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Remote Claims Processor Work From Home Jobs in Kentucky

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position is 100% remote, giving you the freedom to work from anywhere! What You'll Do: As a ... 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

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position is 100% remote, giving you the freedom to work from anywhere! What You'll Do: As a ... 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

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position is 100% remote, giving you the freedom to work from anywhere! What You'll Do: As a ... 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

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position is 100% remote, giving you the freedom to work from anywhere! What You'll Do: As a ... 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

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position is 100% remote, giving you the freedom to work from anywhere! What You'll Do: As a ... claims, billing and insurance processing. Pharmacy Technician experience and/or knowledge of ...

Conduent, Inc.

Disability Transaction Processor

Lexington, KY · Remote

$15/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Conduent is seeking a reliable, detail-oriented remote claims processor to support disability ... Work-from-home opportunity * On-the-job training * Schedule flexibility after training, based on ...

Amerita

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position is 100% remote, giving you the freedom to work from anywhere! What You'll Do: As a ... claims, billing and insurance processing. Pharmacy Technician experience and/or knowledge of ...

Conduent, Inc.

Remote Claims Processing Clerk

Lexington, KY · On-site +1

$15/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Claims Processor to support a fast-paced healthcare team. This role is fully remote and requires ... Ability to work independently in a remote setting * Adaptable and able to shift priorities quickly

IQVIA

Work from Home

Louisville, KY · Remote

$18/hr

We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ... Experience in medical claim processing is a plus * Bi-lingual (English/Spanish) is a plus The pay ...

New

IQVIA

Work from Home

Louisville, KY · Remote

$18/hr

We are excited to announce that currently we are looking for a 100% remote (work from home-WFH) ... Experience in medical claim processing is a plus * Bi-lingual (English/Spanish) is a plus The pay ...

New

The Jernigan Agency

WORK FROM HOME

Bowling Green, KY · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales ... See the application through the underwriting process and get our clients covered. Requirements for ...

The Jernigan Agency

WORK FROM HOME

Lexington, KY · On-site +1

$300 - $500/wk

We are looking for individuals interested in working from home, remotely, as life insurance sales ... See the application through the underwriting process and get our clients covered. Requirements for ...

The Semler Agency

Work From Home Sales

Louisville, KY · On-site +1

We are currently hiring for a remote sales position with a structured training program . This role ... Follow a simple, structured process What You'll Get: * Guided training program * Support from ...

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Remote Claims Processor Work From Home information

What is the difference between Remote Claims Processor Work From Home vs Remote Claims Adjuster?

AspectRemote Claims Processor Work From HomeRemote Claims Adjuster
Required CredentialsBasic insurance knowledge, sometimes certificationInsurance license, adjuster certification
Work EnvironmentHome office, computer-based tasksHome office, field inspections sometimes involved
Employer & Industry UsageInsurance companies, third-party administratorsInsurance carriers, claims management firms
Common Search & Comparison IntentUnderstanding job duties, qualifications, remote optionsDifferences in roles, certifications, responsibilities

Remote Claims Processor Work From Home and Remote Claims Adjuster roles both operate within the insurance industry and often require similar computer-based skills. However, claims processors typically handle administrative tasks and initial claim processing, while claims adjusters evaluate damages and may require licensing. Understanding these differences helps job seekers find the right remote position aligned with their credentials and career goals.

What are popular job titles related to Remote Claims Processor Work From Home jobs in Kentucky?

For Remote Claims Processor Work From Home jobs in Kentucky, the most frequently searched job titles are:

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The top searched job categories for Remote Claims Processor Work From Home jobs in Kentucky are:

What cities in Kentucky are hiring for Remote Claims Processor Work From Home jobs?

Cities in Kentucky with the most Remote Claims Processor Work From Home job openings:

Remote Claims Processor Work From Home jobs near you

Pharmacy Claims Processor / Remote

PharMerica

Louisville, KY • On-site, Remote

$15.50 - $19.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 29 days ago

PharMerica rating

6.6

Company rating: 6.6 out of 10

Based on 103 frontline employees who took The Breakroom Quiz

66th of 112 rated pharmacies

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 BusinessPharMerica, 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.

Employment Type: FULL_TIME

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