[Hiring] Pharmacy Claims Representative @Dragonfly Health

Role Description

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.

Qualifications

• 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.

Requirements

• Schedule: Monday - Friday, 2:30PM - 11:00PM EST & every 4th weekend rotation.
• Compensation: $22.00/HR + 12% shift differential applied to all hours worked after 6:00PM on weekdays and 5% shift differential applied to all weekend hours worked.

Benefits

• 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.