Pharmacy Billing Specialist: Claims & Insurance

guardianpharmacy; Grand Rapids (MI); Vor Ort; USD 28.000 - 33.000; Vollzeit

Zusammenfassung

Guardian Pharmacy of Michigan is seeking a billing associate on-site in Grand Rapids, MI. Responsibilities include processing patient bills and insurance claims, maintaining patient files, and supporting daily billing operations with accuracy and compliance.

Qualifications include a High School Diploma or GED, Pharmacy Technician licensure/certification, and 1+ years of related billing experience. Strong attention to detail and teamwork are essential for success in this role.

Qualifikationen

• High School Diploma or GED required.
• Pharmacy Technician license/certification per state requirements; National Certification preferred (PTCB) may be required.
• 1+ years of related billing experience; great attention to detail and accuracy.

Aufgaben

• Research and establish patient eligibility coverage with insurance providers and enter/update patient/insurance information in billing system.
• Maintain and audit patient files to defend third party audits and ensure payer compliance.
• Provide timely responses to billing inquiries via phone or electronic communications; resolve issues.
• Run Medicare plan comparisons during open enrollment and special enrollment periods.
• Complete daily census, admit, discharge, and room changes for facilities assigned.
• Process patient payments, returns, and credits; transmit credit card payments as needed.

Kenntnisse

Work Ethic

Relational

Strategy and Planning

Problem Solving

Team Oriented

Ausbildung

High School Diploma or GED

Pharmacy Technician license/certification

PTCB certification (preferred)

Jobbeschreibung

Guardian Pharmacy of Michigan is seeking a billing associate on-site in Grand Rapids, MI. Responsibilities include processing patient bills and insurance claims, maintaining patient files, and supporting daily billing operations with accuracy and compliance.

Qualifications include a High School Diploma or GED, Pharmacy Technician licensure/certification, and 1+ years of related billing experience. Strong attention to detail and teamwork are essential for success in this role.