ZipRecruiter

Log In

2

Pharmacy Claims Remote Jobs (NOW HIRING)

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

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 ...

BrightSpring

Pharmacy Claims Processor / Remote

Louisville, KY · Remote

$15.50 - $19.75/hr

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 ...

PharMerica

Pharmacy Claims Processor / Remote

Louisville, KY · On-site +1

$15.50 - $19.75/hr

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 ...

RiteChoice Rx

Claims Auditor

This position is remote, with occasional travel to the corporate office. Essential Job Duties * Perform routine internal audits of pharmacy claims to ensure billing accuracy, proper documentation ...

next page

Showing results 1-20

All JobsPharmacy Claims JobsPharmacy Claims Remote Jobs

Pharmacy Claims Remote information

See salary details

$15

$29

$45

How much do pharmacy claims remote jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for pharmacy claims remote in the United States is $29.40, according to ZipRecruiter salary data. Most workers in this role earn between $22.36 and $35.10 per hour, depending on experience, location, and employer.

How does a pharmacy claims remote professional typically collaborate with other team members when working from home?

Pharmacy Claims Remote professionals frequently interact with pharmacists, insurance representatives, and other claims specialists using virtual communication tools like email, chat, and video conferencing. While most tasks are individually completed, such as reviewing and processing claims, there are regular team meetings to discuss complex cases or policy updates. Clear communication and timely responses are essential to ensure claims are handled efficiently and in compliance with regulations. The remote setting requires proactive engagement with team members to address any issues and maintain workflow continuity.

What skills and qualifications are needed to thrive as a pharmacy claims remote specialist?

To thrive as a Pharmacy Claims Remote Specialist, you need strong attention to detail, knowledge of pharmacy operations, and familiarity with insurance claim processes, often supported by a pharmacy technician certification or relevant experience. Proficiency with pharmacy benefit management (PBM) systems, claims processing software, and electronic health record (EHR) platforms is typically required. Excellent communication, problem-solving, and organizational skills help you efficiently resolve claim issues and support customers remotely. These skills ensure accurate claims processing, regulatory compliance, and high-quality service for patients and providers.

What is a pharmacy claims remote job?

Pharmacy claims remote jobs involve processing and reviewing prescription drug claims for insurance companies, pharmacy benefit managers, or healthcare organizations from a remote location. These roles typically require knowledge of pharmacy billing, insurance procedures, and healthcare regulations. Employees in these positions may verify coverage, resolve claim discrepancies, and communicate with pharmacies, patients, or insurance providers. Strong attention to detail and computer skills are important, and some positions may require pharmacy technician certification or prior experience in claims processing.
More about Pharmacy Claims Remote jobs
What cities are hiring for Pharmacy Claims Remote jobs? Cities with the most Pharmacy Claims Remote job openings:
What are the most commonly searched types of Pharmacy Claims jobs? The most popular types of Pharmacy Claims jobs are:
What states have the most Pharmacy Claims Remote jobs? States with the most job openings for Pharmacy Claims Remote jobs include:
What job categories do people searching Pharmacy Claims Remote jobs look for? The top searched job categories for Pharmacy Claims Remote jobs are:
Pharmacy Claims Remote jobs near you
Infographic showing various Pharmacy Claims Remote job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 69% Full Time, 27% Part Time, and 3% Contract. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

Pharmacy Claims Processor / Remote

BrightSpring Health Services

Louisville, KY • Remote

$20 - $23/hr

Full-time

Re-posted 20 days ago

BrightSpring Health Services rating

4.8

Company rating: 4.8 out of 10

Based on 62 frontline employees who took The Breakroom Quiz

220th of 239 rated social care providers

Job description

Overview

Step Into a Rewarding Role as an LTC Pharmacy 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.

Shift: Varying shifts available from 4:30am-12:00am. Overnight & Weekend shifts required.

Must have pharmacy claims or adjudication background.

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

What BrightSpring Health Services employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom