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Remote Processor Jobs in Kentucky (NOW HIRING)

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

Remote Flexibility : This position is 100% remote, giving you the freedom to work from anywhere! ... Prepares and maintains reports and records for processing * Performs other tasks as assigned ...

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Remote Flexibility : This position is 100% remote, giving you the freedom to work from anywhere! ... Prepares and maintains reports and records for processing * Performs other tasks as assigned ...

This includes performing business process requirements analysis and documentation as well as system ... This remote role welcomes candidates anywhere in Canada and the US. Up to 50% of travel is required.

This includes performing business process requirements analysis and documentation as well as system ... This remote role welcomes candidates anywhere in Canada and the US. Up to 50% of travel is required.

If you need a fully developed process before you can succeed, this isn't the right opportunity. What You'll Own * Lead, coach, and develop a remote team of B2C Sales Representatives through daily ...

We are seeking candidates with strong software proficiency and experience in HR and payroll processes who are comfortable working in a remote environment. This remote role welcomes candidates ...

Remote Account Executive

Louisville, KY · On-site +1

$65K - $125K/yr

As a Remote B2B Phone Sales Closer, you will play a critical role in driving our growth by ... By providing contact information through the application process, candidates consent to receive ...

As a Remote B2B Phone Sales Closer, you will play a critical role in driving our growth by ... By providing contact information through the application process, candidates consent to receive ...

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Remote Processor information

What are the typical daily responsibilities of a Remote Processor working from home?

Remote Processors typically spend their days reviewing, verifying, and inputting data, processing documents or transactions, and maintaining accurate electronic records. You may also be responsible for communicating with internal teams or clients via email, chat, or virtual meetings to resolve discrepancies or gather additional information. Adhering to deadlines and strictly following company protocols for handling sensitive data is essential. Many roles offer a structured workflow while allowing for some flexibility in managing your own schedule, making it a good fit for detail-oriented, self-driven professionals.

What are the key skills and qualifications needed to thrive in the Remote Processor position, and why are they important?

To thrive as a Remote Processor, you typically need strong attention to detail, data entry proficiency, and familiarity with administrative or financial processes, often supported by a high school diploma or equivalent. Experience with document management systems, secure data platforms, and sometimes industry-specific software like loan processing or claims management tools is common. Exceptional organizational skills, self-motivation, and effective remote communication help set top candidates apart. These abilities ensure efficiency, accuracy, and reliability when processing sensitive documents or transactions remotely.

What is a Remote Processor job?

A Remote Processor is responsible for handling and managing data, transactions, or workflows remotely, often in fields like finance, healthcare, or customer service. This role typically involves reviewing, inputting, and processing information using digital tools and software. Strong attention to detail, accuracy, and time management skills are essential. Many Remote Processors work from home, ensuring efficiency and adherence to company guidelines.

What are the most commonly searched types of Processor jobs in Kentucky? The most popular types of Processor jobs in Kentucky are:
What cities in Kentucky are hiring for Remote Processor jobs? Cities in Kentucky with the most Remote Processor job openings:
Infographic showing various Remote Processor job openings in Kentucky as of July 2026, with employment types broken down into 79% Full Time, 10% Part Time, and 11% Contract. Highlights an 100% Remote job distribution.
Pharmacy Claims Processor / Remote

Pharmacy Claims Processor / Remote

BrightSpring Health Services

Louisville, KY • Remote

$20 - $23/hr

Full-time

Posted 9 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

219th of 238 rated social care providers


Job description

Overview

Step Into a Rewarding Role as an LTC Pharmacy Claims Specialist with PharMerica!

Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly matters—delivering exceptional care and service.

Why Join PharMerica?

  • Focused on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals, rehabilitation centers, long-term acute care hospitals, and specialized care centers across the nation.
  • Career Growth: We’re in high growth mode, offering plenty of opportunities for those looking to advance their careers.
  • Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!

What You’ll Do: As a dynamic Claims Specialist, you will:

  • Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our clients get the support they need.
  • Be a vital part of a team that’s dedicated to enhancing patient care through meticulous claims management and customer service.

Shift: Varying shifts available from 4:30am-12:00am. Overnight & Weekend shifts required.

Must have pharmacy claims or adjudication background.

What We Offer:

  • DailyPay
  • Flexible Schedules
  • Competitive Pay with Shift Differentials
  • Health, Dental, Vision, and Life Insurance
  • Company-Paid Disability Insurance
  • Tuition Assistance & Reimbursement
  • Employee Discount Program
  • 401k Plan
  • Paid Time Off
  • Non-Retail, Closed-Door Environment

Responsibilities

The Claims Specialist - 3rd Party:

  • Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks
  • Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines
  • Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement
  • Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes
  • Works as a team to identify, document, communicate and resolve payer/billing trends and issues
  • Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans
  • Prepares and maintains reports and records for processing
  • Performs other tasks as assigned

Qualifications

Education/Learning Experience:

  • Required: High School Diploma or GED
  • Desired: Associate’s or Bachelor’s Degree

Work Experience:

  • Required: Customer Service
  • Desired: Up to one year of related experience. Pharmacy Technician experience

Skills/Knowledge:

  • Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast-paced environment. Basic math aptitude. Microsoft Office Suite
  • Desired: Knowledge of the insurance industry’s trends, directions, major issues, regulatory considerations and trendsetters

Licenses/Certifications:

  • Desired: Pharmacy technician, but not required

What BrightSpring Health Services employees say

Pay

Benefits

Hours and flexibility

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