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Pharmacy Claims Representative 2
Dragonfly HealthPharmacy Claims Representative reviewing and processing pharmacy claims for Dragonfly Health. Work remotely in a remote call center environment with evening hours and weekends.
About the role
Key responsibilities & impact- 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.
Requirements
What you’ll need- 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.
- High attention to detail and a commitment to getting it right the first time.
Benefits
Comp & perks- 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
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
pharmacy claims processinginsurance verificationthird-party payer systemsdata entryclaims documentationclaims analysis
Soft Skills
analytical skillsorganizational skillscommunication skillsattention to detail