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Remote Medical Claims Processing Jobs in Kentucky

PharMerica

Claims Processing Supervisor

Louisville, KY · Remote

This is a remote opportunity . Applicants can live anywhere within the Continental USA. Night Shift ... Medical, Dental, Vision insurance * Health Savings & Flexible Spending Accounts (up to $5,000 for ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

... remote, giving you the freedom to work from anywhere! What You'll Do: As a dynamic Claims ... Prepares and maintains reports and records for processing * Performs other tasks as assigned ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

... remote, giving you the freedom to work from anywhere! What You'll Do: As a dynamic Claims ... Prepares and maintains reports and records for processing * Performs other tasks as assigned ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

Shift: Nights and Weekends Remote position Benefits and perks for You! * Medical, Dental, Vision ... Prepares and maintain reports and records for processing as well as run and produce miscellaneous ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

Multiple Shifts Available Remote position Benefits and perks for You! * Medical, Dental, Vision ... Prepares and maintain reports and records for processing as well as run and produce miscellaneous ...

Deloitte

Epic Denials Management Operator

Louisville, KY · Remote

$17.25 - $23/hr

... Claims Submission, A/R Follow-up, Denials Management, Payment Posting, and Credits and Refunds, for ... This is a primarily remote role supporting enterprise Epic support, with minimal travel and ...

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Remote Medical Claims Processing information

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How much do remote medical claims processing jobs pay per hour?

As of Aug 4, 2026, the average hourly pay for remote medical claims processing in Kentucky is $16.91, according to ZipRecruiter salary data. Most workers in this role earn between $15.05 and $18.80 per hour, depending on experience, location, and employer.

What is the difference between Remote Medical Claims Processing vs Remote Medical Billing Specialist?

AspectRemote Medical Claims ProcessingRemote Medical Billing Specialist
CredentialsKnowledge of insurance policies, claims processing certifications often preferredMedical billing certifications, coding credentials like CPC or CCS+
Work EnvironmentHome-based, computer-focused, insurance company or third-party payerHome-based, healthcare provider offices, billing companies
Industry UsageInsurance companies, third-party administratorsHospitals, clinics, medical practices
Search & Comparison IntentFocus on claims processing tasks, insurance reimbursementFocus on billing, coding, and invoicing processes

Remote Medical Claims Processing involves reviewing and submitting insurance claims for reimbursement, often requiring knowledge of insurance policies. Remote Medical Billing Specialists handle invoicing and coding for healthcare providers. While both roles are home-based and involve healthcare finance, claims processing emphasizes insurance submission, whereas billing focuses on patient invoicing and coding accuracy.

What is remote medical claims processing?

Remote medical claims processing involves reviewing, validating, and submitting health insurance claims from a location outside of a traditional office, often from home. Professionals in this role analyze patient data, ensure claims are accurate and complete, and handle communication with insurance companies to facilitate timely reimbursement. This job requires strong attention to detail, knowledge of medical terminology and billing codes, and proficiency with healthcare management software. Many employers offer remote positions to streamline operations and accommodate flexible work arrangements.

How to get a job as a remote medical claims processing?

To get a remote medical claims processing job, candidates typically need a high school diploma or equivalent, strong attention to detail, and familiarity with medical billing and coding software. Relevant certifications such as CPC or CCS can improve job prospects, and experience with electronic health records (EHR) systems is often preferred. Applying through healthcare companies, insurance providers, or staffing agencies that specialize in remote roles is common.

What are some common challenges faced when working remotely as a medical claims processor, and how can they be managed?

Remote medical claims processors often face challenges such as maintaining clear communication with team members, managing a high volume of claims efficiently, and staying updated on frequently changing insurance policies. To manage these challenges, it's important to utilize collaboration tools, participate in regular virtual meetings, and establish a structured daily routine. Additionally, leveraging secure digital resources and ongoing training can help ensure accuracy and compliance, making remote work both productive and rewarding.

What are the key skills and qualifications needed to thrive as a remote medical claims processor?

To thrive as a Remote Medical Claims Processor, you need a strong understanding of medical terminology, insurance policies, and claims adjudication, typically supported by a high school diploma or an associate degree in health administration. Proficiency with claims management software, electronic health record (EHR) systems, and familiarity with coding systems like ICD-10 and CPT is essential. Attention to detail, time management, and effective written communication are standout soft skills in this role. These skills and qualities ensure accurate, efficient claims processing and help maintain compliance with healthcare regulations.
What are popular job titles related to Remote Medical Claims Processing jobs in Kentucky? For Remote Medical Claims Processing jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Remote Medical Claims Processing jobs in Kentucky look for? The top searched job categories for Remote Medical Claims Processing jobs in Kentucky are:
What cities in Kentucky are hiring for Remote Medical Claims Processing jobs? Cities in Kentucky with the most Remote Medical Claims Processing job openings:
Remote Medical Claims Processing jobs near you
Infographic showing various Remote Medical Claims Processing job openings in Kentucky as of July 2026, with employment types broken down into 83% Full Time, 9% Part Time, 4% Contract, and 4% Nights. Highlights an 100% Remote job distribution, with an average salary of $35,169 per year, or $16.9 per hour.

Claims Processing Supervisor

BrightSpring Health Services

Louisville, KY • Remote

$67K - $75K/yr

Full-time

Posted 26 days ago

BrightSpring Health Services rating

4.8

Company rating: 4.8 out of 10

Based on 62 frontline employees who took The Breakroom Quiz

220th of 239 rated social care providers

Job description

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 Claims Supervisor manages associates' assignments and work queues on a daily and weekly basis, ensuring the timely resolution of claims, accurate billing, and the effective distribution of work to support operational efficiency.
This is a remote opportunity. Applicants can live anywhere within the Continental USA.
Night Shift Schedule: 10:00pm to 6:30am eastern. Must be able to work eastern time zone hours.
The ideal candidate will have 3+ years direct supervisory experience along with 3rd party billing/collections experience.
REQUIRED: Long-Term Care adjudication experience

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

• Works in conjunction with the 3rd Party Claims Manager to establish specific associate goals, department wide goals, performance tracking and quality assessment audits.
• Establish and maintain professional and effective relationship with staff, peers, payers and other stakeholders.
• Provides associates assignments and work queues on a daily and/or weekly basis. Including resolution, billing, and appropriate distribution of work.
• Monitors quality of work performed by all associates, including interaction and compliance.
• Holds regularly scheduled meetings with staff to discuss performance metrics and ensure employees are on track to meet their goals.
• Report to Manager any trends occurring with payers and/or processes
• Updates staff with communications and process changes as directed by 3rd Party Claims Manager, Director or Senior Management and insures compliance.
• Handles escalated calls from customers and payers to ensure proper resolution.
• Mentor and provide oversight of Team Leads and Associate II staff to insure they are adequately communicating staff training needs, shadowing staff when assigned, performing monthly quality assessment reviews, and taking a lead role in any special projects that may be assigned by Supervisor or Manager.
• Manages staff attendance and time sheets for payroll (Kronos) system. Assures staff is meeting attendance policies and reports any variations to Manager.
• In conjunction with feedback provided by Team Lead and/or Associate, monitor work performance including quality
• Ensure assignments are fair and balanced based on Team Lead/Associate level skills sets.
• Works to update, create and/or maintain Standard Operations Procedures for the department.
• Ensures Sarbanes Oxley (SOX) compliance on all variance, write-off and convert exception reports inclusive of adequate signatures are obtained.
• Proper storage of completed documents per Compliance policies.
• Performs other tasks as assigned.
• 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.
• Works to update, create and/or maintain Standard Operations Procedures for the department.


Qualifications

Education/Learning Experience
• Required: Associates degree, 4 year college , technical degree or 4+ years equivalent experience
Work Experience
• Required: 3+ years direct supervisory experience
• Desired: 3rd Party Billing or collections/billing experience in the healthcare industry, AS400 computer systems experience or Pharmacy Technician.
Skills/Knowledge
• Required: Proficiency in MS Office Products (Excel, Word) and Basic computer knowledge
• Required: Ability to maintain confidentiality
• Desired: AS400 Computer Systems Experience
Behavior Competencies
• Required: Excellent communication skills, both written and oral
• Required: Problem solving and detail oriented
• Required: Strong time management, organizational skills and self-starter
• Required: Strong attendance and leadership

What BrightSpring Health Services employees say

Pay

Benefits

Hours and flexibility

Workplace

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