Billing Specialist

6 days ago


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

We are seeking a highly skilled Billing Specialist to join our team at Guardian Pharmacy. As a Billing Specialist, 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.
What We Offer:
  • Competitive pay.
  • 401(k) with up to 3.5% company match.
  • Multiple health plan options, including copay (FSA-eligible) and HSA-eligible plans.
  • Wellness Incentive Program.
  • Dental and Vision plans.
  • Company-paid basic life, AD&D, and long-term disability coverage.
  • Optional employee, spouse, and child life/AD&D insurance.
  • Optional accident, critical illness, and short-term disability coverage.
  • Dependent Care Flexible Spending Accounts.
  • Employee Assistance Program (EAP).
About Guardian Pharmacy:

Guardian Pharmacy is a leading provider of pharmacy services, dedicated to delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs.

We offer a collaborative work environment, opportunities for growth and development, and a comprehensive benefits package.



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