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Remote Insurance Authorization Jobs in Kentucky (NOW HIRING)

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 · 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 ...

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 ...

Deloitte

Epic Denials Management Operator

Louisville, KY · Remote

$17.25 - $23/hr

This is a primarily remote role supporting enterprise Epic support, with minimal travel and ... eligibility, authorizations, claim edits, coordination of benefits, and missing documentation.

PharMerica

Medicare B Specialist

Louisville, KY · Remote

Medicare B preferred Remote: May reside anywhere with the Continental USA. Schedule: Monday ... Pet Insurance * Employee wellness and discount programs Responsibilities * Conducts job ...

PharMerica

Medicare B Specialist

Louisville, KY · On-site +1

Medicare B preferred Remote: May reside anywhere with the Continental USA. Schedule: Monday ... Pet Insurance * Employee wellness and discount programs Responsibilities * Conducts job ...

BrightSpring

Medicare B Specialist

Louisville, KY · Remote

Medicare B preferred Remote: May reside anywhere with the Continental USA. Schedule: Monday ... Pet Insurance * Employee wellness and discount programs Responsibilities * Conducts job ...

Everlight Solar

Human Resources Assistant

Louisville, KY · Remote

$30K - $40K/yr

This is a FULLY REMOTE, full-time, entry level position. Must own a Mac computer and be fluent with ... Life Insurance * PTO * Sick and Safe Time * Paid Holidays Off Salary: $30,000-$40,000/ year ...

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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?

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 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.

Medicare D Billing Representative

PharMerica

Louisville, KY • On-site, Remote

$15.75 - $20.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 15 days ago

PharMerica rating

6.6

Company rating: 6.6 out of 10

Based on 103 frontline employees who took The Breakroom Quiz

65th of 111 rated pharmacies

Job description

Our Company
PharMerica
Overview
PharMerica, a part of Brightspring Health Services, is a long-term care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organizations across the United States.
The Medicare D Biller serves as a primary liaison for the Clinical Hub, maintaining proactive communication with pharmacists, healthcare facilities, physicians, and Prescription Drug Plans (PDPs) regarding therapeutic interchange opportunities and prior authorization requests. This role is responsible for researching payment denials by contacting insurance plans to determine the cause of denials and coordinating with facilities to obtain supporting information. Additionally, the Medicare D Biller updates and documents prior authorizations, including clinical justifications, while ensuring the accurate and timely completion of all required authorization forms.
The position requires a high level of attention to detail when initiating, processing, and tracking prior authorizations on behalf of customers. Working closely with EMAR systems, healthcare facilities, and clinical teams, the Medicare D Biller serves as a key point of contact throughout the prior authorization process, ensuring efficient coordination, thorough documentation, and successful resolution of authorization requests.
The ideal candiate will be a Certified Pharmacy Technician or Medical Assistant Certification (desired) and have Third party Medical Billing experience
Remote: May reside anywhere with the Continental USA.
No matter what time zone in which you reside, you must be able to work Central Time Zone hours
Schedule: Monday - Friday 11am - 7:30pm CENTRAL Time Zone
Benefits and perks for You!
  • Medical, Dental, Vision insurance
  • Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)
  • Tuition discounts & reimbursement
  • 401(k)
  • Company Paid Time Off*
  • Shift Differential
  • DailyPay
  • Pet Insurance
  • Employee wellness and discount programs

Responsibilities
  • Act as a resource to the facilities in obtaining information completing necessary documentation or following up on outstanding claims
  • Individual with an understanding of Insurance and Medicaid formularies and processes including the prior authorization processes
  • Makes outgoing calls to Facilities, Plans, and Physician's offices as needed to obtain approvals
  • Works with Client Billing Service Offices, Pharmacy Directors, customers and prescription drug plans to effectively communicate and resolve customer issues
  • Performs other tasks as assigned
  • Achieves productivity goals with regard to calls/claims per hour as determined by the Director and Clinical Hub Manager
  • Provide clinical support to members of the RxAllow team regarding prior authorization concerns / submissions
  • Conducts job responsibilities in accordance with the standards set out in the Company's code of Business Conduct and Ethics, its policies and procedures, the Corporate Compliance Agreement, applicable federal and State Laws, and applicable professional standards
  • Familiar with the claim adjudication process
  • Develop a strong understanding of the insurance verification, adjudication, back-end billing process and become a subject matter expert on the insurance queues and billing workflow

Qualifications
  • High School Diploma, Associates degree; Bachelor's degree preferred
  • Certified Pharmacy Technician or Medical Assistant Certification desired
  • Third party Medical Billing experience
  • EMAR system knowledge
  • One to three years of pharmacy experience preferred
  • Three years of call center experience preferred
  • Understanding of insurance and medicaid formularies and processes including the prior authorization processes
  • Familiar with the claim adjudication process
  • Proficiency in Microsoft Office programs
  • Prioritize work to meet daily and competing deadlines

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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