Remote Pharmacy Claims & Patient Finance Specialist

CenterWell Pharmacy; Ohio; Remote; USD 40,000 - 52,000; Full time

Job summary

CenterWell Pharmacy, in a remote U.S. role, seeks a Pharmacy Claims Representative 2 to adjudicate and process pharmacy claims for payment.

The role supports patient finance operations, assists with assistance programs, billing inquiries, and insurance verifications while maintaining thorough case notes. Candidates should have at least 1 year of customer service experience, strong MS Word/Excel/Outlook skills, and solid Windows navigation, with potential travel for training.

Qualifications

• 1 or more years of customer service experience handling both incoming and outgoing phone calls
• Comprehensive knowledge of Microsoft Products including Word, Excel and Outlook
• Intermediate to High level of Windows Based system navigation

Responsibilities

• Source Patient Assistance programs and/or foundations to assist patients in meeting Out of Pocket responsibility
• Take inbound and make outbound calls related to Patient Assistant Programs, billing inquiries, and insurance verification
• Provide customer service (internal/external)
• Documenting case files with complete notes on work
• Complete special projects with varied and complex components as needed

Skills

Customer service

Phone calls

Windows navigation

Education

Bachelor’s Degree in Finance, Accounting or related field

Pharmacy Technician Certification

Tools

Microsoft Word

Microsoft Excel

Outlook

Job description

CenterWell Pharmacy, in a remote U.S. role, seeks a Pharmacy Claims Representative 2 to adjudicate and process pharmacy claims for payment.

The role supports patient finance operations, assists with assistance programs, billing inquiries, and insurance verifications while maintaining thorough case notes. Candidates should have at least 1 year of customer service experience, strong MS Word/Excel/Outlook skills, and solid Windows navigation, with potential travel for training.