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Remote Optometry Billing Assistant Jobs in Kentucky

PharMerica

Medicare D Billing Representative

Louisville, KY · Remote

$15.75 - $20.25/hr

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 ...

PharMerica

Medicare D Billing Representative

Louisville, KY · On-site +1

$15.75 - $20.25/hr

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 ...

CFS

Remote Accountant

Bowling Green, KY · Remote

$80K/yr

This role is fully remote! Salary goes up to $80,000 What You'll Do as the Accountant * Help ... Partner with project teams on billing, budget tracking, and revenue reporting. * Assist with ...

New

Cayenta

(Remote) Application Consultant

Canada, KY · Remote

... based AI assistants, and automation tools, as part of their everyday work while maintaining ... Understand clients' utility business processes, including customer service, billing, collections ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

Shift: Nights and Weekends Remote position Benefits and perks for You! * Medical, Dental, Vision ... Provides the necessary re-training or one on one support with staff to assist in meeting the ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

Multiple Shifts Available Remote position Benefits and perks for You! * Medical, Dental, Vision ... Provides the necessary re-training or one on one support with staff to assist in meeting the ...

MCKESSON

Field Reimbursement Manager

Florence, KY · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Reimbursement Support on Case management, billing and coding updates, appropriate claims submission ...

MCKESSON

Field Reimbursement Manager

Richmond, KY · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Reimbursement Support on Case management, billing and coding updates, appropriate claims submission ...

MCKESSON

Field Reimbursement Manager

Somerset, KY · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Reimbursement Support on Case management, billing and coding updates, appropriate claims submission ...

MCKESSON

Field Reimbursement Manager

Lexington, KY · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Reimbursement Support on Case management, billing and coding updates, appropriate claims submission ...

MCKESSON

Field Reimbursement Manager

Louisville, KY · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Reimbursement Support on Case management, billing and coding updates, appropriate claims submission ...

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All JobsOptometry Billing JobsRemote Optometry Billing Assistant JobsRemote Optometry Billing Assistant Jobs in Kentucky

Remote Optometry Billing Assistant information

What is the difference between Remote Optometry Billing Assistant vs Remote Ophthalmology Billing Assistant?

AspectRemote Optometry Billing AssistantRemote Ophthalmology Billing Assistant
CredentialsKnowledge of optometry codes, basic billing certificationsKnowledge of ophthalmology codes, similar billing certifications
Work EnvironmentRemote, healthcare clinics, optometry practicesRemote, ophthalmology clinics, eye care practices
Employer UsageOptometry offices, healthcare billing companiesOphthalmology clinics, eye care centers

Both roles involve remote billing support within eye care specialties, requiring knowledge of specific medical codes. The main difference lies in the type of practice—optometry versus ophthalmology—affecting the specific billing procedures and codes used. Candidates should focus on the relevant specialty to ensure accurate billing and efficient claim processing.

What cities in Kentucky are hiring for Remote Optometry Billing Assistant jobs? Cities in Kentucky with the most Remote Optometry Billing Assistant job openings:
Remote Optometry Billing Assistant jobs near you

Medicare D Billing Representative

BrightSpring Health Services

Louisville, KY • Remote

$19 - $20/hr

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

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 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

What BrightSpring Health Services employees say

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Benefits

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