Pharmacy Claims Representative

Job not on LinkedIn

🔥 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

🏥 Healthcare

☁️ SaaS

💊 Pharmaceuticals

💰 Secondary market on 2021-12

Healthcare • 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 in a remote call center environment • Identify discrepancies, investigate claim issues, and determine appropriate resolutions • Communicate 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 • High School or better required • Experience with pharmacy claims adjudication • Experience working in a pharmacy environment • Working knowledge of Microsoft Office Suite • Clear and effective communication • CPhT or EXCPT preferred • Associates or better preferred

🏖️ Benefits

• Competitive Pay starting at $22.00 per hour • 12% shift differential applied to all hours worked after 6:00PM on weekdays • 5% shift differential applied to all weekend hours worked • Comprehensive Benefits Package (Health, Dental, Vision, PTO, Sick Time, 401k w/match, etc.) • Growth Opportunity and Career Advancement • Agile and Adaptable team culture • Innovative and revolutionary technology solutions • Continuous learning and skill development • Career advancement opportunities

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