Pharmacy Billing Specialist – Claims & Patient Support

Walgreens; Orange (CA); On-site; USD 30,000 - 40,000; Full time

Job summary

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

You will submit invoices, verify authorizations, and ensure documentation is on file while coordinating with providers and payers. The role emphasizes Medicare compliance, patient communication, and assisting with assistance programs enrollment.

Qualifications

• High school diploma or equivalent required.
• Pharmacy Technician license (state where required).
• PTCB or ExCPT certification maintained through program or state requirements.
• Experience communicating with diverse audiences (phone, email, reports).

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 authorized and documentation is on file.
• Ensure Medicare documentation is received and submitted.
• Review reports to maximize substitution opportunities.
• Manage patient balances prior to dispensing per policy.
• Ensure billing documentation is complete before claim submission.
• Process reimbursements per policy.
• Review price modify logs and SDL claims.
• Resolve third party chargebacks promptly.
• Assist with third party audits per policy.
• Process and file all SDL claims per policy.
• Handle prescription exceptions including prior authorizations and referrals.
• Communicate proactively with patients/providers about status.
• Assist patients with enrollment in assistance programs and eligibility reporting.
• Handle non-personal calls to physicians and payers.
• Maintain expertise on external billing practices to coach staff.

Skills

Customer service

Verbal and written communication

Attention to detail

Data entry

Education

High School Diploma or equivalent

Tools

MS Excel

Job description

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

You will submit invoices, verify authorizations, and ensure documentation is on file while coordinating with providers and payers. The role emphasizes Medicare compliance, patient communication, and assisting with assistance programs enrollment.