Pharmacy Billing & Eligibility Specialist

Guardian Pharmacy, LLC; Statesboro (GA); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Medical, Dental and Vision

401(k) with company match

Paid holidays and vacation

Job summary

Guardian Pharmacy of South Georgia, part of Guardian Pharmacy, is hiring in Statesboro, GA for a Billing Associate focused on processing insurance claims and patient billing with strong attention to detail.

The role requires a Pharmacy Technician license/certification and 1+ year of related experience; National Certification (PTCB) is preferred. You’ll work in a collaborative office environment with a focus on accuracy and timely service.

Qualifications

• High School Diploma or GED required.
• Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB).
• 1+ years of related experience in billing and pharmacy operations.

Responsibilities

• Research and establish patient eligibility coverage with insurance providers and reverify benefits as needed.
• Accurately enters and updates patient/insurance information in billing system and maintains files for audits.
• Process daily census, admissions, discharges, and room changes for assigned facilities.
• Handle patient payments, credits, and delinquent accounts; pursue payment arrangements when needed.
• Perform prescription claims adjudication and communicate with insurers on rejections or pre-authorizations.
• Ensure compliance with HIPAA and regulatory requirements; collaborate with team to meet service goals.

Skills

Work Ethic

Relational

Strategy & Planning

Problem Solving

Team Oriented

Attention to detail

Independent work

Proactive communication

Education

High School Diploma or GED

Pharmacy Technician license/certification/registration

National Certification (PTCB)

Tools

Pharmacy information system

Job description

Guardian Pharmacy of South Georgia, part of Guardian Pharmacy, is hiring in Statesboro, GA for a Billing Associate focused on processing insurance claims and patient billing with strong attention to detail.

The role requires a Pharmacy Technician license/certification and 1+ year of related experience; National Certification (PTCB) is preferred. You’ll work in a collaborative office environment with a focus on accuracy and timely service.