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Slp Remote Insurance Review Jobs in Kentucky (NOW HIRING)

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Nights and Weekends Remote position Benefits and perks for You! * Medical, Dental, Vision insurance ... Reviews variances and write-offs submitted by staff for accuracy of information and approval ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Nights and Weekends Remote position Benefits and perks for You! * Medical, Dental, Vision insurance ... Reviews variances and write-offs submitted by staff for accuracy of information and approval ...

PharMerica

Claims Specialist Team Lead

Louisville, KY · On-site +1

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

... Remote position Benefits and perks for You! * Medical, Dental, Vision insurance * Health Savings ... Reviews variances and write-offs submitted by staff for accuracy of information and approval ...

Lifepoint Health

Senior Analyst, Finance- Remote

Louisville, KY · Remote

$78K - $97K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Identify significant variances for further review and analysis. * Update the monthly calculation of ... Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability ...

Lifepoint Health

Senior Analyst, Finance- Remote

Louisville, KY · On-site +1

$78K - $97K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Identify significant variances for further review and analysis. * Update the monthly calculation of ... Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability ...

Ryder

Manager Corporate Security-REMOTE

Louisville, KY · Remote

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Job Seekers can review the Job Applicant Privacy Policy by clickinghere. : Summary The Corporate ... insurance and disability insurance options, as well as paid time off for vacation, illness ...

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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?

The top searched job categories for Slp Remote Insurance Review jobs in Kentucky are:

What cities in Kentucky are hiring for Slp Remote Insurance Review jobs?

Cities in Kentucky with the most Slp Remote Insurance Review job openings:

Slp Remote Insurance Review jobs near you

Claims Specialist Team Lead

PharMerica

Louisville, KY • On-site, Remote

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 7 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

PharMerica, a part of Brightspring Health Services, is a longterm care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organizations across the United States.

The 3rd Party Claims Specialist Team Lead is a subject matter expert (SME) on the company's denial research methods, internal and external databases, reporting tools and policies and procedures. The Team Lead is a SME on all types of denials and functions performed by both the Claims Specialist I and Claims Specialist II and acts as a trainer and mentor to both.

Shift: Nights and Weekends 

Remote position 

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 

*Benefits may vary by employment status 

Responsibilities
  • Trains new employees and ensures all applicable training materials are provided and reviewed
  • Provides support to staff and acts as a mentor/coach to promote a positive environment
  • Provides feedback on all levels of staff to supervisor to be used in employees one on ones, check-ups and reviews
  • Identifies staff performance issues and discuss with Supervisor
  • Provides the necessary re-training or one on one support with staff to assist in meeting the performance expectations
  • Assists management with fair distribution of work/site assignments being sure to communicate when the workloads are off balance and make suggestions on how to reconcile
  • Reviews variances and write-offs submitted by staff for accuracy of information and approval requirements before giving to Supervisor for approval
  • Performs monthly quality assessments on staff to ensure accuracy. Report any identified training needs to Supervisor and Manager for further review and follow-up action plan as needed
  • Prepares and maintain reports and records for processing as well as run and produce miscellaneous reports as assigned or necessary
  • Identifies potential financial exposure and risk to the company with underperforming or non-compliant payers
  • Stays up to date on third-party billing requirements
  • Monitors and provide support to those assigned to work convert billing exception reports to ensure claims are billed to accurate financial plans timely
  • Completes billing transactions for non standard order entry situations as required
  • Provides education to management and team members on payer specific claim processing rules, reimbursement, and other policy guidelines as gleaned by, and confirmed through working directly with payers
  • Takes initiative to find opportunities and make suggestions for process improvement within the department
Qualifications

EDUCATION/EXPERIENCE High School graduate, GED or equivalent experience. Desired: Associates degree, 4 year college or technical degree. 3+ years insurance billing experience. Specialized understanding of billing requirements in one of the following areas: Medicare Part D, Medicaid, and Commercial billing. Understanding of revenue cycle functions within pharmacy practice or equivalent setting.

LICENSE/CERTIFICATION/OTHER SPECIAL REQUIREMENTS Desired: Pharmacy Technician.

KNOWLEDGE/SKILLS/ABILITIES Strong analytical skills, excellent time management and attention to details. Working knowledge in MS Office Products (Excel, Word) and basic computer knowledge. Comfortable making phone calls and interacting with internal/external entities. AS400, Frameworks or QS1, Computer Systems Experience. Communication, problem solving, detail oriented and teamwork, customer service, and accuracy. Strong organization skills, self-starter, and confidence. Must be a positive mentor to all staff.

*This position will require sitting, standing, and walking. It will also require frequent typing on a keyboard. Ability to push/pull 21-30 lbs, and carry up to 21-30 lbs.*

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.Employment Type: FULL_TIME

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