Pharmacy Billing Specialist

4 days ago

Gainesville, Florida, United States Guardian Pharmacy Full time
Job Summary

We are seeking a highly skilled and detail-oriented Pharmacy Billing Specialist to join our team at Guardian Pharmacy. As a key member of our billing department, you will be responsible for processing customer bills and insurance claims in a timely and accurate manner.

Key Responsibilities
  • Research and establish patient eligibility coverage with insurance providers, including private individuals and government entities.
  • Maintain and audit patient files and corresponding documentation to ensure payer and company compliance.
  • Provide assistance and timely response to all billing customer inquiries via phone or electronic communications.
  • Process patient payments, returns, and credits, and transmit individual credit card payments as needed.
  • May pursue payment from delinquent accounts and make payment arrangements.
  • Research, identify, and organize requested audit documentation in a timely manner.
  • Perform prescription claims adjudication, including communication with insurance companies regarding rejected claims, eligibility, prior authorizations, or other issues as needed.
Requirements
  • High School Diploma or GED required.
  • Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required.
  • 1+ years of related experience.
  • Advanced computer skills; pharmacy information system experience preferred.
  • Ability to work independently and deliver to deadlines.
  • Great attention to detail and accuracy.
What We Offer

At Guardian Pharmacy, we offer a competitive salary, comprehensive benefits package, and a work culture that supports our core value of, "Treat others as you would like to be treated."

We are committed to fostering and advancing a diverse and inclusive workforce. If you are a motivated and detail-oriented individual who is passionate about delivering exceptional customer service, we encourage you to apply for this exciting opportunity.

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