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Pharmacy Claims Remote Jobs (NOW HIRING)

Actalent

Pharmacy Technician

Cary, NC · On-site +1

$22.50/hr

Process pharmacy claims through Biologics MIS and interpret claim responses to determine next steps ... for remote work based on business needs. Hours fall between 8:00 AM and 8:00 PM Eastern Time ...

Actalent

Remote MTM Pharmacist

$60 - $70/hr

Review patients' medical information and pharmacy claims to identify gaps in care, drug therapy ... remote position. Application Deadline This position is anticipated to close on Aug 21, 2026. About ...

New

Actalent

Remote MTM Pharmacist

$60 - $70/hr

Review patients' medical information and pharmacy claims to identify gaps in care, drug therapy ... remote position. Application Deadline This position is anticipated to close on Aug 21, 2026. About ...

New

Sentara Healthcare

Pharmacy IT Solutions Manager

Norfolk, VA · On-site +1

$63 - $74/hr

The manager functions as a subject matter expert for pharmacy systems, pharmacy claims data ... For positions that are available as remote work, Sentara Health employs associates in the following ...

Firstsource

Claims Examiner

$17 - $20/hr

United States (Remote) Employment Type: Full-Time Experience Required: Minimum 2 years in US Health ... Review, validate, and process medical, behavioral health, and pharmacy claims in accordance with ...

Firstsource

Claims Examiner

$17 - $20/hr

United States (Remote) Employment Type: Full-Time Experience Required: Minimum 2 years in US Health ... Review, validate, and process medical, behavioral health, and pharmacy claims in accordance with ...

Amwins

Amwins A&H- Claims Manager, Stop Loss

Seattle, WA · Remote

Manager, Stop Loss Claims (Remote) Amwins Accident & Health Underwriters, formerly known as Beacon ... Stay abreast of industry changes as related to emerging medical and pharmacy trends as well as cost ...

Amwins

Amwins A&H- Claims Manager, Stop Loss

Seattle, WA · Remote

Manager, Stop Loss Claims (Remote) Amwins Accident & Health Underwriters, formerly known as Beacon ... Stay abreast of industry changes as related to emerging medical and pharmacy trends as well as cost ...

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Pharmacy Claims Remote information

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$45

How much do pharmacy claims remote jobs pay per hour?

As of Aug 10, 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.
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What cities are hiring for Pharmacy Claims Remote jobs? Cities with the most Pharmacy Claims Remote job openings:
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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% Internship, 1% As Needed, 74% Full Time, 22% Part Time, and 2% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution, with an average salary of $61,156 per year, or $29.4 per hour.

340B Claims Specialist

BrightSpring Health Services

Blanco, TX • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 16 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

PharMerica


Step Into a Rewarding Role as a 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.

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

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

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

PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn.

This is an excellent opportunity to move from a retail to office environment for those who are willing to learn claims, billing and insurance processing.

Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.


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