Pharmacy Billing & Claims Specialist

Guardian Pharmacy, LLC; Englewood (CO); On-site; USD 32,000 - 36,000; Full time

Benefits offered by this job

401(k) with company match

Competitive pay

Job summary

Guardian Pharmacy, LLC in Englewood, Colorado is seeking a Pharmacy Billing Specialist to process patient bills and insurance claims, manage daily and month-end billing functions, and deliver exceptional customer service to patients and providers. The role emphasizes accuracy, HIPAA compliance, and teamwork in a fast-paced setting.

Ideal candidates have 2+ years billing experience in long-term care or retail, with strong computer and pharmacy system skills.

Qualifications

• 2+ years related experience including a minimum of 6 months billing experience in long term care or retail setting.
• Advanced computer skills; pharmacy information system experience required.
• Ability to work independently and deliver to deadlines.

Responsibilities

• Process patient eligibility with insurance providers.
• Enter patient information into the pharmacy system and billing system.
• Provide timely responses to billing inquiries by phone or electronic communications.
• Research and resolve patient billing issues regarding insurance eligibility and coverage.
• Follow HIPAA and regulatory requirements in all billing activities.

Skills

Billing experience

Attention to detail

Teamwork

Education

High School Diploma or GED

Pharmacy Technician license/certification

Tools

Pharmacy information system

Job description

Guardian Pharmacy, LLC in Englewood, Colorado is seeking a Pharmacy Billing Specialist to process patient bills and insurance claims, manage daily and month-end billing functions, and deliver exceptional customer service to patients and providers. The role emphasizes accuracy, HIPAA compliance, and teamwork in a fast-paced setting.

Ideal candidates have 2+ years billing experience in long-term care or retail, with strong computer and pharmacy system skills.