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Remote Insurance Authorization Jobs in Kentucky (NOW HIRING)

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 ...

Lifepoint Health

Claims Analyst- Remote

Louisville, KY · On-site +1

Respond to inquiries from insurance carriers, patients, and family members regarding billing and ... Collaborate with Utilization Management departments to ensure pre-certifications, authorizations ...

Lifepoint Health

Claims Analyst- Remote

Louisville, KY · Remote

Respond to inquiries from insurance carriers, patients, and family members regarding billing and ... Collaborate with Utilization Management departments to ensure pre-certifications, authorizations ...

Sunrise ABA

RCM Float Specialist (ABA)

Louisville, KY · Remote

$22 - $25/hr

... remote environment • Experience working with both Commercial and Medicaid insurance plans • ... authorization processes, provider enrollment, and billing guidelines • Ability to interpret and ...

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All JobsRemote Insurance Authorization JobsRemote Insurance Authorization Jobs in Kentucky

Remote Insurance Authorization information

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 is a Remote Insurance Authorization job?

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 the Remote Insurance Authorization position, and why are they important?

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 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:
What cities in Kentucky are hiring for Remote Insurance Authorization jobs? Cities in Kentucky with the most Remote Insurance Authorization job openings:
Remote Insurance Authorization jobs near you
Prior Authorization Specialist

Prior Authorization Specialist

CareMed Specialty Pharmacy

Louisville, KY • Remote

$23 - $25/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Job description

Pharmacy Prior Authorization Specialist – CareMed Specialty Pharmacy
Louisville, KY | Full-Time | Starting at $23.00/hr and up
Sign-On Bonus: $5,000 for employees starting before July 31, 2026.
CareMed Specialty Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team in Louisville, KY. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.
Company Benefits
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Quarterly Incentive Bonus
  • Paid Volunteer Day
  • Referral Incentive Program
  • Company Paid Life Insurance; and Short/Long-Term Disability
Why Join Us?
  • A career with purpose: Help patients access life-saving medications.
  • Supportive culture: We value teamwork, respect, integrity, and passion.
  • Growth opportunities: We invest in your professional and personal development.
What You’ll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
How You’ll Do This
  • Manage prior authorization requests and appeals with insurance carriers.
  • Collaborate with physicians, pharmacists, and other departments.
  • Ensure HIPAA compliance while handling sensitive patient information.
  • Maintain accurate documentation of authorization details.
  • Proactively monitor and renew expiring authorizations.
What You Bring
Required:
  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Registration with Board of Pharmacy (as required by state law)
  • Strong communication, organizational, and customer service skills
  • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
Preferred:
  • Associate degree or Certified Pharmacy Technician (PTCB)
  • 3+ years of experience in pharmacy or prior authorizations
  • Specialty pharmacy experience
Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
Company Values: Teamwork, Respect, Integrity, Passion

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