Remote Pharmacy Claims Specialist

BrightSpring Health Services Corporation; Vancouver (WA); Remote; USD 29,000 - 32,000; Full time

Benefits offered by this job

DailyPay

Flexible Schedules

Competitive Pay with Shift Differenti,

Health, Dental, Vision, and Life

Company-Paid Disability Insurance

Tuition Assistance & Reimbursement

Employee Discount Program

401k Plan

Paid Time Off

Non-Retail, Closed-Door Environment

Job summary

PharMerica in Vancouver, WA (US) is seeking a Claims Specialist for a 100% remote role. You will leverage your pharmacy claims experience to manage and resolve complex claims, ensure timely billing, and support long-term care and senior living clients with pharmaceutical services.

You will work in a non-retail environment focused on service excellence, with opportunities for career growth and flexible scheduling. Prior pharmacy technician experience is a strong preference.

Qualifications

• Requires High School Diploma or GED.
• Associate's or Bachelor's degree preferred.
• Customer service experience required or desired.
• Pharmacy technician experience preferred.

Responsibilities

• Manage a portfolio of rejected pharmacy claims to maximize payer reimbursement.
• Research and resolve rejected claims with Medicare D plans, third-party insurers, and state Medicaid.
• Approve claims by applying edits or reversals to maximize reimbursement.
• Monitor and resolve revenue at risk from payer setup, billing, rebilling and reversals.
• Collaborate to identify payer/billing trends and issues and communicate findings.
• Prepare and maintain processing reports and records.
• Perform other tasks as assigned.

Skills

Claims experience

Customer service

Attention to detail

MS Office

Education

High School Diploma or GED

Associate/Bachelor's degree

Tools

Microsoft Office Suite

Job description

PharMerica in Vancouver, WA (US) is seeking a Claims Specialist for a 100% remote role. You will leverage your pharmacy claims experience to manage and resolve complex claims, ensure timely billing, and support long-term care and senior living clients with pharmaceutical services.

You will work in a non-retail environment focused on service excellence, with opportunities for career growth and flexible scheduling. Prior pharmacy technician experience is a strong preference.