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Weekend Medical Claims Processor Jobs in Kentucky

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

Evening/night must include a weekend. Shift differentials are availbale. Must have pharmacy claims ... 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

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 ...

Process incoming claims information and enter new loss reports into company systems. * Update ... Medical Claims * Litigation Support Required Qualifications * Strong customer service skills.

Process incoming claims information and enter new loss reports into company systems. * Update ... Medical Claims * Litigation Support Required Qualifications * Strong customer service skills.

$248.50 - $373/hr

... and medical claims reviews. Our role is to empower providers and members with the tools and ... Be knowledgeable in interpreting existing benefit language and policies in the process of clinical ...

This is a data entry position where you will be processing medical claims per the specific client requirements. Claims can vary and are highly customized depending on the service level. You will work ...

Approximately 1-2 weeks, on the job Training Pay: $16.00 per hour About the Role As a Medical Claims Data Entry Operator, you will accurately process information from medical claim forms while ...

AR Follow Up Specialist

Louisville, KY · On-site

$19.50 - $25.75/hr

... medical claims to insurance companies that have been denied, left pending or require remittance ... Working overpayment report by identifying refunds due to patient or insurance company and process ...

AR Follow Up Specialist

Louisville, KY · On-site

$19.50 - $25.75/hr

This position is responsible for the timely follow up of technical or professional medical claims ... Working overpayment report by identifying refunds due to patient or insurance company and process ...

AR Follow Up Specialist

Louisville, KY

$19.50 - $25.75/hr

... medical claims to insurance companies that have been denied, left pending or require remittance ... Working overpayment report by identifying refunds due to patient or insurance company and process ...

AR Follow Up Specialist

Louisville, KY · On-site

$19.50 - $25.75/hr

... medical claims to insurance companies that have been denied, left pending or require remittance ... Working overpayment report by identifying refunds due to patient or insurance company and process ...

$90 - $130/hr

The Complex Claims Manager manages complex Construction Defect claims processes, including ... Eligible full-time teammates enjoy access to medical, dental, vision, life, disability, and AD&D ...

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Showing results 1-20

Weekend Medical Claims Processor information

What is a weekend medical claims processor?

Weekend Medical Claims Processors are professionals responsible for reviewing, evaluating, and processing medical insurance claims during weekend shifts. Their duties include verifying patients' insurance information, ensuring claim forms are complete and accurate, and determining the eligibility of claims for payment. They play a key role in making sure that healthcare providers and patients receive timely reimbursement for medical services. Working weekends allows healthcare facilities and insurance companies to maintain efficient claims processing outside of standard business hours.

What skills and qualifications are needed to thrive as a weekend medical claims processor?

To thrive as a Weekend Medical Claims Processor, you need strong attention to detail, knowledge of medical billing codes, and familiarity with insurance policies, often supported by a high school diploma or relevant certification. Proficiency in claims management software, electronic health records (EHRs), and coding systems like ICD-10 and CPT is typically required. Excellent organizational skills, time management, and effective communication help you manage high volumes of claims accurately and interact with both patients and providers. These abilities are crucial for ensuring timely, error-free claims processing and maintaining compliance with insurance and healthcare regulations.

What unique challenges do weekend medical claims processors face compared to weekday shifts?

Weekend Medical Claims Processors often encounter challenges such as limited access to support staff and supervisors, since fewer team members may be available. This can require more independent problem-solving and familiarity with claims processing systems. Additionally, weekend shifts may involve managing urgent or time-sensitive claims that accumulated over the week. Despite these challenges, weekend roles can offer greater autonomy and the opportunity to develop strong troubleshooting skills in a quieter work environment.

What are the most commonly searched types of Medical Claims Processor jobs in Kentucky?

The most popular types of Medical Claims Processor jobs in Kentucky are:

What are popular job titles related to Weekend Medical Claims Processor jobs in Kentucky?

For Weekend Medical Claims Processor jobs in Kentucky, the most frequently searched job titles are:

What job categories do people searching Weekend Medical Claims Processor jobs in Kentucky look for?

The top searched job categories for Weekend Medical Claims Processor jobs in Kentucky are:

What cities in Kentucky are hiring for Weekend Medical Claims Processor jobs?

Cities in Kentucky with the most Weekend Medical Claims Processor job openings:

Infographic showing various Weekend Medical Claims Processor job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 15% Part Time, and 6% Contract. Highlights an 91% Physical, 1% Hybrid, and 8% Remote job distribution.

Pharmacy Claims Processor / Remote

BrightSpring Health Services

Louisville, KY • On-site

$16.25 - $20.75/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago


BrightSpring Health Services rating

4.9

Company rating: 4.9 out of 10

Based on 65 frontline employees who took The Breakroom Quiz

222nd of 245 rated social care providers


Job description


Pharmacy Claims Processor / Remote
Job Locations
US-KY-LOUISVILLE
ID
2026-191701
Line of Business
PharMerica
Position Type
Full-Time
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: Evening/night must include a weekend. Shift differentials are availbale.

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 Business
PharMerica, 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.


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