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Remote Rn Insurance Jobs in Georgetown, KY (NOW HIRING)

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Remote Rn Insurance information

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$38

$65

How much do remote rn insurance jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for remote rn insurance in Georgetown, KY is $38.15, according to ZipRecruiter salary data. Most workers in this role earn between $28.41 and $45.14 per hour, depending on experience, location, and employer.

What are the key skills and qualifications needed to thrive as a Remote RN Insurance nurse?

To thrive as a Remote RN Insurance Nurse, you need an active RN license, a strong grasp of clinical practice, and experience in case management or utilization review. Familiarity with claims processing systems, telehealth platforms, and knowledge of medical coding (ICD-10, CPT) are typically required, along with certifications like CCM or URAC being advantageous. Exceptional communication, critical thinking, and time management skills help you collaborate with patients, providers, and insurance teams effectively. These competencies ensure accurate assessments, efficient case handling, and high-quality service in a remote, compliance-driven environment.

What is the difference between Remote Rn Insurance vs Remote Rn Case Manager?

AspectRemote Rn InsuranceRemote Rn Case Manager
CertificationsRN license, insurance knowledgeRN license, case management certification
Work EnvironmentInsurance companies, telehealthHealthcare facilities, telehealth
Employer & IndustryInsurance providers, telehealth companiesHospitals, insurance companies, healthcare agencies

Remote Rn Insurance focuses on assessing insurance claims and policy coverage, while Remote Rn Case Managers coordinate patient care plans. Both roles require RN licensure and involve telehealth work, but their primary responsibilities and employer settings differ.

What is a Remote RN Insurance nurse?

A Remote RN Insurance nurse is a registered nurse who works with insurance companies to review medical claims, assess patient care needs, and help determine the medical necessity of treatments—often from a home office. Their responsibilities may include case management, utilization review, and providing telephonic support to patients or healthcare providers. This role requires strong clinical experience, excellent communication skills, and the ability to analyze medical records and insurance policies. Working remotely, these nurses help ensure patients receive appropriate care while also managing healthcare costs for insurance providers.

What are some common challenges faced by Remote RN Insurance professionals, and how can they be managed effectively?

Remote RN Insurance professionals often encounter challenges such as managing a high volume of case reviews, maintaining clear communication with both patients and insurance teams, and staying updated with changing insurance policies and regulations. To manage these challenges, it’s important to develop strong organizational skills, utilize effective digital communication tools, and participate in ongoing training. Engaging with a supportive team and seeking mentorship within the organization can also help in adapting to the remote environment and ensuring quality outcomes.
What are popular job titles related to Remote Rn Insurance jobs in Georgetown, KY? For Remote Rn Insurance jobs in Georgetown, KY, the most frequently searched job titles are:
What job categories do people searching Remote Rn Insurance jobs in Georgetown, KY look for? The top searched job categories for Remote Rn Insurance jobs in Georgetown, KY are:
What cities near Georgetown, KY are hiring for Remote Rn Insurance jobs? Cities near Georgetown, KY with the most Remote Rn Insurance job openings:
Infographic showing various Remote Rn Insurance job openings in Georgetown, KY as of July 2026, with employment types broken down into 1% As Needed, 73% Full Time, 23% Part Time, and 3% Contract. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution, with an average salary of $79,342 per year, or $38.1 per hour.

Medicare Sales Representative

Abilis Health Plan

Lexington, KY • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 11 days ago


Job description

Our Company

Abilis Health Plan

Overview

We are seeking a remote Medicare Sales Account Representative/Executive for our Abilis Health Plan who will work with senior care partners to assist in enrolling new residents and members.  You will actively market our plan to new senior care partners within several of our plan service areas.  Regional travel in Kentucky and/or Tennessee is required.

We value candidates with healthcare direct sales and/or account management experience, a KY or TN State Insurance License (or willingness to quickly get one), and experience working with our elder community.  

Our base salary includes eligibility for a lucrative incentive bonus plan - paid monthly!

Our comprehensive benefit package includes:

  • Competitive compensation
  • Weekday and daytime shifts only
  • Mileage reimbursement/Rental car availability
  • Employee referral program
  • Professional licensure reimbursement
  • Tuition reimbursement on specific programs
  • Paid time off
  • 401(k) retirement savings plan
  • Medical, dental and vision
  • Life insurance
  • Flexible Spending Account (FSA)
  • Employee discounts
Responsibilities
  • Working with senior care partners to assist with enrolling new resident members and discussing plan benefits with senior care partners, potential plan members and their families.
  • Responsible for educating members on the plan and providing high quality customer service, providing professional, accurate and timely response to all inquiries regarding eligibility, plan coverage, coordination of benefits and claim payment solutions.
  • Assisting with resolution to Member and Provider issues. Refer all unresolved issues to the next level including grievance and appeals.
  • Actively market plan to new senior care partners within plan Service Area.
  • Assist with identifying key providers in market area that would enhance plan's network.
  • Meet the physical and sensory requirements stated below and be able to work in the described environment.
  • Responsible for year-round enrollment of eligible individuals into Signature Advantage's Institutional Special Needs Plan(s).
  • Manage market territory with plan service area.
  • Meeting New and existing members to collect information on early interventions for service or health needs and communicate this back to the Care Team.
  • Deliver approved sales and marketing presentations in accordance with applicable Centers for Medicare & Medicaid Services (CMS) and State guidelines and standards.
  • Conduct individual meetings, small group presentations and attend scheduled facility rollout meetings as needed.
  • Must communicate effectively with Medicare beneficiaries, their families, caretakers, nursing facility management and staff.
  • Must consistently achieve established sales goals and report all sales and field marketing results daily.
  • Responsible for tracking and maintaining accurate records in compliance with HIPAA / HITECH laws and Signature Advantage policies and procedures.
  • Other special projects and duties, as assigned.
Qualifications
  • Two-year associate/technical degree, bachelor's degree or experience with direct sales and account management preferred.
  • Tennessee/Kentucky State Health Insurance License required.
  • Experience working with the senior population preferred.
  • Ability to organize and manage multiple priorities is necessary.
  • Must be self-directed, highly motivated and possess excellent interpersonal communication skills.
  • Ability to prospect, set-up, present, close and utilize time for maximum results.
  • Problem analysis and problem resolution.
  • Ability to work independently with minimal direct supervision.
  • Must have reliable transportation and be able to pass a background check.
  • Regional travel is expected.
  • Effective verbal and written English communication skills.
  • Demonstrated intermediate to advanced skills in Microsoft Word, Excel, Power Point and Outlook, Internet and Intranet navigation.
  • Highest level of professionalism with the ability to maintain confidentiality.
  • Ability to communicate at all levels of organization and work well within a team environment in support of company objectives.
  • Customer service oriented with the ability to work well under pressure.
  • Strong attention to detail and accuracy, excellent organizational skills with ability to prioritize, coordinate and simultaneously maintain multiple projects with high level of quality and productivity.
  • Strong analytical and problem-solving skills.
  • Ability to work with minimal supervision, take initiative and make independent decisions.
  • Ability to deal with new tasks without the benefit of written procedures.
  • Approachable, flexible and adaptable to change.
  • Function independently, and have flexibility, personal integrity, and the ability to work effectively withstakeholders and vendors.
About our Line of BusinessAbilis Health Plan, an affiliate of BrightSpring Health Services, is a Medicare Advantage Plan covering all the benefits of Original Medicare (Parts A and B) with prescription drug coverage (Part D). The Abilis Health Plan is a unique plan allowing members to enroll year-round. The plan focuses on members who meet residential requirements in participating nursing facilities. An interdisciplinary team of clinicians and innovative services allow us to meet each member's clinical needs and provide preventive, coordinated, and quality healthcare. With a dedicated nurse practitioner leading a personalized care plan, we strive to improve the health of the communities in which we serve. For more information, please visit www.abilishealth.com. Follow us on LinkedIn.Additional Job Information

*Abilis Health Plan was formerly Signature Advantage*

Salary RangeUSD $65,000.00 - $80,000.00 / YearEmployment Type: FULL_TIME