Pharmacy Claims Representative 2

Dragonfly Health

Remote Pharmacy Claims Representative reviewing and processing pharmacy claims in a call center environment. Ensuring accuracy and compliance with regulatory standards in the healthcare operations.

Posted 7/16/2026full-timeRemote • Arizona • 🇺🇸 United StatesJunior💰 $22 per hourWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in pharmacy claims processing, including billing procedures and insurance verification, while maintaining compliance with HIPAA standards. Strong analytical and organizational skills support effective communication and resolution of claim discrepancies.

Highest-signal resume keywords

Pharmacy Claims ProcessingHealthcare Operations ExperienceClaims Processing PlatformsMicrosoft Office ProficiencyHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Pharmacy Billing ProceduresInsurance VerificationThird-Party Payer SystemsData Entry SkillsAnalytical Skills

Soft Skills

Effective CommunicationAttention to DetailOrganizational Skills

Tools & Technologies

Claims Processing PlatformsMicrosoft Office

Industry Keywords

Pharmacy ClaimsRegulatory StandardsQuality ReviewsConfidentiality

About the role

Key responsibilities & impact

In a remote call center environment, you will 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

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.
Ability to communicate professionally with providers and team members.
High attention to detail and a commitment to getting it right the first time.

Benefits

Comp & perks

Competitive Pay starting at $22.00 per hour + shift differentials applied during evenings (after 6:00PM and all weekend hours)
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
A higher calling to provide quality patient care