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Added 1 day ago
BH
Pharmacy Claims Processor / Remote
BrightSpring Health Services
Louisville, KY · LOUISVILLE, KY
- $7.25 USD / hour
Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!
Added 2 days ago
Insurance Follow-Up Agent
FMS Inc.
Remote, United States
…ensuring timely and accurate follow-up on medical insurance claims. Your primary goal is to identify and resolve issues that prevent reimbursement, while maintaining compliance with all…
Added 2 days ago
Insurance Follow-Up Agent
FMS Inc.
Remote, United States
…ensuring timely and accurate follow-up on medical insurance claims. Your primary goal is to identify and resolve issues that prevent reimbursement, while maintaining compliance with all…
Added 2 days ago
Patient Financial Services Representative
FMS Inc.
Remote, United States
…inquiries related to billing, insurance, and services received from our medical provider clients. This includes attempting to resolve outstanding balances through payment negotiations while…
Added 2 days ago
Patient Financial Services Representative
FMS Inc.
Remote, United States
…inquiries related to billing, insurance, and services received from our medical provider clients. This includes attempting to resolve outstanding balances through payment negotiations while…
Added 2 days ago
Pharmacy Claims Processor / Remote
PharMerica
Remote, United States
Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!
Added 4 days ago
T
Medical Claims Processor
TEKsystems
Milwaukee, WI
- $19.25 to $22 USD / hour
Now Hiring for a Medical Claims Processor for a healthcare insurance organization in the state of Wisconsin!! This is a fully remote opportunity, but you must live in Wisconsin to be…
Added 4 days ago
Insurance Claims Processor I
United Regional
Wichita Falls, TX
Work from home available after 60-90 days of on-the-job training.
Added 5 days ago
Sales Support Specialist-Bilingual
Seaboard Corporation
Merriam, KS
At Seaboard Foods, we create the most sought-after pork. A top U.S. pork producer/processor and leading exporter to 30+ countries, we are committed to bringing excellence to the table,…
Added 5 days ago
EE
Claims & Data Processor
Express Employment Professionals
Visalia, CA
- $18 to $20 USD / hour
Ability to work from home with occasional travel for meetings or trainings
Added 5 days ago
AN
HR ASST (MIL) (Title 32) (Indefinite)
Army National Guard Units
Richmond, VA
- $52,710 to $68,524 USD / year
Serves as a final reviewer and/or processor of actions, which may include but are not limited to: accessions, discharges/separations, promotions, awards, reductions, transfers, boards,…
Added 6 days ago
HC
AP Specialist - Vendor Maintenance
Harris County
Houston, TX
- $59,000 USD / year
Work Environment: This position offers a hybrid work arrangement following the successful completion of training and demonstrated readiness to work independently from home. On-site atten
Added 8 days ago
Medical Payments Processor II
Pinnacol Assurance
CO · Denver, CO
Regular business hours required. Extensive telephone and computer work in a home office environment.
Added 9 days ago
BH
Pharmacy Claims Processor / Remote
BrightSpring Health Services
Louisville, KY · LOUISVILLE, KY
- $7.25 USD / hour
Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!
Added 9 days ago
Pharmacy Claims Processor / Remote
PharMerica
LOUISVILLE, KY
Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!
Added 10 days ago
BH
Pharmacy Claims Processor / Remote
BrightSpring Health Services
Louisville, KY
- $7.25 USD / hour
Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!
Added 10 days ago
BH
Pharmacy Claims Processor / Remote
BrightSpring Health Services
Louisville, KY
- $7.25 USD / hour
Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!
Added 10 days ago
Pharmacy Claims Processor / Remote
PharMerica
Remote, United States
Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!
Added 13 days ago
ER
Demand Review Processor
Ethos Risk Services
TX
- $17 to $19 USD / hour
This is a 100% remote U.S.-based role, offering the flexibility to work from home while remaining closely connected to a collaborative leadership team. Training will be conducted virtually…
Added 13 days ago
Supervisor, Litigation Processing
New Jersey Manufacturers Ins.
United States
The Litigation Processor Supervisor is responsible for overseeing the processing of all incoming/outbound General Claims Summons and Complaints and PIP Litigation filings, related letter…
Added 13 days ago
SM
Claims Processor - Work from Home
Sagility Member Enrollment LLC
United States
- From $17 USD / hour
BroadPath, a Sagility Company, is hiring experienced medical Claims Processors to join our remote team! Claims Processors are responsible for the accurate and timely entry, review, and…
Added 17 days ago
Medical Insurance Policyholder Advocate
FMS Inc.
Remote, United States
Facilitate communication regarding benefits, coverage, claims, authorizations, and billing questions
Added 17 days ago
Pharmacy Claims Processor / Remote
BrightSpring Health Services
LOUISVILLE, KY · Louisville, KY
Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!
Added 18 days ago
CH
Medical Claims Analyst
CVS Health
Work at Home, ND
- $18.5 to $35.29 USD / hour
A quiet, secure and private designated home virtual work location, free from distractions, tidy and organized, compliant with CVS Health and HIPAA guidelines, and allowing for uninterrupted…
Added 18 days ago
CC
Card Operations Specialist
Consumers Credit Union
Lake Forest, IL
- $18.34 to $27.51 USD / hour
Schedule/Location: This is a flex / hybrid position. Part of your work week will be onsite based at our Lake Forest office. The remainder of the week you'll be working remotely from home.

Closed listing

PharMerica

Pharmacy Claims Processor / Remote

Remote, United States

This opening has closed.

The original listing is kept below for reference.

Find open jobs More jobs with this employer

About employer

Job details

Closing date: Oct 29, 2027
Education: High school diploma
Posting language: English
Posted: Oct 29, 2026

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Original job description

Archived listing. The details below describe a past opening.

Our Company

PharMerica

Overview

Step Into a Rewarding Role as a Claims Specialist with PharMerica!

Are you ready to make a real impact in a growing organization? Join our PharMerica team as a Claims Specialist, where you'll play a key role in ensuring our long-term care and senior living clients receive the pharmaceutical support they need. We offer a non-retail, closed-door pharmacy environment, allowing you to focus on what truly matters - delivering exceptional care and service.

Why Join PharMerica?

Focused on Service Excellence: Our mission is to provide top-quality care and outstanding customer service to hospitals, rehabilitation centers, long-term acute care hospitals, and specialized care centers across the nation.
Career Growth: We’re in high growth mode, offering plenty of opportunities for those looking to advance their careers.
Remote Flexibility: This position is 100% remote, giving you the freedom to work from anywhere!

What You’ll Do: As a dynamic Claims Specialist, you will:

Leverage your Pharmacy Claims Experience to manage and resolve claims efficiently, ensuring our clients get the support they need.
Be a vital part of a team that’s dedicated to enhancing patient care through meticulous claims management and customer service.

What We Offer:

DailyPay
Flexible Schedules
Competitive Pay with Shift Differentials
Health, Dental, Vision, and Life Insurance
Company-Paid Disability Insurance
Tuition Assistance & Reimbursement
Employee Discount Program
401k Plan
Paid Time Off
Non-Retail, Closed-Door Environment

Responsibilities

The Claims Specialist - 3rd Party:

Manages and identifies a portfolio of rejected pharmacy claims to ensure maximum payer reimbursement and timely billing to eliminate financial risks
Researches, analyzes and appropriately resolves rejected claims by working with national Medicare D plans, third party insurance companies and all state Medicaid plans to ensure maximum payer reimbursement adhering to critical deadlines
Ensures approval of claims by performing appropriate edits and/or reversals to ensure maximum payer reimbursement
Monitors and resolves at risk revenue associated with payer set up, billing, rebilling and reversal processes
Works as a team to identify, document, communicate and resolve payer/billing trends and issues
Reviews and works to convert billing exception reports to ensure claims are billed to accurate financial plans
Prepares and maintains reports and records for processing
Performs other tasks as assigned

Qualifications

Education/Learning Experience:

Required: High School Diploma or GED
Desired: Associate’s or Bachelor’s Degree

Work Experience:

Required: Customer Service
Desired: Up to one year of related experience. Pharmacy Technician experience

Skills/Knowledge:

Required: Ability to retain a large amount of information and apply that knowledge to related situations. Ability to work in a fast-paced environment. Basic math aptitude. Microsoft Office Suite
Desired: Knowledge of the insurance industry’s trends, directions, major issues, regulatory considerations and trendsetters

Licenses/Certifications:

Desired: Pharmacy technician, but not required

About our Line of Business PharMerica, an affiliate of BrightSpring Health Services, delivers personalized pharmacy care through dedicated local teams, serving health care providers such as skilled nursing facilities, senior living communities, and hospitals. We also cater to individuals with behavioral needs, infusion therapy needs, seniors receiving in-home care, and patients with cancer. Operating long-term care, home infusion, and specialty pharmacies across the nation, we combine the personal touch of a neighborhood pharmacy with the resources of a national network. Our comprehensive solutions, backed by industry-leading technology and regulatory expertise, ensure accurate medication access, cost control, and compliance with best-in-class clinical standards. We are committed to enhancing resident health, reducing staff burdens, and supporting our clients' success. For more information, visit www.pharmerica.com. Follow us on Facebook, Twitter, and LinkedIn. Additional Job Information

This is an excellent opportunity to move from a retail to office environment for those who are willing to learn claims, billing and insurance processing.

Pharmacy Technician experience and/or knowledge of pharmaceuticals is a strong preference.