ZipRecruiter

Log In

2

Remote Pharmacy Claims Auditor Jobs (NOW HIRING)

RiteChoice Rx

Claims Auditor

Pharmacy auditing, medical billing auditing, or pharmacy technician experience is strongly ... This position is remote, with occasional travel to the corporate office. Essential Job Duties

Corporate Hiring Solutions

Be Seen First

Claims Auditor

Liverpool, NY · Remote

$60 - $70/day

REMOTE but travel to occasionally Liverpool, NY / Central New York Job Type: Contract ... The Claims Auditor will independently review district expenditures, invoices, vouchers, purchase ...

Centivo

Claims Auditor

Buffalo, NY · Remote

$55K - $60K/yr

Centivo is seeking a Claims Auditor who will be responsible for conducting pre-payment, post ... All other applicants will be considered for remote positions. Centivo Values: * Resilient - This is ...

Actalent

100% REMOTE Pharmacy Technician

$18 - $21.75/hr

100% REMOTE Pharmacy Technician The Pharmacy Technician supports multiple pharmacy operations areas ... Strong attention to detail for auditing claims, verifying information, and maintaining accurate ...

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 ...

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 ...

Actalent

100% Remote Pharmacy Technician

$18 - $21.75/hr

100% REMOTE Pharmacy Technician The Pharmacy Technician supports multiple pharmacy operations areas ... Strong attention to detail for auditing claims, verifying information, and maintaining accurate ...

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 ...

Actalent

Remote Pharmacy Technician

$18 - $23/hr

Remote Pharmacy Technician The Pharmacy Technician supports a wide range of pharmacy operations ... Strong attention to detail when auditing claims, reviewing formulary status, and maintaining ...

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 ...

next page

Showing results 1-20

All Jobsremote JobsHealthcare JobsHospital JobsMedical Records Clerk JobsRemote Pharmacy Claims Auditor Jobs

Remote Pharmacy Claims Auditor information

See salary details

$14

$26

$47

How much do remote pharmacy claims auditor jobs pay per hour?

As of Aug 25, 2026, the average hourly pay for remote pharmacy claims auditor in the United States is $26.83, according to ZipRecruiter salary data. Most workers in this role earn between $19.71 and $29.81 per hour, depending on experience, location, and employer.

What is a remote pharmacy claims auditor?

A Remote Pharmacy Claims Auditor is a professional who reviews and analyzes pharmacy claims submitted to insurance companies or pharmacy benefit managers to ensure accuracy, compliance with regulations, and to detect fraud or billing errors. They work from a remote location using specialized software to audit prescription drug claims, assess documentation, and verify proper billing practices. Their work helps organizations minimize financial losses and maintain compliance with healthcare laws. Typically, they collaborate with pharmacists, insurance representatives, and other healthcare professionals. Attention to detail, knowledge of pharmacy operations, and familiarity with claims processing are essential for this role.

What skills and qualifications are needed to be a remote pharmacy claims auditor?

To thrive as a Remote Pharmacy Claims Auditor, you need a strong background in pharmacy operations, claims processing, and knowledge of healthcare regulations, often supported by a pharmacy technician certification or relevant degree. Familiarity with pharmacy benefit management (PBM) software, claims auditing tools, and proficiency in Microsoft Excel are typically required. Attention to detail, analytical thinking, and effective communication are essential soft skills for identifying discrepancies and collaborating with stakeholders. These skills ensure accurate claim reviews, compliance with regulations, and prevention of financial losses for healthcare organizations.

What are common challenges faced by remote pharmacy claims auditors and how can they be managed?

Remote Pharmacy Claims Auditors often encounter challenges such as interpreting complex insurance policies, staying updated on ever-changing regulatory requirements, and managing large volumes of claims data accurately. Working remotely also means maintaining effective communication with team members and stakeholders, which may require proficiency with digital collaboration tools and disciplined time management. To address these challenges, successful auditors regularly participate in ongoing training, leverage claims management software, and establish clear routines for collaboration and reporting.

What is the difference between Remote Pharmacy Claims Auditor vs Remote Pharmacy Reimbursement Specialist?

AspectRemote Pharmacy Claims AuditorRemote Pharmacy Reimbursement Specialist
CredentialsCertification in claims auditing or pharmacy billingPharmacy or healthcare reimbursement certifications
Work EnvironmentRemote, healthcare or insurance companiesRemote, pharmacy benefit managers or healthcare providers
Industry UsageInsurance, pharmacy benefit managementPharmacy operations, healthcare reimbursement
Primary FocusAuditing claims for accuracy and complianceProcessing and managing reimbursement processes

The Remote Pharmacy Claims Auditor primarily reviews and verifies pharmacy claims for accuracy and compliance, ensuring proper billing and reducing fraud. In contrast, the Remote Pharmacy Reimbursement Specialist focuses on managing reimbursement processes, optimizing payments, and resolving billing issues. Both roles are essential in healthcare and pharmacy sectors, often working remotely for insurance companies or pharmacy benefit managers, but they differ in their core responsibilities and focus areas.

More about Remote Pharmacy Claims Auditor jobs

What cities are hiring for Remote Pharmacy Claims Auditor jobs?

Cities with the most Remote Pharmacy Claims Auditor job openings:

What are the most commonly searched types of Pharmacy Claims Auditor jobs?

The most popular types of Pharmacy Claims Auditor jobs are:

What states have the most Remote Pharmacy Claims Auditor jobs?

States with the most job openings for Remote Pharmacy Claims Auditor jobs include:

What job categories do people searching Remote Pharmacy Claims Auditor jobs look for?

The top searched job categories for Remote Pharmacy Claims Auditor jobs are:

Remote Pharmacy Claims Auditor jobs near you
Infographic showing various Remote Pharmacy Claims Auditor 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 $55,805 per year, or $26.8 per hour.

Claims Auditor

Remote

RiteChoice Rx
See more jobs at RiteChoice Rxexternal

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 hours ago

Job description

Are you detail-oriented, analytical, and interested in helping pharmacies strengthen compliance and reduce audit risk? Do you enjoy reviewing information, identifying patterns, and helping teams improve their processes? RiteChoice Rx may be the right fit for you.
At RiteChoice Rx, you’ll be part of a growing independent pharmacy organization that partners with community health centers and providers to support patients across Philadelphia and surrounding areas. Our mission is simple: provide fast, friendly, and affordable pharmacy services to the communities we care about.
We are seeking an organized and compliance-focused Claims Auditor to join our Compliance Department. This role will support internal pharmacy claims auditing, help identify billing and documentation discrepancies, and work closely with pharmacy teams and operational leadership to strengthen audit readiness.
The ideal candidate is someone who can review claim details carefully, communicate findings clearly, and support a culture of compliance across the organization. Pharmacy auditing, medical billing auditing, or pharmacy technician experience is strongly preferred.
Supervision
The Claims Auditor will report directly to the Compliance Manager.
  • This is a full-time position.
  • 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, and compliance with federal, state, PBM, and company requirements.
  • Review submitted and adjudicated claims to confirm that key claim elements are accurate, including patient information, prescriber details, medication, quantity, day supply, DAW codes, origin codes, insurance billing, and supporting documentation.
  • Identify, investigate, and document claim discrepancies, billing irregularities, documentation deficiencies, refill timing concerns, override issues, cash billing variances, and other potential audit risks.
  • Ensure claims are properly supported by required documentation, including hardcopy notes, signatures, delivery records, claim history, payer communication, rebill notes, reversal activity, and override documentation.
  • Monitor pharmacy billing practices to help reduce audit exposure, chargebacks, and compliance concerns.
  • Track audit findings and identify patterns or recurring issues that may point to workflow, training, or process gaps.
  • Communicate audit results, trends, and potential risks to the Compliance Manager, pharmacy leadership, and operational teams.
  • Partner with pharmacy teams and operational leadership to help correct claim issues, strengthen front-end workflows, and improve overall audit readiness.
  • Develop reports and summaries that show claim accuracy, audit trends, correction timelines, recurring errors, and opportunities for improvement.
  • Support training and education for pharmacy staff on insurance requirements, documentation expectations, billing practices, and audit readiness.
  • Participate in cross-training, peer review, and process improvement efforts to support consistency across pharmacy locations.
  • Maintain professionalism, confidentiality, and integrity in all audit-related activities.
Qualifications
  • Medical billing auditing experience
  • Pharmacy auditing or pharmacy technician experience preferred
  • Applies Growth Mindset - Actively seeking new ways to grow and be challenged.
  • Demonstrates a deep understanding of the pharmacy regulations.
  • Thinks and acts strategically.
  • Ensures Outcomes - minimizes company exposure to outside auditors and regulators.
  • Participates actively within a High Performing Teams.
  • Engages and inspires other
  • Communicates to ensure readiness to execute programs
Benefits
  • Work for an engaging and growing company.
  • Health and vision insurance.
  • Dental insurance.
  • Paid time off.
  • 401(k) with employer matching.
  • Competitive salary.
  • Performance-based bonus eligibility, if applicable.
Schedule
  • Full-time position.
  • Remote work setting.
  • Occasional travel to the corporate office may be required.
  • Monday to Friday schedule anticipated.

Apply