Remote jobs in the United States

14 jobs

Save this search

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
Pharmacy Claims Processor / Remote
PharMerica
Remote, United States
Step Into a Rewarding Role as a Claims Specialist with PharMerica!
Added 10 days ago
Pharmacy Claims Processor / Remote
PharMerica
Remote, United States
Step Into a Rewarding Role as a Claims Specialist with PharMerica!
Added 21 days ago
Medical Claims Processor - Remote
NTT Data Americas, Inc.
Remote, United States
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.
Added 21 days ago
ND
Medical Claims Processor - Remote
NTT Data Americas, Inc.
Remote, United States
- $18 USD / hour
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.
Added 21 days ago
Healthcare Claims Processor, Remote
NTT Data Americas, Inc.
Remote, United States
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.
Added 21 days ago
Medical Claims Processor, Remote
NTT Data Americas, Inc.
Remote, United States
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.
Added 21 days ago
Medical Claims Processor - Remote
NTT Data Americas, Inc.
Remote, United States
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.
Added 21 days ago
Medical Claims Processor, Remote
NTT Data Americas, Inc.
Remote, United States
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.
Added 21 days ago
ND
Medical Claims Processor - Remote
NTT Data Americas, Inc.
Remote, United States
- $18 USD / hour
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.
Added 21 days ago
Healthcare Claims Processor, Remote
NTT Data Americas, Inc.
Remote, United States
NTT DATA is seeking to hire a Remote Claims Processing Associate to work for our end client and their team.
Added 26 days ago
Medical Claims Processor
Catalyst Solutions Career Page
Remote, United States
The Medical Claims Processor is responsible for the accurate and timely review, entry, and adjudication of medical claims in accordance with payer guidelines, benefit plan provisions, and…
Added 28 days ago
Pharmacy Claims Processor / Remote
PharMerica
Remote, United States
Step Into a Rewarding Role as a Claims Specialist with PharMerica!

No more jobs.

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 15, 2027
Education: High school diploma
Posting language: English
Posted: Oct 15, 2026

Similar jobs hiring now

Added 2 days ago
Pharmacy Claims Processor / Remote
PharMerica · Remote
Added 10 days ago
Pharmacy Claims Processor / Remote
PharMerica · Remote
Added 28 days ago
Pharmacy Claims Processor / Remote
PharMerica · Remote

Search current openings

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.