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Pharmacy Billing Specialist

1 month ago

Sauk Rapids, Minnesota, United States Guardian Pharmacy Full time
Pharmacy Billing Specialist

Guardian Pharmacy of Minnesota is seeking a highly skilled Pharmacy Billing Specialist to join our team in Sauk Rapids, Minnesota. As a key member of our team, you will be responsible for processing customer bills and insurance claims in an accurate and timely manner.

Key Responsibilities:
  • Research and establish patient eligibility coverage with insurance providers, including private individuals and/or government entities.
  • Maintain and continually audit patient files and corresponding documentation necessary to defend third-party audits and 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.
  • Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines.
What We Offer:

At Guardian Pharmacy, we offer a competitive compensation package, including a 401(k) with up to 3.5% company match, multiple health plan options, wellness incentives, and a generous vacation benefits program. We also offer a collaborative work environment, opportunities for professional growth and development, and a commitment to fostering a diverse and inclusive workforce.

Join us to discover what your best work truly looks like.