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Pharmacy Claims Representative 2

Careers Integrated Resources Inc Miami, FL (Onsite) Contractor
Job Title: Pharmacy Claims Representative
Job Location: Miami, FL (Remote)
Job Duration: 3-4 Months (possibility of extension)
Shift: 8:00am - 4:30pm EST

Job Summary:
  • The Pharmacy Claims Representative 2 analyzes and answers inquiries regarding pharmacy claims adjudication, including method of payment, co-pay or deductible amounts, and/or reason for denial.
  • Decisions are typically focus on interpretation of area/department policy and methods for completing assignments.
  • Works within defined parameters to identify work expectations and quality standards, but has some latitude over prioritization/timing, and works under minimal direction.
  • Follows standard policies/practices that allow for some opportunity for interpretation/deviation and/or independent discretion.
Requirements:
  • Must be licensed as a pharmacy technician in their state of residence.
  • Must be eligible to work with Medicare/Medicaid.
  • National Certification.
Interview:
  • 1 round 30 min video interview.
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Job Snapshot

Employee Type

Contractor

Location

Miami, FL (Onsite)

Job Type

Other

Experience

Not Specified

Date Posted

12/13/2025

Job ID

25-65784

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