Billing Specialist

4 weeks ago


Grand Rapids, Michigan, United States Guardian Pharmacy Full time
Job Title: Billing Specialist

Guardian Pharmacy of Michigan is seeking a highly skilled Billing Specialist to join our team in Grand Rapids, Michigan. As a Billing Specialist, you will play a critical role in ensuring the accurate and timely processing of customer bills and insurance claims.

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 billing customer inquiries via phone or electronic communications.
  • Process patient payments, returns, and credits, and transmit individual credit card payments as needed.
  • Develop knowledge and understanding of pharmacy facility billing requirements, including Medicare, Medicaid, and Prescription Drug Plans.
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.
What We Offer:

Guardian Pharmacy of Michigan offers a competitive salary, comprehensive benefits package, and a work culture that supports our core value of treating others with respect and dignity. We are committed to fostering a diverse and inclusive workforce and encourage innovative thinking and intellectual curiosity.


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