Billing & Account Specialist

Thrifty White Pharmacy; Osseo (MN); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

401(k)

Dental insurance

Employee discounts

Flexible schedule

Health insurance

Paid time off

Profit sharing

Paid time off

Profit sharing

Training & development

Vision insurance

Wellness resources

Job summary

A leading pharmacy provider in Minnesota is seeking a Billing & Account Specialist to offer exceptional customer service as the primary contact for account-related inquiries. Responsibilities include handling billing requests, resolving payment issues, and ensuring compliance with HIPAA on a daily basis. Candidates should possess strong communication skills and a background in pharmacy insurance processing. The role offers competitive compensation with various health benefits, alongside opportunities for professional development and a supportive working environment.

Qualifications

• Must communicate effectively with customers and team members.
• Should maintain confidentiality of patient PHI and follow HIPAA guidelines.
• Experience with pharmacy insurance processing is required or must be willing to learn.
• Moderate computer skills with Word, Excel, and Outlook.

Responsibilities

• Provide customer service via phone and email.
• Research and resolve account billing requests.
• Document customer accounts and requests appropriately.
• Research aged balances and coordinate collections and payment plans.
• Process payments, adjustments, refunds, and keep accurate records.

Skills

Excellent verbal and written communication skills

Excellent follow-through

Background in pharmacy insurance processing

Moderate computer skills

Ability to troubleshoot and problem-solve

High level of professionalism under stress

Ability to prioritize and multitask

Education

AAS Degree or equivalent

Tools

PeopleSoft

TWRx

OnBase

Job description

Join to apply for the Billing & Account Specialist role at Thrifty White Pharmacy

Plymouth, MN

Thrifty White Pharmacy is seeking a Billing & Account Specialist to provide excellent customer service as the main contact for customers and pharmacy personnel via phone and in writing. This position navigates and utilizes company technology to fully research and resolve account billing requests including balances, charges, payments, rebilling claims, prior authorization requests, and researching aged balances to collect payments, create payment plans, and work with collections.

Benefits

• 401(k)
• Competitive salary
• Dental insurance
• Employee discounts
• Flexible schedule
• Health insurance
• Opportunity for advancement
• Paid time off
• Profit sharing
• Training & development
• Vision insurance
• Wellness resources

Major Responsibilities

• Provide excellent service to customers and pharmacy personnel via incoming and outgoing phone calls, emails, intranet tickets and requests.
• Address all aspects of the customer or pharmacy personnel request, including account balances, charges, payments, payment plans, rebilling claims, and prior authorization requests.
• If immediate resolution is not possible or additional research is needed, provide timely follow up.
• Research aged account balances while taking appropriate action including initiating collection calls, sending collection letters, setting up payment plans, restricting and reopening charging privileges, performing write‑off adjustments, and sending to outside collection agencies.
• Bill customers as appropriate for copays and non‑covered items to ensure payment is received and applied.
• Process online payments via phone.
• Process adjustments and apply payments on accounts as appropriate.
• Process refunds as requested and based on internal procedures.
• Document customer accounts, intranet requests and tickets as appropriate based on action taken.
• Verify customer demographics, ensuring account accuracy and HIPAA compliance.
• Use TWRx, insurance websites, PeopleSoft, Intranet, Internet, MN ITS, Office Ally, and other resources as needed to complete research and rebilling.
• Identify areas of improvement within the team and partner with leadership to implement improvements.
• Maintain confidentiality of all patient PHI, following HIPAA guidelines and specific processes.
• Assist with special projects as needed and requested by leadership.
• Learn and implement new and changing technologies on an ongoing basis.
• Maintain flexibility as work roles / job responsibilities change as environment requires.
• Maintain a well‑groomed appearance in accordance with company guidelines.
• Perform all other job duties as assigned.

Minimum Qualifications

• Excellent verbal and written communication skills, including the ability to communicate with customers, team members, internal and external partners, and leadership.
• Excellent follow‑through to ensure work is done correctly the first time and customers’ concerns are addressed quickly.
• Background and familiarity with pharmacy insurance processing; if absent, must be able and willing to quickly pick up new knowledge.
• Moderate computer skills, including Word, Excel, and Outlook.
• Ability to troubleshoot and problem‑solve using all tools and resources available prior to escalating the issue.
• Operating phones and copy/print/scan machines.
• Prioritize, multitask, and manage workload.
• Handle stressful situations and difficult customers in a polite and professional manner.
• Maintain effective working relationships with specialists and leadership.
• Maintain confidentiality.
• Must have a clear record without exclusion, sanctions or debarments with the Office of the Inspector General at the time of hire and monthly thereafter.

Desired Qualifications

• AAS Degree or equivalent.
• Knowledge of PeopleSoft, TWRX, and OnBase.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential job functions. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

This position involves in‑office work and may include long periods of sitting. The employee is also frequently required to stand, talk, hear, use hands and fingers, handle or operate objects, tools, or controls, reach with hands and arms, and occasionally lift and/or move up to 40 pounds.

Specific vision abilities required include close vision, distance vision, peripheral vision, color vision, depth perception, and the ability to adjust focus.

Compensation & Benefits

We offer competitive wages, medical, dental, vision, life, 401(k), Employee Stock Ownership Plan, paid holidays and vacations, and a store discount for you and your family.

Pharmacy Innovator of the Year by Drug Store News.

Equal Opportunity Employer

Thrifty White Pharmacy is an Equal Opportunity Employer.