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Remote Pharmacy Insurance Jobs in Virginia (NOW HIRING)

SPECIALTY RX, Inc.

Pharmacy Billing Representative-Remote

Roanoke, VA · On-site +1

$17.50 - $22.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role is focused specifically on hands-on third-party insurance rejection experience . If you have direct experience researching, resolving, and processing pharmacy insurance rejections, we want ...

New

SpecialtyRx, Inc.

Pharmacy Billing Representative-Remote

Roanoke, VA · Remote

$17.50 - $22.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This role is focused specifically on hands-on third-party insurance rejection experience . If you have direct experience researching, resolving, and processing pharmacy insurance rejections, we want ...

New

Sentara Healthcare

Pharmacy IT Solutions Manager

Norfolk, VA · On-site +1

$63 - $74/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... Insurance • 401k/403B with Employer Match • Tuition Assistance - 5,250/year and discounted ... For positions that are available as remote work, Sentara Health employs associates in the following ...

PharMerica

Strategic Account & Growth Manager

Richmond, VA · On-site +1

$85K - $110K/yr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

This is a remote position but must reside within the territory. Territory: KY, TN, VA, MD Schedule ... DailyPay * Pet Insurance * Employee wellness and discount programs * Commission Plan ...

Sentara Healthcare

Care Coordinator

Norfolk, VA · On-site +1

$18.75 - $25.25/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This position is remote work from home with travel to Nursing facilities required. Hours of ... Therapy -Nursing -Pharmacy -Psychiatric Rehabilitation -Psychology -Rehabilitation Counseling ...

Maximus

Consultant - Medical (Case Reviewer 2)

VA · On-site +1

  • Medical

  • Life

  • Retirement

  • PTO

This is a remote opportunity. The Consultant will review WCMSA case submissions in support of the ... pharmacy review personnel. - Render medical/clinical determinations based on professional ...

Lange Recruiting

Care Facilitator/LPN

Richmond, VA · Remote

$25.50 - $34.75/hr

  • Medical

  • Retirement

  • PTO

... pharmacy practice serving aging adults. At Home Harmony is seeking a clinically confident ... Eligible for partial remote work upon successful completion of probation, based on performance and ...

Sentara Healthcare

Care Coordinator

Alexandria, VA · On-site +1

$20.50 - $27.75/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... remote telephonic assessments for members with Serious Mental Illnesses, Serious Emotional ... Therapy -Nursing -Pharmacy -Psychiatric Rehabilitation -Psychology -Rehabilitation Counseling ...

MCKESSON

Field Reimbursement Manager

Fairfax, VA · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Must have a solid working knowledge of Medicare and Commercial insurance plans and benefit ...

MCKESSON

Field Reimbursement Manager

Arlington, VA · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Must have a solid working knowledge of Medicare and Commercial insurance plans and benefit ...

MCKESSON

Field Reimbursement Manager

Woodbridge, VA · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Must have a solid working knowledge of Medicare and Commercial insurance plans and benefit ...

MCKESSON

Field Reimbursement Manager

Richmond, VA · On-site +1

... remote interaction and on-site training. This position is client-facing and customer-facing and ... Must have a solid working knowledge of Medicare and Commercial insurance plans and benefit ...

Corvel

Account Executive II

Fairfax, VA · Remote

$70K - $116K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

This is a remote role. Candidate must live in the Virginia or Washington, D.C Territory. ESSENTIAL ... Knowledge of the insurance industry, managed care, or related field is helpful * Reliable ...

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All JobsPharmacy Insurance JobsRemote Pharmacy Insurance JobsRemote Pharmacy Insurance Jobs in Virginia

Remote Pharmacy Insurance information

What are the key skills and qualifications needed to thrive as a remote pharmacy insurance specialist, and why are they important?

To thrive as a Remote Pharmacy Insurance Specialist, you need a strong understanding of pharmacy operations, insurance verification, claims processing, and typically a background in pharmacy tech or healthcare administration. Proficiency with pharmacy management software, insurance portals, and knowledge of HIPAA regulations are crucial, and certification such as CPhT is often preferred. Exceptional attention to detail, problem-solving abilities, and clear communication skills make someone stand out in this position. These skills ensure accurate processing of insurance claims, minimize delays in patient care, and maintain compliance in a remote setting.

What are some common challenges faced when working in a remote pharmacy insurance role, and how can they be managed?

One common challenge in a remote pharmacy insurance role is effectively communicating with both patients and healthcare providers to resolve insurance claims and coverage issues, as much of the work is handled via phone or digital platforms. Additionally, staying updated on frequently changing insurance policies and formularies can be demanding. To manage these challenges, it's helpful to maintain organized digital records, participate in ongoing training sessions, and leverage collaboration tools to stay connected with team members and supervisors. Regular check-ins and open communication channels can ensure that workflow remains smooth and patient needs are promptly addressed.

What is the difference between Remote Pharmacy Insurance vs Remote Pharmacist?

AspectRemote Pharmacy InsuranceRemote Pharmacist
Required CredentialsInsurance licenses, knowledge of pharmacy policiesPharmacy degree, state licensure
Work EnvironmentInsurance companies, customer service, claims processingTelepharmacy, medication review, patient counseling
Industry UsageInsurance and healthcare sectorsHealthcare and pharmacy sectors

Remote Pharmacy Insurance involves managing insurance policies related to pharmacy benefits, focusing on claims and coverage. Remote Pharmacists dispense medications and provide clinical support remotely. While both roles require pharmacy knowledge, one centers on insurance administration, and the other on direct patient care.

What is a remote pharmacy insurance job?

Remote Pharmacy Insurance jobs involve working with pharmacy benefit management, insurance claims, and patient medication coverage from a remote location. Professionals in these roles often process insurance claims, verify prescription benefits, communicate with healthcare providers and patients, and handle billing issues. These positions may be filled by pharmacy technicians, pharmacists, or insurance specialists and require strong attention to detail, knowledge of pharmacy operations, and excellent communication skills. Remote Pharmacy Insurance jobs allow individuals to perform their duties from home or any location with internet access, making them ideal for those seeking flexible work arrangements.

What are the most commonly searched types of Pharmacy Insurance jobs in Virginia?

The most popular types of Pharmacy Insurance jobs in Virginia are:

What are popular job titles related to Remote Pharmacy Insurance jobs in Virginia?

For Remote Pharmacy Insurance jobs in Virginia, the most frequently searched job titles are:

What job categories do people searching Remote Pharmacy Insurance jobs in Virginia look for?

The top searched job categories for Remote Pharmacy Insurance jobs in Virginia are:

What cities in Virginia are hiring for Remote Pharmacy Insurance jobs?

Cities in Virginia with the most Remote Pharmacy Insurance job openings:

Remote Pharmacy Insurance jobs near you
Infographic showing various Remote Pharmacy Insurance job openings in Virginia as of August 2026, with employment types broken down into 77% Full Time, 16% Part Time, and 7% Contract. Highlights an 100% Remote job distribution.

Pharmacy Billing Representative-Remote

SPECIALTY RX, Inc.

Roanoke, VA • On-site, Remote

$17.50 - $22.75/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted yesterday

New

Job description

Description
Build Your Career with Us!
Competitive Pay • Stable Schedules • Career Growth • Multiple Shifts Available
SpecialtyRx is a fast-growing Long-Term Care pharmacy dedicated to providing personalized, high-quality pharmaceutical services to long-term care facilities and assisted living communities.
We are currently seeking a Third-Party Rejections Specialist to join our team. This role is focused specifically on hands-on third-party insurance rejection experience. If you have direct experience researching, resolving, and processing pharmacy insurance rejections, we want to hear from you!
Candidates must reside in Ohio, Virginia, or Kentucky.
What You'll Do
  • Perform duties and responsibilities assigned by the Billing Supervisor.
  • Research and verify patient eligibility and insurance coverage with state and private insurance providers.
  • Research, analyze, and resolve third-party insurance rejections in accordance with daily rejection reports.
  • Maintain and update patient billing, insurance, and coverage information in the system.
  • Submit and follow up on prior authorizations for state insurance programs.
  • Communicate directly with insurance companies regarding rejections, overrides, eligibility issues, coverage changes, and claim updates.
  • Investigate and resolve pending billing and insurance issues.
  • Work with client facility staff and other applicable healthcare organizations and agencies, including PDP/Medicare, CMS, NJM, and NYM, when necessary.
  • Maintain accurate documentation and ensure billing information is current and complete.
  • Work independently while collaborating with the billing team to meet daily goals and deadlines.
  • Handle multiple priorities in a fast-paced environment while maintaining accuracy and attention to detail.

Qualifications
Who We're Looking For
We're looking for detail-oriented professionals who understand how to work through third-party pharmacy claim rejections and are comfortable communicating with insurance providers to identify and resolve coverage and billing issues.
If your background is primarily in medical billing or medical coding, this position may not be the right fit. We are specifically seeking candidates with direct third-party pharmacy rejection experience.
Required:
  • High school diploma or equivalent.
  • Direct, hands-on experience working with third-party pharmacy insurance rejections is required.
  • Experience must be in actual third-party rejection processing/resolution.
  • Strong computer skills and ability to learn and navigate multiple systems.
  • Excellent attention to detail and problem-solving skills.
  • Professional and courteous telephone communication skills.
  • Ability to work independently and as part of a team.
  • Ability to multitask and prioritize work in a fast-paced environment.
  • Strong organizational skills and follow-through.

Preferred:
  • Previous pharmacy experience.
  • Long-Term Care Pharmacy experience.
  • Experience with New York pharmacy billing claims.
  • Frameworks/ECM experience.
  • Experience working directly with insurance providers to resolve pharmacy claim rejections.

Schedule
We are hiring for multiple shifts!
Candidates must have weekend availability. Flexibility to work evenings and/or overnight shifts is strongly preferred.
Available shifts may include:
  • 8:00 AM - 4:00 PM
  • 9:00 AM - 5:00 PM
  • 11:00 AM - 7:00 PM
  • 12:00 PM - 8:00 PM
  • 3:00 PM - 11:00 PM
  • 4:00 PM - 12:00 AM

What We Offer
  • Competitive pay based on experience.
  • Stable and consistent scheduling.
  • Opportunities for career growth.
  • Health, dental, and vision insurance.
  • Group life insurance and short-term disability.
  • Paid time off and paid holidays.
  • 401(k) with company match.
  • Paid training and development opportunities.
  • Collaborative and supportive work environment.

Ready to Join the SpecialtyRx Team?
Apply today through our careers portal:
Apply Here - SpecialtyRx Careers
We look forward to reviewing your application and connecting with qualified candidates to schedule an interview.
EEO Statement
SpecialtyRx, Inc. is fully committed to employing a diverse workforce. We recruit and retain talented individuals without regard to gender, race, age, marital status, disability, veteran status, sexual orientation, gender identity, or any other status protected by federal, state, or local law.
EO/Minorities/Females/Disabled/Veterans

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