Billing Assistant (WA)-6

Guardian Pharmacy, LLC; Mountlake Terrace, Northern (WA, KY); Hybrid; USD 30,000 - 33,000; Full time

Benefits offered by this job

401(k) with company match

Medical, Dental and Vision

Life Insurance and Disability

Paid holidays and sick days

Generous vacation benefits

Job summary

Guardian Pharmacy Services in Mountlake Terrace, WA, is seeking an entry-level Billing Associate to process patient bills and insurance claims. You will support daily and month-end billing functions in an in-office setting, handling inquiries from patients and providers.

Responsibilities include verifying coverage, updating billing data, and assisting with audits while maintaining HIPAA compliance. This role is ideal for an accounting student seeking hands-on experience in a fast-paced pharmacy

Qualifications

• 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
• Quality-minded; motivated to seek out errors and inquire about inaccuracies.

Responsibilities

• Research and establish patient eligibility coverage with insurance providers.
• Reverify benefit coverage criteria as needed for claims follow up.
• Enter and update patient/insurance information in billing system.
• Audit patient files to defend third-party audits and ensure payer and company compliance.
• Enter patient information into the pharmacy system.
• Provide timely responses to billing inquiries by phone or email.
• Resolve patient billing issues related to insurance eligibility and coverage.
• Run Medicare plan comparisons during enrollment periods.
• Review patient profiles to evaluate options to save resident money.
• Process daily census, admissions, discharges, and room changes.
• Process patient payments, returns, and credits.
• Transmit individual credit card payments as needed.
• Pursue delinquent payments and arrange payment plans.
• Prepare audit documentation promptly.
• Process prescription claims adjudication and liaise with insurers.
• Make corrections and rebill as needed.
• Learn pharmacy facility billing requirements (Medicare, Medicaid, PDPs, Third-Party).
• Use pharmacy systems to meet regulatory needs (prior authorizations, etc.).
• Rotate through departments to gain cross-functional knowledge.
• Follow HIPAA and other regulations.
• Collaborate with team to meet service goals.
• Other duties as assigned.

Skills

Attention to detail

Independent work

Team oriented

1+ years of related experience

Education

High School Diploma or GED

Washington State Pharmacy Assistant license

Tools

Pharmacy information system

Job description

Mountlake Terrace, Washington, United States of America Extraordinary Care. Extraordinary Careers. With one of the nation's largest, most innovative long‑term care pharmacy services providers, there is no limit to the growth of your career. Mercury Pharmacy Services, a Guardian Pharmacy, has an exciting opportunity for you to join our rapidly growing team in Mountlake Terrace, WA. Why Mercury Pharmacy Services? We’re reimagining medication management and transforming care. Who We Are and What We’re About: Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered. We offer an opportunity to learn and grow your career in a fast‑paced, diverse, and inclusive environment. If you are looking for a challenging, team‑oriented environment in which you can put your expertise to work, then this is the place for you.

Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month-end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers.

Details: Shift: 40 hours a week, typically a shift between 8:30-6:30 Pay: $22-$24 Location: In office: 22316 70th Ave W, Mountlake Terrace, WA 98043 This would be a great position for an accounting student. Entry-level.

ATTRIBUTES REQUIRED

• Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy
• Relational – ability to build relationships with business unit management and become “trusted advisor.”
• Strategy and Planning – ability to think ahead, plan and manage time efficiently.
• Problem Solving – ability to analyze causes and solve problems at functional level.
• Team Oriented – ability to work effectively and collaboratively with all team members.

ESSENTIAL JOB FUNCTIONS

• Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities.
• Reverify benefit coverage criteria as needed for claims follow up.
• Accurately enters and/or updates patient/insurance information into billing system.
• Maintain and continually audit patient files and corresponding documentation necessary to defend third party audits and ensure payer and company compliance.
• Accurately enter patient information into the pharmacy system.
• Provide assistance and timely response to all billing customer inquiries via phone or electronic communications.
• Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits.
• Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods.
• Proactively review patient profiles, drug regimens and insurance coverage to evaluate options to save resident money.
• Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned.
• Process patient payments, returns, and credits.
• 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 timely manner.
• Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed.
• Make corrections as needed and rebill claims as necessary.
• Develop knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances).
• Develop proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements.
• This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions.
• Rotate through other departments to gain working/functional knowledge of other department workflows.
• Follow all applicable government regulations, including HIPAA.
• Work as a collaborative team member to meet the service goals of the pharmacy.
• Other essential functions and duties may be assigned as needed.

EDUCATION AND/OR CERTIFICATIONS

• High School Diploma or GED required.
• Washington State Pharmacy Assistant license per state requirements.

SKILLS AND QUALIFICATIONS

• 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
• Quality-minded; motivated to seek out errors and inquire about inaccuracies.

WORK ENVIRONMENT

The work environment characteristics described here are representative of those an employee encounters while performing the job. The noise level in the work environment is usually low to moderate. Due to the collaborative nature of the business and the need to service customers, the employee must be able to interact effectively with others in an office environment, manage conflict, and handle stressful situations and deadlines. Requires desk work in office environment. Ability to work flexible hours.

WHAT WE OFFER

Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, “Treat others as you would like to be treated.” Compensation & Financial Competitive pay 401(k) with company match Family, Health & Insurance Benefits (Full‑Time employees working 30+ hours/week only) Medical, Dental and Vision Health Savings Accounts and Flexible Spending Accounts Company‑paid Basic Life and Accidental Death & Dismemberment Company‑paid Long‑Term Disability and optional Short‑Term Disability Voluntary Employee and Dependent Life, Accident and Critical Illness Dependent Care Flexible Spending Accounts Wellbeing Employee Assistance Program (EAP) Guardian Angels (Employee assistance fund) Time Off Paid holidays and sick days Generous vacation benefits based on years of service

EQUAL OPPORTUNITY STATEMENT

Guardian Pharmacy Services is an equal opportunity employer and provides equal opportunity in employment for all qualified persons, without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.

HIPAA AND PRIVACY

Guardian Pharmacy takes reasonable steps to protect personal information of applicants. As part of our interview and hiring process, Guardian will never ask for financial, banking, or other personal identity information via phone, email, or chat nor would we ask that you purchase equipment or gift cards as part of the hiring process. All steps in the hiring process, including interviews, will be conducted by a Guardian employee or an approved vendor. Although we may use Zoom, Microsoft Teams, other similar communication platforms, we do not conduct interviews solely via the chat function in those platforms.