Pharmacy Claims Processor

3 days ago


Louisville, Kentucky, United States BrightSpring Health Services Full time

We are seeking a skilled professional to fill the role of Pharmacy Claims Processor at PharMerica, a leading pharmacy services provider. In this role, you will be responsible for the accurate and timely adjudication of all prescriptions, as well as performing other clerical duties as assigned.

The ideal candidate will have excellent customer service and communication skills, both written and verbal. They should also be able to prioritize and meet pre-determined deadlines, effectively multi-task, and be proficient at typing and with advanced technical skills.

This is a Hybrid position, with 1 day on-site and 4 days in your home office after completing 30 days of on-site training. Applicants must live in or be commutable to Louisville, KY. We offer a competitive salary of USD $17.00 per hour, along with daily pay, flexible schedules, health insurance, and tuition reimbursement, among other benefits.

About the Role
  • Ensure the accuracy and timely adjudication of resident billing and re-billing through Medicare Part B & D, Medicaid, Hospice, and Private Insurance Plans
  • Daily, weekly, and monthly review and resolution of unbilled claims
  • Review monthly billing statements for facilities to ensure billing accuracy
  • Claim research and resolution
  • Partner with facility contacts when there are issues with claim processing in order to achieve adjudication/payment
About Us

PharMerica is a full-service pharmacy solution providing value beyond medication. We are one of the nation's largest pharmacy companies, offering unmatched employee development, exceptional company culture, seemingly endless opportunities for advancement, and the highest hiring goals in decades.

If you are a detail-oriented individual with strong communication skills and experience in healthcare billing, we encourage you to apply for this exciting opportunity.



  • Louisville, Kentucky, United States Synchrony Health Services Full time

    We are seeking an experienced Pharmacy Billing Associate to join our team at Synchrony Health Services! As a Pharmacy Billing Associate, you will be responsible for processing and ensuring the accuracy of invoices to customers, providing healthcare professionals with assistance on various insurance plans, and running daily reports to identify denied...


  • Louisville, Kentucky, United States LHH Recruitment Solutions Full time

    Job SummaryWe are seeking a highly skilled Pharmacy Technician to join our team at LHH Recruitment Solutions in Kentucky. This role offers an excellent opportunity for career advancement and growth.About the RoleThe Customer Service Registered Pharmacy Technician will be responsible for processing medication orders, providing customer support, and assisting...


  • Louisville, Kentucky, United States Insight Global Full time

    About the JobThe Insight Global company is seeking an experienced Billing Specialist to join our team. The ideal candidate will have a strong understanding of healthcare billing, private insurance or federally funded programs, and be able to work effectively in a fast-paced environment.Key Duties:Process and submit billings through various channels.Review...


  • Louisville, Kentucky, United States CorVel Full time

    Job Summary">The Care Advocate Nurse plays a crucial role in overseeing initiatives surrounding assessing the severity of workers' reported injuries, reviewing medical data in CareMC, validating and securing medical information, and evaluating prescribed treatment of work-related injuries.">This position functions as a nurse consultant, supporting the goals...


  • Louisville, United States BrightSpring Health Services Full time

    Pharmacy Order Entry TechnicianJob LocationsUS-KY-LOUISVILLEIDLine of BusinessPharMericaPosition TypeFull-TimeOur CompanyPharMericaOverviewJoin our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our...


  • Louisville, United States LHH Recruitment Solutions Full time

    Job DescriptionJob DescriptionLocation: Louisville, KYSchedule: Monday – Friday, 8:30 AM – 5:00 PMPosition OverviewDo you have retail Pharmacy experience? LHH Recruitment Solutions is seeking a Customer Service Registered Pharmacy Technician in Kentucky for a contract position with the potential to convert to permanent. This role focuses on processing...

  • Pharmacy Trainer

    1 week ago


    Louisville, United States Knipper Health Full time

    Overview YOUR PASSION, ACTIONS & FOCUS is our Strength Become one of our Contributors Join the KnipperHEALTH Team! The Pharmacy Trainer conducts program and system training, as well as, quality assurance for the assigned program(s). The Pharmacy QA/ Trainer will assist in the deployment, adherence, and execution of the training plan and support the design...

  • Pharmacy Trainer

    2 weeks ago


    Louisville, United States Knipper Health Full time

    YOUR PASSION, ACTIONS & FOCUS is our StrengthBecome one of our ContributorsJoin the Knipper HEALTH Team!The Pharmacy Trainer conducts program and system training, as well as quality assurance for the assigned program(s). The Pharmacy QA/ Trainer will assist in the deployment, adherence, and execution of the training plan and support the design and/or modify...


  • Louisville, United States Knipper Health Full time

    Overview YOUR PASSION, ACTIONS & FOCUS is our Strength Become one of our Contributors Join the KnipperHEALTH Team! POSITION SUMMARY: The Pharmacy Data Entry Supervisor manages the pharmacy data entry team, activities, processing, order fulfillment and deliverables associated with assigned Pharmacy Program(s). Responsibilities * Ensure prescription...


  • louisville, United States Knipper Health Full time

    YOUR PASSION, ACTIONS & FOCUS is our StrengthBecome one of our ContributorsJoin the Knipper HEALTH Team!The Pharmacy Trainer conducts program and system training, as well as quality assurance for the assigned program(s). The Pharmacy QA/ Trainer will assist in the deployment, adherence, and execution of the training plan and support the design and/or modify...

  • Process Analyst

    3 weeks ago


    Louisville, United States BrightSpring Health Services Full time

    Accounts Receivable Process AnalystJob LocationsUS-KY-LOUISVILLEIDLine of BusinessBrightSpring Health ServicesPosition TypeFull-TimePay MinUSD $18.00/Hr.Pay MaxUSD $21.00/Hr.Our CompanyBrightSpring Health ServicesOverviewAre you a numbers aficionado, skillful in maximizing costs and minimizing expenses? Finance and Accounting focuses on the organization‘s...


  • Louisville, United States LHH Recruitment Solutions Full time

    Job DescriptionJob DescriptionJob Title: Benefits Verification CoordinatorLocation: Hybrid Schedule (Onsite/Remote)Position Overview:LHH Recruitment Solutions is seeking a motivated and adaptable Benefits Coordinator Verification to join a pharmacy team in Louisville, KY. Primary responsibility will be to verify insurance benefits and eligibility for...


  • louisville, United States Knipper Health Full time

    YOUR PASSION, ACTIONS & FOCUS is our StrengthBecome one of our ContributorsJoin the Knipper HEALTH Team!The Trainer conducts program and system training, as well as quality assurance for the assigned program(s). The Trainer will assist in the deployment, adherence, and execution of the training plan and support the design and/or modify courses and curriculum...

  • Trainer

    3 days ago


    Louisville, United States Knipper Health Full time

    YOUR PASSION, ACTIONS & FOCUS is our StrengthBecome one of our ContributorsJoin the Knipper HEALTH Team!The Trainer conducts program and system training, as well as quality assurance for the assigned program(s). The Trainer will assist in the deployment, adherence, and execution of the training plan and support the design and/or modify courses and curriculum...


  • Louisville, United States MRG Exams Full time

    Are you a Licensed Audiologist looking to take on an assessment role?Would you find it rewarding to serve the Veteran community?This is a travel opportunity. Audiologist will travel to different locations - Across the United States, staying in the destination city for a week at a time to conduct exams, Monday to Friday.You choose which weeks you would like...

  • Pharmacist

    3 months ago


    Louisville, United States Knipper HEALTH Full time

    Overview: YOUR PASSION, ACTIONS & FOCUS is our Strength Become one of our Contributors Join the KnipperHEALTH Team! Locations: 2700 Blankenbaker Pkwy, Louisville KY 40299 Retail Pharmacist- are you ready for a change? If so, our Closed-Door Specialty Pharmacy might be a great fit for you! Knipper is looking for 2 Full time Pharmacist for our Louisville...


  • Louisville, United States Knipper HEALTH Full time

    Overview : YOUR PASSION, ACTIONS & FOCUS is our Strength Become one of our Contributors Join the KnipperHEALTH Team! KnipperHealth is a highly profitable, rapidly growing company that is competitively unique and nimble in service solutions. We offer incredibly competitive pay and benefits that start on your first day of employment. Things you can expect...


  • Louisville, United States Norton Healthcare Full time

    Responsibilities The Coordinator, Provider Credentialing-Int assists where needed for credentialing and re-credentialing, verifying documents, certifications, licensures and education. Verification of malpractice insurance and issuing Certificate of Insurance for NMG providers, Hospitals, and pharmacies each year. Assigns new providers to the associate...

  • Care Advocate Nurse

    2 weeks ago


    Louisville, KY, United States CorVel Co. Full time

    The Care Advocate Nurse oversees initiatives surrounding assessing the severity of the injured workers’ reported injury(ies), reviews medical data in CareMC, validates and secures medical information, assesses and evaluates prescribed treatment of work-related injury. The Care Advocate Nurse functions as a nurse consultant, supporting the goals of the...


  • Louisville, United States Knipper Health Full time

    Overview YOUR PASSION, ACTIONS & FOCUS is our Strength Become one of our Contributors Join the KnipperHEALTH Team! The Team Lead, Patient Support would have the responsibility to monitor team activity and effectiveness, manage queues in the Call Center Software as unexpected increases/decreases in volumes dictate, update FAQs as required, handle...


  • Louisville, KY, United States MRG Exams Full time

    Are you a Licensed Audiologist looking to take on an assessment role?Would you find it rewarding to serve the Veteran community?This is a travel opportunity. Audiologist will travel to different locations - Across the United States, staying in the destination city for a week at a time to conduct exams, Monday to Friday.You choose which weeks you would like...


  • Louisville, United States Knipper Full time

     YOUR PASSION, ACTIONS & FOCUS is our StrengthBecome one of our ContributorsJoin the KnipperHEALTH Team! The Team Lead, Patient Support would have the responsibility to monitor team activity and effectiveness, manage queues in the Call Center Software as unexpected increases/decreases in volumes dictate, update FAQs as required, handle escalations,...


  • Louisville, United States Knipper Full time

     YOUR PASSION, ACTIONS & FOCUS is our StrengthBecome one of our ContributorsJoin the KnipperHEALTH Team! The Team Lead, Patient Support would have the responsibility to monitor team activity and effectiveness, manage queues in the Call Center Software as unexpected increases/decreases in volumes dictate, update FAQs as required, handle escalations,...