2

Remote Pharmacy Billing Adjudication Jobs (NOW HIRING)

Prior authorization and insurance billing experience. * Specialty pharmacy experience. * Bilingual Spanish skills are a plus. Work Environment * 100% Remote * Equipment provided, including laptop and ...

New

Remote Pharmacy Technician

$18 - $21.75/hr

Registered Pharmacy Technician - Call Center (Remote) This role offers an opportunity for a ... Experience with prior authorization processes and insurance billing. * Experience in healthcare or ...

Certified Pharmacy Technician - Billing

$18.50 - $22.50/hr

This is an office (or remote) based, cubicle environment, allowing the Pharmacy Technician to ... Perform claim adjudication and auditing duties such as prior authorizations, billing and ...

New

next page

Showing results 1-20

Remote Pharmacy Billing Adjudication information

See salary details

$13

$22

$34

How much do remote pharmacy billing adjudication jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for remote pharmacy billing adjudication in the United States is $22.71, according to ZipRecruiter salary data. Most workers in this role earn between $18.51 and $25.00 per hour, depending on experience, location, and employer.

What is remote pharmacy billing adjudication?

Remote pharmacy billing adjudication is the process of evaluating and processing pharmacy insurance claims from a remote location, rather than on-site at a pharmacy. Professionals in this role review prescription claims, verify patient insurance information, ensure compliance with payer requirements, and resolve any billing discrepancies. This helps pharmacies receive accurate and timely reimbursement for medications dispensed. Remote adjudicators often use specialized software to interact with insurance companies and pharmacy benefit managers (PBMs).

What are the key skills and qualifications needed to thrive as a remote pharmacy billing adjudication specialist?

To excel in Remote Pharmacy Billing Adjudication, you need a solid understanding of pharmacy billing processes, insurance claims, and reimbursement regulations, often supported by experience in pharmacy or healthcare billing. Familiarity with pharmacy management software, claims adjudication systems, and knowledge of HIPAA compliance are typically required. Attention to detail, problem-solving abilities, and strong communication skills are vital for resolving billing discrepancies and assisting patients or providers. These skills ensure accurate claim processing, timely reimbursements, and regulatory compliance, which are crucial for both patient satisfaction and pharmacy operations.

What are some common challenges faced in a remote pharmacy billing adjudication role and how can they be managed?

Remote pharmacy billing adjudication professionals often encounter challenges such as navigating complex insurance policies, resolving claim rejections, and ensuring compliance with ever-changing regulations. Working remotely can also make collaboration with pharmacists and insurance representatives more reliant on clear digital communication. Staying organized, utilizing secure communication platforms, and participating in ongoing training can help overcome these challenges and ensure efficient claim processing. Proactively seeking clarification on unclear policies and maintaining thorough documentation are also key strategies for success in this role.

What is the difference between Remote Pharmacy Billing Adjudication vs Remote Pharmacy Claims Processing?

AspectRemote Pharmacy Billing AdjudicationRemote Pharmacy Claims Processing
Primary RoleReview and approve pharmacy claims for payment based on insurance policies and regulationsSubmit and manage pharmacy claims to insurance companies, ensuring accuracy and completeness
CredentialsKnowledge of insurance policies, pharmacy billing, and coding; certifications like CPC or CPhT are commonSimilar credentials; focus on claims submission and processing skills
Work EnvironmentRemote, healthcare or insurance companies, pharmacy benefit managersRemote, insurance providers, pharmacy benefit management companies

While both roles involve handling pharmacy claims, Remote Pharmacy Billing Adjudication focuses on reviewing and approving claims for payment, ensuring compliance with policies. Remote Pharmacy Claims Processing emphasizes submitting and managing claims from start to finish. Understanding insurance rules and accurate documentation are essential in both roles, but adjudication requires more review and decision-making skills.

More about Remote Pharmacy Billing Adjudication jobs

What cities are hiring for Remote Pharmacy Billing Adjudication jobs?

Cities with the most Remote Pharmacy Billing Adjudication job openings:

What are the most commonly searched types of Pharmacy Billing Adjudication jobs?

The most popular types of Pharmacy Billing Adjudication jobs are:

What states have the most Remote Pharmacy Billing Adjudication jobs?

States with the most job openings for Remote Pharmacy Billing Adjudication jobs include:

What job categories do people searching Remote Pharmacy Billing Adjudication jobs look for?

The top searched job categories for Remote Pharmacy Billing Adjudication jobs are:

Infographic showing various Remote Pharmacy Billing Adjudication job openings in the United States as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $47,241 per year, or $22.7 per hour.

Pharmacy Billing Specialist

Guardian Pharmacy

Indianapolis, IN • On-site, Remote

$18.50 - $24.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago


Job description

Indianapolis, Indiana, United States of America

Extraordinary Care. Extraordinary Careers.

With one of the nation's largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career.

Guardian Pharmacy of Indiana, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Indianapolis, Indiana.

Why Guardian Pharmacy of Indiana? We're reimagining medication management and transforming care.

Who We Are and What We're About:

Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.

We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you.

If you enjoy solving problems and helping bring resolution to billing and insurance challenges, this may be the opportunity for you. We are looking for someone with a positive attitude, strong work ethic, and willingness to learn. For the right person, we are happy to provide training and support to help you succeed.

In this role, you will accurately process customer bills and insurance claims, assist with daily and month-end billing activities, answer questions, resolve billing issues, and help collect outstanding balances. You will work directly with patients, caregivers, medical providers, and insurance carriers.

What we're looking for:

  • A positive attitude, strong work ethic, and willingness to learn

  • Experience with claims adjudication and an understanding of how insurance works

  • Healthcare experience; pharmacy experience is helpful but not required

  • Collections experience or a willingness to make collection calls

  • Strong communication skills and a calm, professional approach

  • Ability to work efficiently in a fast-paced environment

  • Comfort navigating multiple computer systems while assisting customers by phone

  • A dependable, team-oriented approach and commitment to excellent customer service

Schedule and work arrangement:

  • Tuesday-Saturday, 9:00 a.m.-6:00 p.m.

  • This position will begin onsite and may become hybrid or fully remote based on demonstrated performance.

Education and Certifications:

  • High school diploma or GED required.

Skills and Qualifications:

  • One or more years of related experience.

  • Advanced computer skills required. Experience with pharmacy information systems is preferred.

  • Ability to work independently and meet deadlines.

  • Strong attention to detail and accuracy.

  • Ability to manage multiple tasks in a fast-paced, team-oriented environment while meeting strict deadlines.

  • Quality-focused and motivated to identify errors and investigate inaccuracies.

What We Offer:

Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, "Treat others as you would like to be treated."
Compensation & Financial

  • Competitive pay
  • 401(k) with company match

Family, Health & Insurance Benefits (Full-Time employees working 30+ hours/week only)

  • Medical, Dental and Vision
  • Health Savings Accounts and Flexible Spending Accounts
  • Company-paid Basic Life and Accidental Death & Dismemberment
  • Company-paid Long-Term Disability and optional Short-Term Disability
  • Voluntary Employee and Dependent Life, Accident and Critical Illness
  • Dependent Care Flexible Spending Accounts

Wellbeing

  • Employee Assistance Program (EAP)
  • Guardian Angels (Employee assistance fund)

Time Off

  • Paid holidays and sick days
  • Generous vacation benefits based on years of service

The Guardian Difference

Our clients require pharmacy services that aren't "cookie cutter." That's why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients' needs.

Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location.

Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today's dynamic business environment.

At Guardian,we are dedicated to fostering and advancing a diverse and inclusive workforce.

Join us to discover what your best work truly looks like.