Pharmacy Billing & Collections Specialist

Walgreens; Lansing (MI); On-site; USD 28,000 - 36,000; Full time

Job summary

Walgreens in Michigan is seeking a Pharmacy Billing Technician to manage accurate billing and collection of third-party and patient payments for products and services rendered.

Responsibilities include submitting invoices to payers, verifying pricing, ensuring proper authorization and documentation, and handling patient balances and refunds in accordance with company policies. The role emphasizes communication with patients and providers and knowledge of Medicare processes.

Qualifications

• High School Diploma or equivalent required.
• Pharmacy Technician license required where state law applies.
• PTCB or ExCPT certification or state registration/training program required.

Responsibilities

• Submit timely, accurate invoices to payer for products and services provided.
• Determine quantities and prices for products and services billed.
• Verify services and products are correctly authorized and required documentation is on file.
• Ensure Medicare documentation is received and submitted.
• Review reports to maximize generic substitution opportunities.
• Manage and collect patient balances prior to prescription dispensing or per policy.
• Ensure all billing documentation is completed prior to claim submission.
• Process reimbursement checks/payments per policy.
• Review price modify logs and ensure SDL claims are present.
• Review and resolve third party chargebacks.
• Assist with third party audits.
• Process and file SDL claims.
• Handle prescription exceptions including prior authorizations and triaging referrals.

Skills

Strong communication

Customer service

Attention to detail

Data entry

Education

High School Diploma or equivalent

Pharmacy Technician license

PTCB/ExCPT certification

Tools

MS Excel

Billing/claims systems

Job description

Walgreens in Michigan is seeking a Pharmacy Billing Technician to manage accurate billing and collection of third-party and patient payments for products and services rendered.

Responsibilities include submitting invoices to payers, verifying pricing, ensuring proper authorization and documentation, and handling patient balances and refunds in accordance with company policies. The role emphasizes communication with patients and providers and knowledge of Medicare processes.