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
$53.76k - $85.14k
...Claims Services Representative 1/Trainee 1/2 - NYHELPS Occupational Category: Other Professional Careers Salary Grade: NS Bargaining Unit: PS&T - Professional, Scientific, and Technical (PEF) Salary Range: From $53764 to $85138 Annually Employment Type:...Remote workPermanent employmentFull timeTraineeship- ...Claims Services Representative Under the general supervision of a Claims Services Representative 2 responsibilities include, but are not limited to: Oversee all aspects of workers compensation claims processing from inception to closing Initially determine...Remote workPermanent employmentTraineeship
$24.46 per hour
...Duration: 6 Month Contract Location: REMOTE Description: Summary: The main... ...Benefits Processor is to analyze disability claim information, make benefit decisions and... ...equivalent combination of education and/or relevant experience • 2-4 Years' ExperienceRemote workHourly payContract workWork experience placementWork at officeLocal area$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... ...healthcare, or related field (preferred) Minimum of 2 years of experience in claims analysis, processing,...Remote workPermanent employmentFull timeContract workFlexible hours$72.8k - $130k
...Epic Tapestry Claims Analyst Optum is a global organization that... ...connecting people with the care, pharmacy benefits, data and resources... ...enjoy the flexibility to work remotely from anywhere within the U.S.... ...will be posted for a minimum of 2 business days or until a...Remote workMinimum wageFull timeWork experience placementLocal area- ...divh2Outpatient Facility Claim Follow Up Representative/h2pInsight 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...Remote jobContract work
$22 per hour
...Dragonfly Health is hiring a Pharmacy Claims Representative 2 for a remote role based in Arizona. The position focuses on processing pharmacy claims accurately and efficiently, while ensuring compliance with regulations. Ideal candidates will have 1-2 years of experience...Remote workHourly payShift work$140k - $150k
...Technical Subject Matter Expert (SME) - Tier 2 Support to provide advanced troubleshooting for IT applications. This fully remote role focuses on supporting complex issues... ...Candidates should have proficiency in VistA Pharmacy namespaces and a strong background in communication...Remote work$23 per hour
...We are seeking a Pharmacy Adjudication Specialist at our Specialty pharmacy... ...Full-Time position.This is a remote hybrid opportunity, after... ...will adjudicate pharmacy claims, review claim responses for accuracy... ...or equivalent program from a 2 year program or technical...Remote workFull timeTemporary workWork experience placementRelocation packageFlexible hoursShift work$140k - $150k
...GovCIO is hiring a Technical Subject Matter Expert (SME) - Tier 2 Support, fully remote role in Atlanta, Georgia. You will provide advanced... ...support for complex IT application issues, primarily related to pharmacy functions. The candidate should have 15 years of experience...Remote work$140k - $150k
...GovCIO is seeking a Technical Subject Matter Expert (SME) - Tier 2 Support to provide advanced troubleshooting and support for complex Tier 1 issues. This fully remote position requires a Bachelor's degree with 15 years of relevant experience. The role includes responsibilities...Remote work$140k - $150k
...is seeking a Technical Subject Matter Expert (SME) - Tier 2 Support to provide advanced troubleshooting and operational support for IT applications related to pharmacy management. This position is fully remote and requires strong knowledge of VistA Pharmacy systems. The...Remote work$140k - $150k
...GovCIO is seeking a Technical Subject Matter Expert (SME) - Tier 2 Support. This fully remote position demands strong expertise in VistA Pharmacy and advanced troubleshooting skills. You will resolve complex issues, assist Tier 1 staff, and maintain operational support...Remote work$140k - $150k
...hiring for a Technical Subject Matter Expert (SME) - Tier 2 Support, fully remote, to provide advanced troubleshooting and support for complex... ...IT issues. The role involves resolving incidents related to pharmacy applications and requires a Bachelor's degree with 15 years...Remote work- Job Title: Pharmacy Technician 2 - 590080 Address: Various, TX Job Description Verify prescriptions for accuracy. Prepare medications... ...regarding medication use. Critical Information Remote or on-site to be determined. Compliance with pharmacy...Remote workFull time
$140k - $150k
...GovCIO is hiring a fully remote Technical Subject Matter Expert (SME) - Tier 2 Support in Tallahassee, Florida. The role involves advanced troubleshooting and... ...including resolving incidents, troubleshooting pharmacy functions, and maintaining documentation. #J-18808-Ljbffr...Remote work- ...GovCIO is seeking a Technical Subject Matter Expert (SME) - Tier 2 Support to provide advanced troubleshooting, system expertise, and... ...operational support for complex issues from Tier 1. This fully remote position requires deep knowledge of IT application administration...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
$140k - $150k
...GovCIO is hiring a Technical Subject Matter Expert (SME) - Tier 2 Support, fully remote role based in the U.S. You will provide advanced... ...of experience or a Bachelor's degree, with skills in VistA Pharmacy and related technologies. The role offers a salary range of...Remote work$140k - $150k
...GovCIO is seeking a Technical Subject Matter Expert (SME) - Tier 2 Support for a fully remote position based in the U.S. This role involves troubleshooting, system expertise, and operational support for advanced technical issues. Candidates should have deep knowledge...Remote workMonday to Friday- ...is hiring a Technical Subject Matter Expert (SME) - Tier 2 Support for fully remote work in the U.S. This role involves advanced troubleshooting... ...ideal candidate will have extensive experience with VistA Pharmacy namespaces, strong organizational skills, and the ability...Remote work
$140k - $150k
...GovCIO is seeking a Technical Subject Matter Expert for Tier 2 Support. This fully remote position requires expertise in IT application... ...support issues. The role involves troubleshooting VistA Pharmacy-related tasks and collaborating with various stakeholders...Remote work- ...GovCIO is looking for a Technical Subject Matter Expert (SME) - Tier 2 Support to provide extensive troubleshooting and operational support. The position is fully remote and requires deep knowledge in IT application administration to assist critical customer environments...Remote work
- ...Technical Subject Matter Expert (SME) - Tier 2 Support to provide advanced... ...and support for complex issues. This fully remote role requires strong knowledge in IT application... ...of experience, with proficiency in VistA Pharmacy namespaces and the ability to manage multiple...Remote workCurrently hiring
$140k - $150k
...Technical Subject Matter Expert (SME) - Tier 2 Support, responsible for advanced... ...for IT applications. The position is fully remote and requires extensive knowledge in IT application... ...and substantial experience in VistA Pharmacy systems. This role requires effective collaboration...Remote work$140k - $150k
...GovCIO is hiring for a fully remote Technical Subject Matter Expert (SME) - Tier 2 Support to provide advanced troubleshooting and operational support. This role requires a Bachelor's degree and significant experience in IT application administration. Responsibilities...Remote work- ...Technical Subject Matter Expert (SME) - Tier 2 Support to provide advanced troubleshooting and operational support. This fully remote position requires deep knowledge of IT... ...technical documentation. Knowledge of VistA Pharmacy namespaces and a Bachelor's degree with 15...Remote work
$43k - $56.2k
...The Consumer Engagement, Consultative Pharmacy Technician advocate plays a key role in Humana... ...school diploma or equivalent required ~2+ years customer service, pharmacy benefit... ...secure website Travel: While this is a remote position, occasional travel to Humana's offices...Remote workBi-weekly payFull timeTemporary workApprenticeshipSeasonal workWork at officeWork from homeHome officeShift workWeekend work$170k
...Health Facility Blood Bank Weight Loss Center Pharmacies Lasik Center Hospital Nursing Homes Risk... ...Liability General Liability GL _ . REMOTE WORK FROM HOME MAY BE AVAILBLE Seeking experienced... ...Degree Minimum Experience Requirements: 2-5 years Job City Location: Utica Job...Remote workContract workSecond jobWork from homeRelocation package$150k - $200k
...Blood Bank Weight Loss Center Pharmacies Lasik Center Hospital Nursing... ...Liability General Liability GL _ . REMOTE WORK FROM HOME MAY BE AVAILBLE... ...customer needs. • Analyze claims and quantify losses. • Document... ...: • Bachelor’s degree. • 2 years of medical malpractice...Remote workContract workSecond jobWork from homeRelocation package
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