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Remote Insurance Authorization Jobs in Kentucky (NOW HIRING)

PharMerica

Prior Authorization Specialist

Louisville, KY · On-site +1

$16.50 - $22/hr

Mon-Fri(8:30am to 5pm) This is not a remote opportunity . Applicants must reside in, or commutable ... insurance benefits Company paid STD and LTD Tuition Assistance Employee Discount Program 401k Paid ...

PharMerica

Prior Authorization Specialist

Louisville, KY · On-site +1

$16.50 - $22/hr

Mon-Fri(8:30am to 5pm) This is not a remote opportunity . Applicants must reside in, or commutable ... insurance benefits Company paid STD and LTD Tuition Assistance Employee Discount Program 401k Paid ...

Onco360

Pharmacy Prior Authorization Specialist

Louisville, KY · On-site +1

$18.75 - $24.25/hr

Remote work possible after initial on-site training. Why Join Us? * A career with purpose: Help ... Company Paid Life Insurance; and Short/Long-Term Disability What You'll Do The Pharmacy Prior ...

Legion Health

$50K - $150K/yr

... we'll handle scheduling, insurance verification, billing, prior authorizations, pharmacy ... Fully remote within the United States. * Schedule: Part-time * Compensation: $50K-150K per year ...

PharMerica

Medicare D Billing Representative

Louisville, KY · On-site +1

$15.75 - $20.25/hr

... Remote: May reside anywhere with the Continental USA. No matter what time zone in which you reside ... Understanding of insurance and medicaid formularies and processes including the prior authorization ...

PharMerica

Medicare D Billing Representative

Louisville, KY · On-site +1

$15.75 - $20.25/hr

... Remote: May reside anywhere with the Continental USA. No matter what time zone in which you reside ... Understanding of insurance and medicaid formularies and processes including the prior authorization ...

BrightSpring

Medicare D Billing Representative

Louisville, KY · Remote

$15.75 - $20.25/hr

... Remote: May reside anywhere with the Continental USA. No matter what time zone in which you reside ... Understanding of insurance and medicaid formularies and processes including the prior authorization ...

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Remote Insurance Authorization information

What is a remote insurance authorization?

A Remote Insurance Authorization job involves reviewing and processing insurance pre-authorizations for medical procedures, medications, or treatments from a remote location. Professionals in this role communicate with healthcare providers and insurance companies to ensure that necessary approvals are obtained. They must verify patient coverage, submit authorization requests, and follow up on approvals or denials. Strong attention to detail, knowledge of medical terminology, and familiarity with insurance policies are essential for success in this role.

What are the key skills and qualifications needed to thrive in remote insurance authorization?

To thrive as a Remote Insurance Authorization, strong attention to detail, knowledge of medical terminology, and experience with health insurance protocols are essential, often supported by a background in healthcare administration or medical billing. Familiarity with insurance authorization software, electronic health records (EHR), and payer portals is typically required. Excellent communication, time management, and problem-solving skills distinguish top performers in this role. These skills are crucial to ensure fast, accurate processing of authorization requests, minimize denials, and maintain a positive patient and provider experience.

What are the most common challenges faced in a remote insurance authorization role?

One of the main challenges in this role is navigating the various requirements and protocols set by different insurance companies, which can frequently change. Remote Insurance Authorization professionals must stay organized and up-to-date to ensure timely approvals and avoid delays in patient care. Effective communication with both healthcare providers and insurance companies is also essential, especially when clarifying documentation or resolving discrepancies. Being successful often involves balancing a high volume of requests while maintaining accuracy and compliance with confidentiality standards.

What are popular job titles related to Remote Insurance Authorization jobs in Kentucky?

For Remote Insurance Authorization jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Remote Insurance Authorization jobs in Kentucky look for?

The top searched job categories for Remote Insurance Authorization jobs in Kentucky are:

Remote Insurance Authorization jobs near you
Infographic showing various Remote Insurance Authorization job openings in Kentucky as of August 2026, with employment types broken down into 92% Full Time, 4% Part Time, and 4% Contract. Highlights an 100% Remote job distribution.

Prior Authorization Specialist

Louisville, KY • On-site, Remote

PharMerica
Pharmaceutical and Medicine Manufacturing • 5 - 10K employees

6.6

Company rating: 6.6 out of 10

Based on 103 frontline employees who took The Breakroom Quiz

66th of 113 rated pharmacies

People enjoy working here

Recommended by students

Recommended by parents

Learn more about PharMericaexternal

$16.50 - $22/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 13 days ago

Job description

Our Company
PharMerica
Overview
Join our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression!
Schedule: Mon-Fri(8:30am to 5pm)
This is not a remote opportunity. Applicants must reside in, or commutable distance, to Louisville, KY
We offer:
DailyPay
Flexible schedules
Competitive pay
Shift differential
Health, dental, vision and life insurance benefits
Company paid STD and LTD
Tuition Assistance
Employee Discount Program
401k
Paid-time off
Tuition reimbursement
Non-retail/Closed-door environment
Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today!
*Position will be posted for a minimum of 7 business days
Responsibilities
  • The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question

Essential Job Responsibilities:
  • Ensure accurate and timely completion of client prior authorization and/or change of therapy paperwork by collaborating with prescribers and facility contacts
  • Follows up on all claims requiring prior authorization within four to five business days
  • Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of Pharmacy on weekly basis
  • Compares system report of unbilled claims requiring prior approval to QuickBase tracking system to ensure any claim requiring prior authorization is being followed up on
  • Assists Billing Department with resolving unbilled claims at each month end close
  • Advocates for clients as needed
  • Support for Pharmacy Operations
  • Adjudicates and resolution of claim rejections as needed
  • Utilizes Frameworks, QuickBase, Docutrack, and CoverMyMeds in order to complete workflow on daily basis
  • Other responsibilities as assigned

Qualifications
  • High School Diploma/General Education Diploma required
  • Kentucky Pharmacy Technician License preferred
  • Excellent customer service and communication skills, both written and verbal
  • Ability to prioritize and meet pre-determined deadlines
  • Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills
  • Experience in healthcare billing environment (pharmacy preferred)
  • Familiarization with on-line claims processing and Medicaid and Medicare billing practices
  • Proficient with Microsoft Word & Excel required

About our Line of Business
PharMerica, 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.

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