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Remote Claims Processor Night Shift Jobs in Kentucky

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Shift: Varying shifts available from 4:30am-12:00am. Overnight & Weekend shifts required. Must have ... claims, billing and insurance processing. Pharmacy Technician experience and/or knowledge of ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Shift: Varying shifts available from 4:30am-12:00am. Overnight & Weekend shifts required. Must have ... claims, billing and insurance processing. Pharmacy Technician experience and/or knowledge of ...

BrightSpring

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

Shift: Varying shifts available from 4:30am-12:00am. Overnight & Weekend shifts required. Must have ... claims, billing and insurance processing. Pharmacy Technician experience and/or knowledge of ...

Amerita

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Competitive Pay with Shift Differentials * Health, Dental, Vision, and Life Insurance * Company ... claims, billing and insurance processing. Pharmacy Technician experience and/or knowledge of ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Competitive Pay with Shift Differentials * Health, Dental, Vision, and Life Insurance * Company ... claims, billing and insurance processing. Pharmacy Technician experience and/or knowledge of ...

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 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 ...

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All JobsClaims Processor JobsRemote Claims Processor Night Shift JobsRemote Claims Processor Night Shift Jobs in Kentucky

Remote Claims Processor Night Shift information

What is the difference between Remote Claims Processor Night Shift vs Remote Claims Processor Day Shift?

FeatureRemote Claims Processor Night ShiftRemote Claims Processor Day Shift
Work HoursTypically overnight, 10 PM - 6 AMStandard daytime hours, 8 AM - 4 PM
Work EnvironmentRemote, quiet, and less crowdedRemote, often busier during daytime hours
Required CredentialsSame certifications, e.g., claims processing certificationSame certifications as night shift
Employer & IndustryInsurance companies, healthcare providersInsurance companies, healthcare providers

The main difference between Remote Claims Processor Night Shift and Day Shift is the working hours. Night shift roles involve overnight hours, which may suit those who prefer working during quieter hours. Both shifts require similar credentials and are employed in the same industry, offering flexibility based on personal preference or schedule needs.

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Remote Claims Processor Night Shift jobs near you

Pharmacy Claims Processor / Remote

BrightSpring Health Services

Louisville, KY • Remote

$20 - $23/hr

Full-time

Posted 25 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

Step Into a Rewarding Role as a 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.

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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