Top 31 Review processor i Jobs in Kentucky

Pharmacy Claims Processor / Remote
PharMerica —Louisville, KY
- Full-time
- Remote
- Customer service
- Basic math
- Research
- Disability insurance
- Health insurance
Appraisal Review Processor I
COMMUNITY TRUST BANK INC —Pikeville, KY
- Office
- High school diploma or GED
- Criminal background check
- Paid holidays
- Disability insurance
Work From Home - Title Processor, Administrative QC (1st shift)
Court Street, USA —Kentucky
- From $15 an hour
- Full-time
- Remote
- Background check
- Computer literacy
- Research
- Health savings account
- Paid holidays
Quick Apply
13h
Mortgage Processor I
Commonwealth Credit Union —Frankfort, KY
- Background check
- Office
- High school diploma or GED
Accounts Payable Processor
Wieland —Louisville, KY
- Full-time
- Oracle
- Microsoft Outlook
- Office
- Health savings account
- Paid holidays
Mortgage Loan Processor
Liberty Federal Credit Union —Owensboro, KY
- Full-time
- Microsoft Excel
- Mid-level
- Office
- Paid holidays
- Disability insurance
Quick Apply
Residential Loan Processor II
Forcht Bank - Hamburg —Lexington, KY
- Weekends as needed
- Writing skills
- Mid-level
- Office
- Paid holidays
- Health insurance
Quick Apply
7d
Processor/Production
Neo Industries Kentucky, Inc. —Beaver Dam, KY
- 12 hour shift
- Computer literacy
- High school diploma or GED
- Computer skills
Quick Apply
Escrow Officer
Bluegrass Land Title, LLC —Ashland, KY
- $60,500 - $71,176 a year
- Full-time
- Mid-level
- Office
- Health savings account
- Paid holidays
Quick Apply
Clothing Processor (Part-Time)
Bass Pro Shops —Lexington, KY
- Part-time
- Merchandising
- High school diploma or GED
- Computer skills
- Paid holidays
- Dental insurance
3d
Closing Specialist
Keller Williams Bluegrass Realty —Lexington, KY
- $70,000 - $80,000 a year
- Customer service
- Mid-level
- Office
- Health insurance
- 401(k)
Quick Apply
Real Estate Assistant/Processor/Closer
Turner Land Title & Escrow Services, LLC —Benton, KY
- Full-time
- Background check
- Computer literacy
- Writing skills
Quick Apply
2d
Loan Processor
Republic Bank & Trust Company —Louisville, KY
- Overtime
- Microsoft Excel
- Mid-level
- Office
1d
Production Planner
Steel Technologies LLC —Eminence, KY
- Pass drug screening
- Mid-level
- Office
- Wellness program
- Health savings account
Quick Apply
10d
MORTGAGE LOAN SETUP SPECIALIST
Fischer Homes —Erlanger, KY
- Customer service
- Writing skills
- Mid-level
- Profit sharing
- Tuition reimbursement
Grossing Technician
St. Elizabeth Healthcare —Edgewood, KY
- Full-time
- Anatomy knowledge
- Surgery
- Hospital
- Health insurance
- Tuition reimbursement
1d
Production Partner
Benchmark Mortgage —Lexington, KY
- Full-time
- Mid-level
- Office
- High school diploma or GED
Quick Apply
11d
Production Operator – Paint Processor
The Pittsburgh Paints Co —Louisville, KY
- From $24.67 an hour
- 8 hour shift
- Computer literacy
- Mid-level
- Forklift
Quick Apply
Construction Inspector
Stantec —Lexington, KY
- Weekends as needed
- Background check
- Clean driving record
- Construction site
- Wellness program
- Health savings account
9d
Mortgage Loan Assistant
First Financial Bank —Louisville, KY
- Full-time
- Spanish
- Customer service
- Office
- Paid training

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review processor i jobs near kentucky

Pharmacy Claims Processor / Remote

PharMerica -
Louisville, KY

Apply Now

Job Details

Full-time

Benefits

Disability insurance
Health insurance
Dental insurance
401(k)
Tuition reimbursement
Paid time off
Vision insurance
Employee discount
Flexible schedule
Life insurance

Qualifications

Medicare
Serving clients
Customer service
Overseeing healthcare denial management
Basic math
Research
Mid-level
Pharmacy technician experience
High school diploma or GED
Medical billing discrepancy resolution
Health insurance knowledge
Industry trends
Medical claims submission
Filing patient billing claims
Medicaid
Productivity software
Associate's degree
Medical claim denial management
Leadership

Full 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 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.

Apply Now

Refine Your Search

review processor i jobs in kentucky

Pharmacy Claims Processor / Remote

Appraisal Review Processor I

Work From Home - Title Processor, Administrative QC (1st shift)

Mortgage Processor I

Accounts Payable Processor

Mortgage Loan Processor

Residential Loan Processor II

Processor/Production

Escrow Officer

Clothing Processor (Part-Time)

Closing Specialist

Real Estate Assistant/Processor/Closer

Loan Processor

Production Planner

MORTGAGE LOAN SETUP SPECIALIST

Grossing Technician

Production Partner

Production Operator – Paint Processor

Construction Inspector

Mortgage Loan Assistant

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