Prior Authorization Specialist — Healthcare Claims & Billing
PharMerica
PharMerica in Louisville, KY, is seeking a detail‑oriented Prior Authorization Coordinator to manage approvals for pharmacy claims and coordinate with prescribers and facility contacts when therapy changes are needed due to coverage. You will track claims in QuickBase, prepare weekly spreadsheets, follow up within 4–5 business days, and support billing and operations while advocating for clients in a non‑retail, closed‑door environment. #J-18808-Ljbffr PharMerica
$5,000 per month
Medicare B Specialist PharMerica, a part of Brightspring... ...management to healthcare organizations across... ...responsible for research, billing, collections, and/or... ...processing, and tracking prior authorizations on behalf of... ...Transmits electronic claim to Medicare B and after...ClaimsFull timeLocal areaRemote workMonday to FridayFlexible hoursShift work$7.25 per hour
...Description Requisition: 2026-194285 Prior Authorization Specialist Job Locations US-KY-LOUISVILLE... ...ideal candidate has experience in healthcare billing environment (pharmacy preferred) and is familiar with on-line claims processing and Medicaid and Medicare...ClaimsHourly payFull timeLive inWork at officeFlexible hoursShift work- ...our customers. Job Summary: The Prior Authorization Specialist is responsible for all aspects of the... ...of insurance companies and billing authorization/referral requirements... ...preferred • Knowledge of reimbursement and claims processing procedures to include billing...ClaimsFor contractorsWork experience placementWork at officeRemote work
- ...days. Responsibilities The Prior Authorization Coordinator is responsible... ...completing approvals for pharmacy claims requiring prior... ...are followed up. Assist the Billing Department with resolving unbilled... ...technical skills. Experience in a healthcare billing environment (...ClaimsFlexible hoursShift work
$50k
...solutions that span the entire healthcare value chain. Formed by the... ...therapy. The Reimbursement Specialist works in a dynamic and... ...Summary. Coordination of prior authorizations based on payer guidelines and... ...PharmaCord Lynk, to complete claims processing and keep...ClaimsFull timeTemporary workWork at officeImmediate start$5,000 per month
...and pharmacy management to healthcare organizations across the United... ...opportunities and prior authorization requests. This role is responsible... ...and have Third party Medical Billing experience Remote: May... ...following up on outstanding claims Individual with an understanding...ClaimsHourly payWork at officeRemote workMonday to FridayFlexible hoursShift work- ...career designed with you in mind. At Norton Healthcare, you'll find an organization that values and... ...computer work Obtaining lab specimens Prior authorizations Adhering to safety and infection guidelines Billing and coding Maintaining electronic medical...Full timeTraineeshipWork at officeMonday to Friday
- ...Responsibilities ~ The Prior Authorization Coordinator is responsible for... ...either approval for pharmacy claims requiring prior authorization... ...followed up on Assists Billing Department with resolving unbilled... ...skills Experience in healthcare billing environment (...ClaimsFlexible hoursShift work
$20 per hour
...Job Description Job Description Accounts Receivable & Healthcare Billing Coordinator Location: Louisville, KY — 100% On-Site Schedule... ...have experience managing accounts receivable aging, unpaid claims, claim denials, insurance follow-up, and provider portals ....ClaimsMonday to Friday- ...continuous goal of being the Best Healthcare Company in The Midwest.... ...skilled Rehab Accounts Receivable Specialist with experience using... ...record (EMR) systems for monthly billing, as well as experience working... ...coding errors, preparing claims for appeals and reconsideration...ClaimsWeekly pay
$11 per hour
A national healthcare staffing firm is looking for a call center representative to handle routing and transferring of customer and provider questions related to claims. Ideal candidates will have a HS diploma or GED and experience in healthcare customer service or a call...ClaimsMonday to Friday- ...resolving denied Professional Billing (PB/CMS-1500) and/or... ...Billing (HB/UB-04) claims. This role identifies... ...actions in Epic prior to taking the next action... ...but not limited to: No Authorization, Timely Filing, Coordination... ...of experience in healthcare revenue cycle, denial...ClaimsWork experience placementLocal areaRemote work
$11 per hour
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting... ...Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories,... ...customer and provider questions in regards to claims to the appropriate departments...ClaimsPrivate practiceWork at officeAll shiftsMonday to FridayShift work- ...include managing the entire order life cycle (from request to billing) while providing outstanding customer service. Process incoming... ...expectations for issues beyond the scope of support. Manage warranty claims and RMAs. Provide review & pricing of recommended spare parts...ClaimsRemote workNight shift
- ...with the continuous goal of being the Best Healthcare Company in The Midwest. Position Overview Job Summary: The Leave Specialist administers and manages employee leave... ...guidance to employees and managers, process claims, maintain accurate records, and analyze leave...ClaimsWeekly payWork at officeLocal areaWork from homeHome office
- Seven Counties in Louisville, KY is seeking a dedicated Medical Billing Clerk to handle insurance forms, billing specifications, and claim transmissions. The role requires maintaining accurate 1500 HCFA data, following up on unpaid claims, and ensuring compliance with...Claims
$28.55 per hour
The University of Louisville is seeking a Medical Billing Coordinator II for their Patient Billing office. This role involves coding patient visits, managing insurance claims, and ensuring compliance with billing standards. Strong bookkeeping and medical coding experience...ClaimsWork at office- ...Medical Billing Specialist As a Medical Billing Specialist, you will be responsible for processing and managing medical claims and invoices for healthcare services provided to patients. Your primary objective will be to ensure accurate billing, timely submission of...ClaimsTemporary work
- ...seeking a Rehab Accounts Receivable Specialist to support rehabilitation billing across PT, OT, and speech therapy.... ..., verify insurance, and submit claims with accuracy and timeliness. In this... ...with payers, and collaborate with healthcare providers to maximize...Claims
$13.5 per hour
This is a full-time permanent healthcare claims adjudicator position. A claims adjudicator determines how much money will be paid after an insurance... ...free work environment to meet our company policies. Medical Billing and Coding degree/certification. Previous experience in a...ClaimsPermanent employmentFull timeWork at officeMonday to FridayFlexible hoursWeekday work- ...PharMerica, is seeking a detail-oriented Prior Authorization Coordinator for a non-retail, closed-... ...focuses on timely PA processing, claims tracking, and collaboration with prescribers... ...facilities. The ideal candidate has healthcare billing experience, familiarity with online...Claims
- A healthcare provider in Louisville, KY is seeking a Patient Service Specialist. This role involves managing patient interactions from the front desk, including greeting patients, scheduling appointments, and handling insurance verification. Ideal candidates will have at...
- ...Skilled Nursing Home Billing Specialist ClearView Healthcare Management is looking for a Skilled Nursing Home Billing Specialist with Medicaid billing... ...balancing the daily census Prepare and review patient claims for accuracy and completeness, resolving discrepancies...ClaimsFull timeWork at officeLocal areaFlexible hours
- Description The Field Reimbursement Specialist (FRS) will be responsible for the management... ...reimbursement journey through payer prior authorization to appeals/denials requirements... ...office support in accurate coding and billing for the client's products. Minimum Qualifications...Work at officeFlexible hours
$20 - $26 per hour
As a medical billing specialist, you will be responsible for processing and managing medical claims and invoices for healthcare services provided to patients. Your primary objective will be to ensure accurate billing, timely submission of claims, and efficient reimbursement...ClaimsHourly payPermanent employmentTemporary workWork experience placementWork at officeShift work- ...is responsible for efficiently securing prior authorization or payor source for dentures in... ...include assisting patients, providers and billing staff with coordinating of referrals, obtaining... ...all ancillary specialties, including claim creation. Maintains data management...ClaimsWork at office
$50k - $55k
...seek to identify reasonable prices for healthcare while protecting their employees against... ...area of concern in particular is balance-billing: the practice by some providers of medical... ...a national basis to reduce healthcare claims costs, among many other tasks, including...ClaimsWork at office- ...financial transactions within our billing and collections department.... ...ensure full adjudication of claims. Identifies adjustments... ...communication with Billing Specialist, Cash Application Analyst and... ...preferred. At least 2 years healthcare billing, private insurance...ClaimsDaily paidFull timeWork from home
$15 per hour
...spanning the customer lifecycle across Healthcare, Banking and Financial Services,... ...members and providers byassisting with billing and claims inquiries, enrollment and eligibility... ...provider searches, ID card requests, authorization status checks, CPT code lookups, pharmacy...ClaimsHourly payLocal areaWork from homeMonday to FridayShift work- ...continuous goal of being the Best Healthcare Company in The Midwest.... ...The Medicare Part B Billing & Accred. Specialist serves as a subject matter... ...requirements. Ensures all claims are submitted accurately and... ...proactively addressing gaps prior to billing. Supports internal...ClaimsWeekly payWork at officeLocal area
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