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Pharmacy Claims Remote Jobs (NOW HIRING)

PharMerica

Claims Specialist / Remote

Louisville, KY · On-site +1

We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly ... remote, giving you the freedom to work from anywhere! What You'll Do: As a dynamic Claims ...

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 ...

BrightSpring

340B Claims Specialist

Blanco, TX · Remote

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 ...

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Pharmacy Claims Remote information

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$15

$29

$45

How much do pharmacy claims remote jobs pay per hour?

As of Jul 16, 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 are the key skills and qualifications needed to thrive as a Pharmacy Claims Remote Specialist, and why are they important?

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 are pharmacy claims remote jobs?

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 July 2026, with employment types broken down into 90% Full Time, 5% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.
Pharmacy Claims Representative 2 - Remote

Pharmacy Claims Representative 2 - Remote

StateServ Medical

Remote

$22/hr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 23 days ago

Job description

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.

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

See how Dragonfly Health is transforming the world of hospice and post-acute 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
  • 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.

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 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.

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