Pharmacy Billing Specialist — Growth‑Focused Claims Expert

Guardian Pharmacy; Crestview (FL); On-site; USD 32,000 - 42,000; Full time

Benefits offered by this job

Medical, Dental and Vision

401(k) with company match

Paid holidays and sick days

Generous vacation benefits

Job summary

Guardian Pharmacy of Northwest Florida in Crestview, FL seeks a detail-oriented Pharmacy Billing Technician. The role focuses on helping patients with eligibility and billing, handling third-party claims, and working in a fast-paced, onsite environment.

Responsibilities include researching coverage, maintaining patient records, addressing billing inquiries, and supporting enrollment-related activities while ensuring HIPAA compliance and accurate data processing.

Qualifications

• High School Diploma or GED required.
• Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB) may be required.

Responsibilities

• Research and establish patient eligibility coverage with insurance providers.
• Maintain and audit patient files and documentation for audits and compliance.
• Assist billing inquiries via phone or electronic communications; resolve billing issues.
• Run Medicare plan comparisons during enrollment periods and review patient profiles for coverage and costs.
• Process daily census, admit, discharge, and room changes for facilities assigned.
• Process patient payments, returns, and credits; transmit credit card payments as needed.
• Pursue payments from delinquent accounts and arrange payments when necessary.
• Perform prescription claims adjudication and communicate with insurers on rejections or prior authorizations.
• Develop knowledge of Medicare, Medicaid, PDPs, and third-party insurance billing requirements.
• Utilize pharmacy information systems to process prior authorizations, resolve rejections, and generate reports.

Skills

Attention to detail

Independent worker

Multi-tasking

Deadline-driven

Team player

Education

High School Diploma or GED

Pharmacy Technician license/certification/registration

National Certification (PTCB) preferred

Tools

Pharmacy information system

Job description

Guardian Pharmacy of Northwest Florida in Crestview, FL seeks a detail-oriented Pharmacy Billing Technician. The role focuses on helping patients with eligibility and billing, handling third-party claims, and working in a fast-paced, onsite environment.

Responsibilities include researching coverage, maintaining patient records, addressing billing inquiries, and supporting enrollment-related activities while ensuring HIPAA compliance and accurate data processing.