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Req ID:
2026-194231

Medicare B Specialist

Louisville
,
Ky
PharMerica
Finance & Accounting
Full-Time
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2026-194231

Louisville
,
Ky
Non-Exempt
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Job Overview

PharMerica, a part of Brightspring Health Services, is a long‑term care pharmacy services provider that supplies medications, clinical support, and pharmacy management to healthcare organizations across the United States.

 

The Medicare B Specialist will be responsible for research, billing, collections, and/or resolution of an assigned account portfolio in accordance with PharMerica’s policies.

 

The position requires a high level of attention to detail when initiating, processing, and tracking prior authorizations on behalf of customers. Working closely with EMAR systems, healthcare facilities, and clinical teams, the Medicare D Biller serves as a key point of contact throughout the prior authorization process, ensuring efficient coordination, thorough documentation, and successful resolution of authorization requests.

 

The ideal candiate will be a Certified Pharmacy Technician (desired) and have two years billing and/or collections experience; Medicare B preferred

 

Remote: May reside anywhere with the Continental USA.

Schedule: Monday - Friday, 8:00am - 4:30pm eastern time zone

 

Benefits and perks for You!    

  • Medical, Dental, Vision insurance   
  • Health Savings & Flexible Spending Accounts (up to $5,000 for childcare)   
  • Tuition discounts & reimbursement   
  • 401(k) 
  • Company Paid Time Off*
  • Shift Differential 
  • DailyPay
  • Pet Insurance
  • Employee wellness and discount programs 

 

 

Responsibilities

  • Conducts job responsibilities in accordance with the standards set out in the Company’s Code of Business Conduct and Ethics, policies and procedures, Corporate Compliance Agreement, applicable federal and state laws, and professional standards
  • Investigates Medicare B eligibility such as diagnosis, place of service, and medication for payment
  • Prepares assignment of benefits, written orders, and obtains signatures from responsible parties
  • Collects refill requests and dated manifest for each dispense
  • Transmits electronic claim to Medicare B and after primary payment is received, prepares claim for secondary payer when applicable
  • Responds to Medicare payer audits
  • Maintains a thorough knowledge of Medicare coverage criteria, billing, coding, and documentation requirements

Qualifications

  • High School Diploma or GED; Associate degree desired
  • Two years billing and/or collections experience; Medicare B preferred
  • Familiarity with standard concepts, practices, and procedures with discipline
  • Certified Pharmacy Technician
  • Strong analytical, communication, and interpersonal skills

About Us

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.

Notice of Use of Artificial Intelligence Tools in the Recruitment Process

At BrightSpring Health Services, our LEGACY culture guides how we lead, how we serve, and how we show up for one another. We are committed to doing the right thing—leading with integrity, accountability, and transparency in all that we do. As part of this commitment, we share that we may use third-party artificial intelligence (AI) to process employment data in connection with our hiring processes. Any AI tool that we use always has humans in the loop; we do not use AI to automate employment decisions or to discriminate, and we do not use zip codes as proxy. Humans – our hiring leaders and recruiter – make final decisions. BrightSpring Health Services provides reasonable accommodations to qualified applicants and employees with disabilities; if you would like to request a reasonable accommodation, please contact your recruiter or send an inquiry to TalentAcquisition@brightspringhealth.com. For more information about how our company uses AI in the hiring process, contact TalentAcquisition@brightspringhealth.com.

BrightSpring is an Equal Opportunity Employer.

BrightSpring Health Services and its affiliated companies provide equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.

If you have a disability and are unable to use our online tools to search or apply for jobs, we would like to assist.  Please contact us for accommodation assistance.

Equal Opportunity Employment Posters

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