Pharmacy Billing Specialist: Claims & Patient Services

Guardian Pharmacy; Statesboro (GA); Sur place; USD 34 000 - 42 000; Plein temps

Avantages offerts par ce poste

Medical benefits

401(k) with company match

Paid holidays and vacation

Résumé du poste

Guardian Pharmacy of South Georgia in Statesboro, GA is seeking a detail-oriented Billing Clerk/Pharmacy Technician to process patient bills and insurance claims. The role supports daily and month-end billing functions and provides excellent service to patients, caregivers, medical providers, and insurers.

You will work in a fast-paced, team-oriented environment, handling eligibility checks, payment processing, and dispute resolution while maintaining HIPAA compliance and accurate records.

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.
• Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines.
• Quality minded; motivated to seek out errors and inquire about inaccuracies.

Responsabilités

• Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities. Reverify benefit coverage criteria as needed for claims follow up.
• Maintain and continually audit patient files and corresponding 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.
• Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods.
• Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned.
• Process patient payments, returns, and credits. Transmit individual credit card payments as needed.

Connaissances

Experience 1+ year

Computer skills

Independent work

Attention to detail

Multi-tasking

Quality minded

Formation

High School Diploma or GED

Pharmacy Technician license/certification

Outils

Pharmacy software

Description du poste

Guardian Pharmacy of South Georgia in Statesboro, GA is seeking a detail-oriented Billing Clerk/Pharmacy Technician to process patient bills and insurance claims. The role supports daily and month-end billing functions and provides excellent service to patients, caregivers, medical providers, and insurers.

You will work in a fast-paced, team-oriented environment, handling eligibility checks, payment processing, and dispute resolution while maintaining HIPAA compliance and accurate records.