Pharmacy Claims Representative 2

About This Pharmacy Claims Representative 2 Role

Dragonfly Health is hiring for a Pharmacy Claims Representative 2 position connected to Arlington, Texas, USA. This Bellencia Career Hub summary translates the original job posting into a structured, easier-to-scan career lead for job seekers comparing remote, hybrid, back-office, healthcare, billing, and administrative opportunities.

Dragonfly Health is hiring a Remote Pharmacy Claims Representative 2 to review, analyze, and process pharmacy claims in a remote call center environment. This role supports claims adjudication, insurance billing, discrepancy resolution, provider communication, and documentation compliance while helping ensure patients maintain access to critical pharmacy services.

Key Responsibilities

Daily Work You May Handle

• Review, analyze, and process pharmacy claims accurately and efficiently.
• Investigate claim discrepancies and determine appropriate resolutions.
• Communicate with pharmacies, providers, and internal departments.
• Maintain detailed claim documentation and audit records.
• Support quality assurance reviews and compliance initiatives.
• Identify claim processing trends and opportunities for improvement.
• Ensure HIPAA compliance and confidentiality standards are maintained.

The core workflow centers on accuracy, research, and keeping accounts or records moving through the correct process. A strong applicant should be comfortable reviewing details, comparing information across systems, updating records, and documenting outcomes in a way that supports clean handoffs between departments.

Minimum Requirements

Education, Experience, and Technical Knowledge

• High School Diploma or equivalent.
• Minimum 1 year of pharmacy claims billing experience.
• Experience with pharmacy claims adjudication.
• Experience working in a pharmacy environment.
• Knowledge of insurance verification processes.
• Strong analytical and organizational skills.
• Proficiency with Microsoft Office applications.
• Strong data-entry and documentation skills.

For this type of role, employers often look for a mix of practical experience, system confidence, and the ability to understand payer, billing, account, or documentation rules. Even when the role is not heavily phone-based, communication still matters because the work may involve coordination with internal teams, management, or partner departments.

Preferred Qualifications

Helpful Background for Stronger Applicants

• Associate Degree.
• CPhT Certification.
• EXCPT Certification.
• Healthcare operations experience.
• Pharmacy billing experience.
• Third-party payer system knowledge.

Phone Level and Work Style

Bellencia phone-level estimate: Phone-Moderate. This classification is based on the wording in the pasted posting. Because this is an estimate, applicants who need non-phone or low-phone work should confirm phone expectations during the interview. The posting reads most strongly as Claims Processing work with a focus on written records, account review, payer details, research, and follow-up.

Pay, Schedule, and Location Details

Pay: $22.00 per hour. Schedule: Monday-Friday, 2:30 PM – 11:00 PM EST with every 4th weekend rotation 2:30PM-11:00PM. Job type: Full-time. Location or work arrangement: Arlington, Texas, USA. Applicants should verify the official application page for the most current pay range, benefits, shift expectations, equipment rules, and state eligibility requirements.

Best-Fit Applicant Profile

This role may be a good match for someone who enjoys detailed, process-driven work and can stay consistent with repetitive but important tasks. It may fit job seekers with experience in medical billing, revenue cycle, accounts receivable, claims, refunds, charge capture, payer research, payment posting, documentation review, insurance eligibility, or healthcare administrative support.

• You are comfortable researching account details and correcting issues before they become larger problems.
• You can follow written procedures and keep documentation clean, accurate, and audit-ready.
• You prefer structured back-office work over sales-driven or heavy call-center duties.
• You can manage confidential information professionally and escalate unclear issues when needed.

Resume Keywords to Consider

Relevant resume keywords may include Pharmacy Claims Representative 2, Pharmacy Claims, Claims Processing, Insurance Verification, Coding, documentation, account research, workflow queues, Excel, payer requirements, reconciliation. Use only the keywords that honestly match your experience. The strongest applications usually connect past duties directly to the employer’s listed responsibilities.

How to Apply

Use the official application link for this job posting when you are ready to apply. Before submitting, review the required experience, confirm the schedule, and tailor your resume summary and bullet points toward the highest-priority duties in this listing.

Bellencia adds this expanded review so job seekers do not have to decode a long employer posting from scratch. The goal is to make the role easier to compare against your preferred work style, phone tolerance, schedule needs, and long-term career direction.