Pharmacy Billing & Operations Specialist

Atrium Health Wake Forest Baptist; Winston-Salem (NC); On-site; USD 52,000 - 76,000; Full time

Job summary

Atrium Health Wake Forest Baptist is seeking a Pharmacy Billing Operations Associate to support reconciliations, payments tracking, and billing processes on-site in Winston-Salem. The role emphasizes accuracy, vendor payments, and financial controls in a busy healthcare billing environment.

The position requires a high school diploma, about two years of related experience, and strong Excel/Office skills. Pharmacy tech experience is preferred, with potential for professional growth within the

Qualifications

• High school diploma or equivalent.
• Typically, 2 years’ experience required.
• Pharmacy Technician experience preferred.
• Financial analyst or staff accounting experience preferred.

Responsibilities

• Reconcile pharmacy claims with third party and interdepartmental payments; track payments, receivables and bad debt; review EOBs and deposits.
• Manage documentation and assist in the pharmacy financial assistance program processes.
• Use payer and banking portals to research denials and exceptions; contact payers to resolve issues and respond to requests.
• Communicate payment and remittance information to external billing agencies.
• Submit manual claims as needed; monitor status to ensure proper payment.
• Maintain Medicare Part B documentation to support billing; provide billing compliance training.
• Compile documentation for payer audits.
• Manage patient billing and receivables; generate invoices; administer charity care and extended payment programs.
• Answer pharmacy billing line; assist patients with questions.
• Assist with payer credentialing; compile necessary documentation.
• Submit pharmacy invoices; ensure invoicing and timely vendor payments.
• Maintain financial data and generate monthly reports; support month-end entries.
• Produce ad hoc management reports; seek cost-saving opportunities within budgets.

Skills

Calculator proficiency

PC literacy

Excel

Word

Outlook

Adobe Pro

Multitasking

Math skills

Education

High school diploma or equivalent

Tools

Microsoft Excel

Microsoft Word

Outlook

Adobe Pro

Job description

Atrium Health Wake Forest Baptist is seeking a Pharmacy Billing Operations Associate to support reconciliations, payments tracking, and billing processes on-site in Winston-Salem. The role emphasizes accuracy, vendor payments, and financial controls in a busy healthcare billing environment.

The position requires a high school diploma, about two years of related experience, and strong Excel/Office skills. Pharmacy tech experience is preferred, with potential for professional growth within the