Pharmacy Claims Representative

Job Category
:
Pharmacy Management & Operations

Requisition Number
: PHARM
006234

• Posted:
  January 15, 2026
• Full-Time
• Remote

Showing 1 location

Mesa, AZ 85210, USA

Must be able to work: Monday - Friday, 2:30pm to 11pm EST plus every fourth weekend

Essential Functions

Note:

The essential duties and primary accountabilities below are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Incumbents may perform all or most of the primary accountabilities listed below. Specific tasks, responsibilities or competencies may be documented in the incumbent’s performance objectives as outlined by the incumbent’s immediate supervisor or manager.

Marginal or Additional Functions

• Performs other duties as assigned or apparent.

Supervisory and Managerial Responsibility

• Supervisory/managerial responsibility is not applicable.

Knowledge, Skills & Abilities

• Education, Licensure or Certification
  High school diploma or equivalent required; CPhT or EXCPT preferred.
• Work Experience or Related Experience
  Minimum of six (6) months of pharmacy technician experience.
  Experience with pharmacy claims adjudication is required.
• Specialized Knowledge, Skills & Abilities
  PBM or billing platform experience preferred.
  Proficient in Microsoft Office Suite, especially Excel, Word, Outlook, and Access.
  Comfortable navigating multiple software systems, including pharmacy dispensing and PBM platforms.
  Excellent verbal and written communication skills.
  Ability to learn proprietary systems used for claims management and facility tracking.
• Equipment
  Working knowledge of a PC, business and communications software (MS Office) and web-based tools are required.
• Travel Requirements and Conditions
  Travel is not required.
• Work Environment, Conditions and Demands
  Work is generally performed in a climate-controlled, smoke-free office environment.
• Physical Requirements and Demands
  May sit, stand, walk, stoop, or bend intermittently throughout the day.
  May be required to sit for extended periods (7‑10 hours/day).
  Occasional lifting of up to 25 pounds may be required.
  Requires manual dexterity to operate office equipment.
  Visual acuity to read fine print and digital screens; must be able to hear and respond to verbal communication.
• Additional Position Information
  No additional information is applicable.

High School or better.

Experience with pharmacy claims adjudication is required.

Minimum of six (6) months of pharmacy technician experience.

CPhT or EXCPT

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.