Pharmacy Billing & Claims Technician - Fast-Paced Growth

Guardian Pharmacy

Virginia (MN)

On-site

USD 38,000 - 52,000

Full time

14 days+

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Benefits offered by this job

Medical, Dental & Vision

401(k) with company match

HSA/FSA

Job summary

Guardian Pharmacy of Dallas Fort-Worth in Arlington, TX is seeking a billing assistant to process patient bills and insurance claims, ensuring accuracy and timely reporting. You will enter data, respond to inquiries, and support enrollment periods.

Qualifications include a high school diploma, pharmacy technician licensure per state requirements, and 1+ year related experience. The role emphasizes attention to detail, HIPAA compliance, and teamwork in a fast-paced office environment with

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
Able to work in a fast-paced, team-oriented environment and manage multiple tasks with deadlines
Quality minded; motivated to seek out errors and inquire about inaccuracies

Responsibilities

Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities.
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 customer inquiries via phone or electronic communications.
Run Medicare plan comparisons during open enrollment and special enrollment periods; review patient profiles and insurance coverage 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.
Organize requested audit documentation in a timely manner.
Perform prescription claims adjudication and communicate with insurers on rejections, eligibility, prior authorizations or other issues.
Develop knowledge of Medicare, Medicaid, PDPs and third-party insurances.
Use pharmacy information systems to meet operational needs and regulatory requirements.
Rotate through other departments to gain knowledge of workflows.
Follow HIPAA and work as part of a collaborative team.
Other essential functions as needed.