On-Site Pharmacy Billing & Adjudication Specialist — Ormond Beach

Guardian Pharmacy; Daytona Beach (FL); On-site; USD 36,000 - 60,000; Full time

Benefits offered by this job

Medical Benefits

Dental & Vision

401(k) with company match

Paid Holidays

Generous Vacation

Job summary

Guardian Pharmacy in Ormond Beach, FL is seeking a dedicated Billing Specialist to manage patient billing, insurance claims, and open enrollment support. The role focuses on accurate data entry, timely problem resolution, and responsive service to patients and providers.

On-site position with training and comprehensive benefits; you will work closely with a team to ensure HIPAA compliance and efficient claim processing in a fast-paced facility billing environment.

Qualifications

• High School Diploma or GED required.
• Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required.

Responsibilities

• Research and verify patient insurance eligibility and benefits; enter data into billing system.
• Respond to billing inquiries from patients, caregivers, and providers; resolve issues.
• Run Medicare plan comparisons during open enrollment and special enrollment periods.
• Maintain and audit patient files and billing documentation for audits and compliance.
• Process daily census, admissions, discharges, and room changes for facilities.
• Process patient payments, credits, and communicate with insurers as needed.

Skills

Integrity

Relationship-building

Planning

Problem-solving

Teamwork

Education

HS Diploma or GED

Pharmacy Tech license/cert.

Tools

Pharmacy information system

Job description

Guardian Pharmacy in Ormond Beach, FL is seeking a dedicated Billing Specialist to manage patient billing, insurance claims, and open enrollment support. The role focuses on accurate data entry, timely problem resolution, and responsive service to patients and providers.

On-site position with training and comprehensive benefits; you will work closely with a team to ensure HIPAA compliance and efficient claim processing in a fast-paced facility billing environment.