### Experience Required 1 - 20 years ### Minimum Education Required High School Diploma/G.E.D. ### Compensation $7.25 / hourly ### Hours Per Week 40 ### Number Of Positions 1 ### Work Schedule and Shift Requirements First (Day) ### Job Description Requisition: 2026-194618 Pharmacy Claims Processor / Remote Job Locations US-KY-LOUISVILLE ID 2026-194618 Line of Business Amerita Position Type Full-Time Our Company Amerita Overview Step Into a Rewarding Role as a 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. 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 Amerita, an affiliate of BrightSpring Health Services, is a specialty infusion company focused on providing complex pharmaceutical products and clinical services to patients outside of the hospital. Committed to excellent service, our vision is to combine the administrative efficiencies of a large organization with the flexibility, responsiveness, and entrepreneurial spirit of a local provider. For more information, please visit www.ameritaiv.com. Follow us on Facebook, LinkedIn, and X. 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. Res-Care, Inc., dba BrightSpring Health Services (“ResCare”), is an Equal Opportunity Employer. ResCare does not discriminate against any person on the basis of gender, r ace, color, national origin, r eligion, disability, age, veteran status, gender identity or s exual orientation in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of gender in its health programs and activities. ### Job Type Full time ### Benefits Offered Not specified ### Veteran Preference No ### Place of Work On-site ### Requisition ID 2026-194618