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Slp Remote Insurance Review Jobs in Kentucky (NOW HIRING)

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ... Reviews and works to convert billing exception reports to ensure claims are billed to accurate ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ... Reviews and works to convert billing exception reports to ensure claims are billed to accurate ...

BrightSpring

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ... Reviews and works to convert billing exception reports to ensure claims are billed to accurate ...

BrightSpring

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

Company-Paid Disability Insurance * Tuition Assistance & Reimbursement * Employee Discount Program ... Reviews and works to convert billing exception reports to ensure claims are billed to accurate ...

Schulte

Remote Staff Accountant

Louisville, KY · On-site +1

$52K - $69K/yr

Multiple Health Insurance and Life Insurance options 401k Plan + Company Match for eligible ... Run, review and distribute month end owner's reports for assigned portfolio based on ownership ...

Schulte Companies

Remote Staff Accountant

Louisville, KY · On-site +1

$50K - $66K/yr

Multiple Health Insurance and Life Insurance options 401k Plan + Company Match for eligible ... Run, review and distribute month end owner's reports for assigned portfolio based on ownership ...

Schulte Companies

Remote Staff Accountant

Louisville, KY · On-site +1

$50K - $66K/yr

Multiple Health Insurance and Life Insurance options 401k Plan + Company Match for eligible ... Run, review and distribute month end owner's reports for assigned portfolio based on ownership ...

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All JobsSlp Insurance Review JobsSlp Remote Insurance Review JobsSlp Remote Insurance Review Jobs in Kentucky

Slp Remote Insurance Review information

What is an SLP Remote Insurance Review?

An SLP Remote Insurance Review is a process in which a licensed Speech-Language Pathologist (SLP) reviews patient documentation and insurance information remotely—often from home—to determine coverage for speech therapy services. This role involves evaluating medical records, verifying insurance benefits, and ensuring that therapy services meet the necessary criteria for reimbursement. SLPs in this position may also communicate with insurance companies and healthcare providers to clarify requirements or resolve issues. This work supports both patients and providers by helping to streamline the approval process for necessary therapy.

What skills and qualifications are needed to thrive as an SLP Remote Insurance Review specialist?

To thrive as an SLP Remote Insurance Review Specialist, you need a valid Speech-Language Pathology (SLP) license, in-depth knowledge of clinical documentation, and understanding of insurance and reimbursement processes. Familiarity with electronic health records (EHR), insurance portals, and medical billing software is commonly required. Outstanding attention to detail, analytical thinking, and effective written communication are vital soft skills for reviewing records and interacting with providers or payers. These skills ensure accurate claim reviews, compliance, and efficient authorization processes critical for timely patient care and reimbursement.

What are common challenges faced by SLPs performing remote insurance reviews, and how can they be managed?

SLPs conducting remote insurance reviews often encounter challenges such as navigating complex insurance policies, ensuring timely documentation, and effectively communicating with insurance representatives and clients. Staying organized with electronic health records and maintaining up-to-date knowledge of coverage criteria can help manage these challenges. Additionally, clear and professional communication, both written and verbal, is essential for advocating for clients and resolving potential coverage disputes.

What is the difference between Slp Remote Insurance Review vs Speech-Language Pathologist?

AspectSlp Remote Insurance ReviewSpeech-Language Pathologist
CredentialsTypically requires background in insurance or healthcare billing, not necessarily SLP certificationRequires state licensure and CCC-SLP certification
Work EnvironmentRemote, administrative setting focused on insurance claims and reviewsClinical, healthcare setting or private practice providing therapy services
Employer & IndustryInsurance companies, healthcare billing firmsHospitals, clinics, schools, private practices

While Slp Remote Insurance Review involves evaluating insurance claims related to speech therapy, Speech-Language Pathologists provide direct therapy services to clients. The former is more administrative and insurance-focused, often remote, whereas the latter is clinical and patient-facing.

What are popular job titles related to Slp Remote Insurance Review jobs in Kentucky?

For Slp Remote Insurance Review jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Slp Remote Insurance Review jobs in Kentucky look for?

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Slp Remote Insurance Review jobs near you

Pharmacy Claims Processor / Remote

PharMerica

Louisville, KY • On-site, Remote

$15.50 - $19.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago

PharMerica rating

6.6

Company rating: 6.6 out of 10

Based on 103 frontline employees who took The Breakroom Quiz

66th of 112 rated pharmacies

Job description

Our Company

PharMerica

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
About our Line of BusinessPharMerica, 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.Additional Job Information

This is an excellent opportunity to move from a retail to office environment for those who are willing to learn claims, billing and insurance processing.

Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.

Employment Type: FULL_TIME

What PharMerica employees say

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