Pharmacy Claims Representative 2 - Remote
StateServ Medical
Job Category : Pharmacy Management & Operations Requisition Number : PHARM006695 Apply now Posted : March 11, 2026 Full-Time Locations Showing 1 location Mesa, AZ 85210, USA Description Dragonfly Health - A great place to land Dragonfly Health is the leading care-at-home data, technology and service platform, and the industry’s first scale durable medical equipment (DME) and pharmacy solution. Built on a 20-year history, Dragonfly Health uses advanced technology and robust analytics to manage DME and pharmaceutical services as part of a single, efficient solution for caregivers, patients, and their families. We serve over 145,000 patients every day in all 50 states. Here, you are an integral part of a team that is transforming the future of hospice and post-acute healthcare. This is where innovation, collaboration and compassion thrive, allowing us to carry out our work at the highest level to serve our patients at a time in their life when they need us most. We offer a dynamic and inclusive workplace where you'll have the unique opportunity to shape the future of healthcare alongside a passionate and talented team. We believe in empowering our employees to grow both personally and professionally, providing ample opportunities for career advancement, continuous learning, and skill development. Dragonfly Health is our name for a reason. The dragonfly is symbolic of the transformational impact we’re making on the industry, our people, and the lives we touch. We are a guiding force for what’s ahead, delivering more than equipment and medications, but also comfort and peace of mind. We are agile and adaptable, able to quickly and easily pivot from one point to the next, ready for whatever situation or patient need that arises. Whatever it takes. Wherever it takes us. What we offer Competitive Pay Growth Opportunity and Career Advancement Agile and Adaptable team culture Innovative and revolutionary technology solutions A higher calling to provide quality patient care Review, analyze, and process pharmacy claims with accuracy, timeliness, and adherence to company and regulatory standards. Identify discrepancies, investigate claim issues, and determine appropriate resolutions. Communicate effectively with pharmacies, providers, and internal teams to clarify information and resolve errors. Support audits and quality reviews by maintaining detailed, accurate claim documentation. Identify trends and share insights that can improve claim accuracy and efficiency. Uphold confidentiality and compliance with HIPAA and corporate policy standards. What we look for 1–2 years of pharmacy claims or healthcare operations experience. Working knowledge of pharmacy billing procedures, insurance verification, and third-party payer systems. Strong analytical, organizational, and data-entry skills. Proficiency in claims processing platforms and Microsoft Office tools. Ability to communicate professionally with providers and team members. High attention to detail and a commitment to getting it right the first time. Why Pharmacy Claims Representatives are important Each claim you touch impacts a patient’s access to care. By ensuring claims are processed correctly and efficiently, you help protect both patient satisfaction and business integrity. Your accuracy and dedication directly support our mission to deliver exceptional patient care and strengthen trust with every transaction. Let’s soar together Qualifications Skills Preferred Working knowledge of Microsoft Office Suite Some Knowledge Clear and effective communication Some Knowledge Education Required High School or better. Preferred Associates or better. Experience Required Experience with pharmacy claims adjudication is required. Preferred 1–2 years in pharmacy claims or healthcare billing Minimum of six (6) months of pharmacy technician experience. Licenses & Certifications Preferred CPhT or EXCPT Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor. #J-18808-Ljbffr
$23 per hour
...We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy... ...be a Full‑Time position and a remote hybrid opportunity after an... ...will adjudicate pharmacy claims, review claim responses for accuracy... ...or equivalent program from a 2‑year program or technical...Remote workFull timeTemporary workWork experience placementFlexible hoursShift work$47k - $67.2k
Gainwell Technologies is hiring a full-time Pharmacy Post-Payment Claims Analyst to join its remote team across the United States. Offering a competitive salary range... ...healthcare, or related field (preferred) Minimum of 2 years of experience in claims analysis, processing,...Remote jobPermanent employmentFull timeContract workFlexible hours- ...Outpatient Facility Claim Follow Up Representative Insight Global is looking for an Outpatient Facility Claim Follow Up Representative to support a large hospital system in the Maryland/DC area. This person is responsible for managing post-billing, specifically for...Remote jobContract work
$25 per hour
Onco360 is seeking a Pharmacy Claims Adjudication Specialist based in St. Louis, MO with opportunities to work remotely. This full-time role involves adjudicating pharmacy claims, ensuring... ...a High School Diploma or GED and at least 2 years of experience in pharmacy claims or...Remote jobFull timeRelocation package- ...CenterWell Pharmacy is looking for a Specialty Operations Pharmacy Technician 2 to support medication preparation and ensure effective communication with patients and providers. This remote position involves performing varied administrative and customer support activities...Remote work
- ...medications under the medical benefit, using Pharmacy and Therapeutics (P&T) Committee... ...Pharmacy Technician license. Requires at least 2 years of pharmacy-related experience and... ...Account Specialist - Portland/Sacramento - Remote Cardiovascular Territory Account Specialist...Remote workFull timeTemporary workWork experience placementWork at officeWork from homeFlexible hoursWeekend work
$55.2k - $75.9k
...the role Investigates and maintains crop claims by inspecting crops, evaluating damages... ...Range: $55,200-$75,900 The base pay range represents the typical range of potential salary... ...Bloomington, IL and offers hybrid, onsite and remote opportunities. If you're based at our...Remote workFull timeTemporary workInternshipWork at office- ...is hiring for a VistA Technical Subject Matter Expert (SME) - Tier 2 Support, a part-time remote position based in the U.S. This role involves advanced troubleshooting and operational support for pharmacy-related issues, requiring extensive experience in VistA and a...Remote jobPart time
- ...hiring a VistA Technical Subject Matter Expert (SME) - Tier 2 Support for a fully remote position. The expert will provide advanced troubleshooting... ...support for complex issues, focusing on critical pharmacy and IT application management. Ideal candidates will have...Remote job
$65 - $70 per hour
...seeking a VistA Technical Subject Matter Expert (SME) for Tier 2 Support. This fully remote role requires expertise in IT application administration... .... Responsibilities include resolving incidents related to pharmacy functions and collaborating with various stakeholders to...Remote jobHourly pay- GovCIO is seeking a VistA Technical Subject Matter Expert (SME) for Tier 2 Support. The role involves advanced troubleshooting and operational support for critical applications, fully remote within the U.S. Candidates should have a Bachelor's degree and extensive experience...Remote jobFlexible hours
$65 - $70 per hour
GovCIO is hiring a VistA Technical Subject Matter Expert (SME) for Tier 2 Support, fully remote. This role requires advanced troubleshooting and operational support for complex issues within IT applications. With core hours Monday through Friday, you will work closely with...Remote jobHourly payMonday to Friday$75k
...focus on lightning-fast quotes and seamless claims servicing is powered by cutting-edge... ...happier policyholders. *This position is a 100% remote U.S. based opportunity that can be based... ...based on hire date) Company Paid Holidays and 2 “Choose Your Own Holidays” It is the...Remote workDaily paidTemporary workFor contractorsLocal areaWork from home- ...Experienced Catastrophe Claims Representative Join to apply for the Experienced Catastrophe Claims Representative... ...or equivalent experience Minimum of 2 years claims handling experience or... ...Physical Damage Claim Representative (Remote) Indianapolis, IN $41,000.00-$62,000.00...Remote workFull timeFor contractorsLocal area
- ...a specialized home infusion pharmacy focused on bringing high-quality... .... Role: Health Insurance Claims Specialist This position... ...If you’re seeking a remote role, this position will not... ...confidently with insurance representatives and team members Take ownership...Remote workWork at officeMonday to Friday
$18 - $32 per hour
...Claims Representative / Insight Analyst Assistant This position is National Remote. You'll enjoy the flexibility to telecommute* from anywhere within the U.S. as you take on... ...Deadline: This will be posted for a minimum of 2 business days or until a sufficient...Remote workHourly payMinimum wageFull timeWork experience placementLive inLocal areaMonday to FridayFlexible hoursShift work$104k - $143k
...Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who... ...have an active license with the Board of Pharmacy in the state of residence Pharmacy degree... ...during peak season Travel: While this is a remote position, occasional travel to Humana's offices...Remote workDaily paidFull timeContract workApprenticeshipMonday to FridayFlexible hoursShift workWeekend work$62.4k - $93.6k
...Sr Representative Claims - CH08BE We’re determined to make a difference and are proud to be an insurance... ...This role can have a Hybrid or Remote work schedule. Candidates who live near... ...continuous improvement Qualifications Minimum of 2+ years of experience in workers'...Remote workTemporary workMonday to Friday3 days per week$40k - $52.3k
...Become a part of our caring community The Specialty Operations Pharmacy Technician 2 supports Pharmacists in Specialty Rx medication preparation... ...-5:30 PM EST or a 10 AM-6:30 PM EST Travel While this is a remote position, occasional travel to Humana's offices for training...Remote workTemporary workApprenticeshipMonday to Friday$25 per hour
...Position: Pharmacy Claims Adjudication Specialist Location: Burlington, VT Job ID: 5256 # of Openings... ...of Vermont. This position may work remotely. Shift times currently available: 9:00 am... ...degree or equivalent program from a 2‑year program or technical school, Certified...Remote workFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work$500 per month
Claims Specialist/Reklamationsmanagement (m/w/d) page is loaded## Claims Specialist/Reklamationsmanagement (m/w/d)remote type: Onsitelocations: Heppenheim - Germanytime type: Full timeposted... ...Schein borrowed $500 to start a corner pharmacy in Queens, New York, nearly 30...Remote workFlexible hours$18 - $32 per hour
...This position is national remote. You'll enjoy the flexibility... ...connecting people with the care, pharmacy benefits, data and resources they... ...expertise or general claims support to teams in reviewing,... ...will be posted for a minimum of 2 business days or until a sufficient...Remote workHourly payMinimum wageFull timeContract workWork experience placementLive inWork at officeLocal areaMonday to FridayShift work$62.4k - $93.6k
Job Title General Liability Litigation Senior Claim Representative / Consultant Location Remote / Virtual (Hybrid options available for employees living near... ...that celebrates diversity and inclusion. Qualifications 2-5+ years of relevant experience managing general...Remote workWork experience placementWork at office$18 per hour
...when executed as part of an overall sourcing strategy. NTT DATA currently seeks a Remote Medical Claims Representative to join our team in a remote position. This is a US based, W-2 project. All candidates will be paid through NTT DATA only. Role...Remote workHourly payTemporary workFlexible hours$61k - $113k
...USD $61000.00 - $113000.00 Job Category: Claims Description At Liberty, you'll thrive in a... ...and growth. This approach optimizes both remote and in-person interactions, enabling you to... ...or equivalent work experience. Minimum of 2 years' experience in claims adjustment, general...Remote workFull timeWork experience placementWork at officeLocal area$115k - $120k
...Consultative Pharmacist 2 - Remote (TN, PA) Schedule: Monday - Friday, 2:30PM - 11:00PM EST Must reside in PA or TN to be considered... ...industry's first scale durable medical equipment (DME) and pharmacy solution. Built on a 20-year history, Dragonfly Health uses advanced...Remote jobRelocation packageMonday to Friday$57 per hour
...Pharmacist Reviewer to work from home in Massachusetts. This role supports clinical pharmacy services and involves optimizing treatments with healthcare teams. Candidates should have 1-2 years of experience and an active Massachusetts Pharmacist License. The position offers...Remote workHourly payWork from homeFlexible hours- ...Consultative Pharmacist 2 Job Category: Pharmacy Management & Operations Full-Time Remote Philadelphia, PA 19102, USA +1 more locations Job Details Description Dragonfly Health is the leading care-at-home data, technology and service platform, and the...Remote workFull time
- Caremed-Specialty-Pharmacy in Houston, TX is seeking a Pharmacy Adjudication Specialist. The role involves adjudicating pharmacy claims and managing communications with patients and insurers to ensure timely medication delivery. This is a Full-Time position offering a hybrid...Remote jobFull timeRelocation package
- CareMed Specialty Pharmacy is hiring a Pharmacy Adjudication Specialist in Louisville, KY. This role involves adjudicating pharmacy claims, ensuring timely responses, and communicating effectively with patients and providers. Ideal candidates have a minimum of 1 year of...Remote job
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