Billing Pharmacy Tech: Claims & Coverage Expert

Guardian Pharmacy, LLC

Englewood (CO)

On-site

USD 30,000 - 36,000

Full time

4 days ago

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Benefits offered by this job

Medical, Dental and Vision

401(k) with company match

Paid holidays and sick days

Generous vacation benefits

Job summary

Guardian Pharmacy, LLC in Englewood, CO is seeking a detail-oriented Pharmacy Billing Technician to join our team. You will handle patient billing, insurance claims, and daily financial tasks in a fast-paced long-term care environment.

Qualifications include a high school diploma, state-certified pharmacy technician credentials, and at least 1 year of related experience. We offer comprehensive benefits and a supportive, inclusive workplace.

Qualifications

High School Diploma or GED required.
Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required (pharmacy specific).
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.
Maintain and audit patient files and documentation necessary to defend third party audits and ensure payer and company compliance.
Provide assistance and timely response to all billing inquiries via phone or electronic communications.
Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods.
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.
Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed.