Pharmacy Claims Representative

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🔥 1 minute ago

🌵 Arizona – Remote

🌵 Arizona – Remote

💵 $22 / hour

⏰ Full Time

🟢 Junior

📋 Claims Specialist

🚫👨‍🎓 No degree required

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Dragonfly Health

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2004

🤝 B2B

☁️ SaaS

💊 Pharmaceuticals

💰 Secondary market on 2021-12

B2B • SaaS • Pharmaceuticals

<Dragonfly Health> is a care-at-home data, technology, and service platform that integrates durable medical equipment (DME) and pharmacy solutions. Formed from StateServ and Delta Care Rx, Dragonfly Health operates a 50-state provider network focused on hospice and post-acute care, using advanced technology and business intelligence to orchestrate orders, deliveries, and improve operational efficiency and patient satisfaction.

📋 Description

• 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.

🎯 Requirements

• 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.

🏖️ Benefits

• Comprehensive Benefits Package (Health, Dental, Vision, PTO, Sick Time, 401k w/match, etc.)