Job Summary

Walgreens, a leading pharmacy and healthcare services provider, is seeking a dedicated Remote Pharmacy Claims Processing Associate Representative to join our dynamic team. In this role, you will be responsible for accurately processing pharmacy claims, resolving discrepancies, and providing excellent support to both internal teams and customers. The ideal candidate will demonstrate attention to detail, strong analytical skills, and the ability to thrive in a fast-paced, remote work environment.

As part of Walgreens mission to provide trusted healthcare solutions, you will play a critical role in ensuring timely and accurate claim adjudication, supporting our commitment to patient care, and maintaining compliance with all applicable regulations.

Key Responsibilities

• Process pharmacy claims accurately and efficiently, ensuring compliance with company policies and federal/state regulations.

• Review and verify prescription claim information, identifying errors, inconsistencies, or missing data.

• Resolve claim rejections and discrepancies through coordination with pharmacies, insurance providers, and internal teams.

• Document and maintain accurate records of claim processing activities and communication.

• Support customer inquiries regarding claims, providing clear and professional responses.

• Collaborate with cross-functional teams to identify process improvements and enhance workflow efficiency.

• Stay updated on industry regulations, insurance policies, and Walgreens operational procedures.

Required Skills and Qualifications

• High school diploma or equivalent; associates or bachelors degree in healthcare, business, or related field preferred.

• Previous experience in pharmacy claims processing, medical billing, or insurance verification is highly desirable.

• Strong computer proficiency, including experience with claims processing software and Microsoft Office Suite.

• Excellent attention to detail with strong analytical and problem-solving skills.

• Clear and professional written and verbal communication skills.

• Ability to work independently and manage time effectively in a remote setting.

• Knowledge of HIPAA regulations and pharmacy/insurance industry standards is a plus.

Experience

• Minimum 1–3 years of experience in pharmacy claims, healthcare administration, or insurance processing preferred.

• Experience working in a remote or virtual environment is an advantage.

Working Hours

• Full-time position (typically 40 hours per week).

• Flexible scheduling may be available depending on business needs, including evening or weekend shifts.

• Remote work from home with a company-provided setup or approved personal equipment.

Knowledge, Skills, and Abilities

• Strong organizational skills with the ability to prioritize tasks effectively.

• Analytical mindset to identify claim errors and resolve issues efficiently.

• Professionalism and empathy in handling customer and pharmacy inquiries.

• Ability to adapt to changing regulations and company processes.

• Strong team collaboration skills, even in a virtual work environment.

Benefits

• Competitive salary and performance-based incentives.

• Comprehensive healthcare benefits, including medical, dental, and vision coverage.

• 401(k) retirement plan with company match.

• Paid time off (PTO) and holidays.

• Employee wellness programs and professional development opportunities.

• Work-from-home flexibility and supportive virtual team environment.

Why Join Walgreens

At Walgreens, we are committed to helping our employees grow, innovate, and make a real impact on the health and well-being of our customers. By joining our team, you will:

• Work for a trusted leader in pharmacy and healthcare services.

• Gain exposure to the latest industry technologies and practices.

• Be part of a culture that values diversity, inclusion, and continuous learning.

• Enjoy a flexible and supportive remote work environment that empowers you to succeed.

How to Apply

Interested candidates are encouraged to submit their resume and a brief cover letter through the Walgreens careers portal. Please include your experience with pharmacy claims processing and any relevant certifications.