Pharmacy Claims Representative

Pharmacy Claims Representative, responsible for processing pharmacy claims in a remote call center environment, working full-time with a schedule of Monday to Friday from 2:30 PM to 11:00 PM EST and every fourth weekend rotation. Key ResponsibilitiesReview, analyze, and process pharmacy claims accurately and timely Identify discrepancies and investigate claim issues to determine resolutions Communicate with pharmacies, providers, and internal teams to resolve errors and support auditsRequired Qualifications, Training, and Education1-2 years of pharmacy claims or healthcare operations experience Working knowledge of pharmacy billing procedures and insurance verification Proficiency in claims processing platforms and Microsoft Office tools High school diploma required; associate degree preferred CPhT or EXCPT certification preferred