Pharmacy Claims Representative 2 - Remote

Responsibilities: Review, analyze, and process pharmacy claims while ensuring accuracy and adherence to regulatory standards. Communicate with pharmacies and providers to resolve claim discrepancies and maintain detailed documentation for audits.

Requirements: Requires 1-2 years of experience in pharmacy claims or healthcare operations. Candidates must have working knowledge of pharmacy billing, insurance verification, and proficiency in claims processing platforms.

Key skills: Pharmacy Claims Processing, Insurance Verification, Third-party Payer Systems, Data Entry, Analytical Skills, Microsoft Office, HIPAA Compliance, Pharmacy Billing, Professional Communication, Attention To Detail

Keywords: Pharmacy Claims, Healthcare Operations, DME, HIPAA, Pharmacy Billing, Insurance Verification, Third-party Payers, Claims Processing Platforms, Microsoft Office, Post-acute Healthcare, Hospice Care, Remote Call Center