Work from: Home in ... This is a remote, work from home position in Kentucky. * The ideal candidate should live close to ...

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Remote Claims Processor Evening information

What is the difference between Remote Claims Processor Evening vs Remote Claims Processor Night?

AspectRemote Claims Processor EveningRemote Claims Processor Night
Work HoursTypically 4 PM to 12 AMTypically 12 AM to 8 AM
CertificationsSame certifications requiredSame certifications required
Work EnvironmentRemote, collaborative with daytime teamsRemote, quieter, less team interaction
Industry UsageCommon in insurance and healthcare sectors

The main difference between Remote Claims Processor Evening and Night roles lies in their work hours. Evening shifts typically run from late afternoon to late evening, while Night shifts cover overnight hours. Both roles require similar certifications and work in remote environments within the insurance and healthcare industries. Your choice depends on your preferred working hours and lifestyle.

What are the most commonly searched types of Remote Claims Processor jobs in Kentucky? The most popular types of Remote Claims Processor jobs in Kentucky are:
What are popular job titles related to Remote Claims Processor Evening jobs in Kentucky? For Remote Claims Processor Evening jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Remote Claims Processor Evening jobs in Kentucky look for? The top searched job categories for Remote Claims Processor Evening jobs in Kentucky are:
What cities in Kentucky are hiring for Remote Claims Processor Evening jobs? Cities in Kentucky with the most Remote Claims Processor Evening job openings:
Remote Claims Processor Evening jobs near you
Infographic showing various Remote Claims Processor Evening job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 59% Full Time, 36% Part Time, 1% Temporary, 2% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution.

Pharmacy Claims Processor / Remote

BrightSpring Health Services

Louisville, KY • Remote

$20 - $23/hr

Full-time

Re-posted 20 days ago

BrightSpring Health Services rating

4.8

Company rating: 4.8 out of 10

Based on 62 frontline employees who took The Breakroom Quiz

220th of 239 rated social care providers

Job description

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

What BrightSpring Health Services employees say

Pay

Benefits

Hours and flexibility

Workplace

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