Pharmacy Billing Assistant: Entry-Level Claims & Eligibility

Guardian Pharmacy, LLC; Washington (Washington County); On-site; USD 63,039,000 - 68,770,000; Full time

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 Mountlake Terrace, WA is seeking an entry-level Billing Clerk to support patient billing and insurance claims processing. The role emphasizes accuracy, timely submissions, and excellent customer service to patients, caregivers, providers, and insurers.

Responsibilities include researching eligibility, entering data, reconciling accounts, processing payments, and assisting with month-end tasks in a fast-paced, team-oriented environment.

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 multitask in a fast-paced, team environment.
• Quality-minded; motivated to seek errors and correct inaccuracies.

Responsibilities

• Research and establish patient eligibility coverage with insurance providers; enter and update patient/insurance data into billing system.
• Maintain and audit patient files to defend audits and ensure payer compliance.
• Provide timely responses to billing inquiries via phone or email; resolve billing issues.
• Run Medicare plan comparisons during enrollment periods and evaluate options to save residents money.
• Complete daily census, admit, discharge, and room changes for facilities assigned.
• Process patient payments, returns, and credits; transmit credit card payments as needed.
• Pursue payment from delinquent accounts and arrange payments.
• Process prescription claims adjudication and resolve rejections with insurers.
• Develop knowledge of Medicare/Medicaid and third-party billing requirements.
• Utilize pharmacy information systems for prior authorizations and reporting.
• Rotate through departments to gain workflow knowledge and ensure HIPAA compliance.

Skills

Experience

Computer skills

Independent work

Attention to detail

Multitasking

Quality minded

Education

High School Diploma or GED

Washington State Pharmacy Assistant license

Job description

Guardian Pharmacy, LLC in Mountlake Terrace, WA is seeking an entry-level Billing Clerk to support patient billing and insurance claims processing. The role emphasizes accuracy, timely submissions, and excellent customer service to patients, caregivers, providers, and insurers.

Responsibilities include researching eligibility, entering data, reconciling accounts, processing payments, and assisting with month-end tasks in a fast-paced, team-oriented environment.