Pharmacy Billing & Claims Specialist

Guardian Pharmacy Services Management, LLC; Cedar Rapids (IA); On-site; USD 36,000 - 52,000; Full time

Benefits offered by this job

401(k) with company match

Medical, Dental and Vision insurance

Health Savings Accounts and Flexible S

Life Insurance

Job summary

Guardian Pharmacy Services Management, LLC is seeking a detail-oriented Billing Specialist in Cedar Rapids, IA to process patient bills and insurance claims. You will verify eligibility, handle inquiries, and ensure accuracy in patient records while maintaining compliance with HIPAA and payer requirements.

Ideal candidates have 1+ year billing experience, strong data entry skills, and familiarity with pharmacy information systems.

Qualifications

• Minimum 1+ year of related billing experience.
• Strong data entry and typing accuracy.
• Familiarity with payer requirements and insurance processing.

Responsibilities

• Process patient bills and insurance claims accurately and timely.
• Enter and update patient/insurance information in billing system.
• Respond to billing inquiries from patients, caregivers, and providers.
• Review Medicare/Medicaid plans and compare open enrollment options.
• Maintain patient files and documentation for audits and compliance.

Skills

Billing & claims processing

Customer service

HIPAA compliance

Data entry accuracy

Education

High School Diploma or GED

Pharmacy Technician license/certification

National Certification (PTCB) preferred

Tools

Pharmacy information system

Medicare/Medicaid billing systems

Job description

Guardian Pharmacy Services Management, LLC is seeking a detail-oriented Billing Specialist in Cedar Rapids, IA to process patient bills and insurance claims. You will verify eligibility, handle inquiries, and ensure accuracy in patient records while maintaining compliance with HIPAA and payer requirements.

Ideal candidates have 1+ year billing experience, strong data entry skills, and familiarity with pharmacy information systems.