Pharmacy Claims Representative 2 - Remote

Pharmacy Claims Representative 2 - Remote

This position is working in a remote call center environment

Schedule: Monday - Friday, 2:30PM - 11:00PM EST & every 4th weekend rotation

Compensation: $22.00/HR + 12% shift differential applied to all hours worked after 6:00PM on weekdays and 5% shift differential applied to all weekend hours worked

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 starting at $22.00 per hour + shift differentials applied during evenings (after 6:00PM and all weekend hours)
• Comprehensive Benefits Package (Health, Dental, Vision, PTO, Sick Time, 401k w/match, etc.)
• Growth Opportunity and Career Advancement
• Agile and Adaptable team culture
• Innovative and revolutionary technology solutions
• A higher calling to provide quality patient care

What You Will Do

• In a remote call center environment, you will 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

• 12 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.

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

1+ years in pharmacy claims billing Experience with pharmacy claims adjudication is required Experience working in a pharmacy environment

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.