Pharmacy Billing Specialist I — Claims & Reimbursement

Alaska Native Tribal Health Consortium; Anchorage (AK); On-site; USD 52,000 - 76,000; Full time

Benefits offered by this job

Medical Insurance

Paid Time Off

On-Site Child Care Facility

401(a) Retirement Plan

Job summary

The Alaska Native Tribal Health Consortium (ANTHC) is seeking Pharmacy Billing Specialist I–IV to prepare and submit insurance claims for patients receiving pharmacy care at ANTHC and affiliated centers. Under supervision, you will review records and ensure accurate billing.

Responsibilities include communicating with insurers, Medicaid/Medicare, maintaining files, and aiding in monthly reports. Requires a high school diploma or GED and Pharmacy Technician license; prior billing experience

Qualifications

• High school diploma or GED required.
• Current Pharmacy Technician License required.
• Experience in pharmacy billing is preferred.
• Knowledge of medical billing and accounting procedures.

Responsibilities

• Prepares and submits insurance claims for pharmacy patients.
• Reviews electronic health records to determine billable charges.
• Maintains filing system for billed claims and audit backup.
• Responds to inquiries from patients, physicians, and insurers.
• Works with Medicaid and Medicare to verify coverage and claim status.
• Assists in monthly reports and ensures equipment and forms availability.
• Performs other duties as assigned.

Skills

Medical billing

Customer service

Pharmacy billing

Attention to detail

Education

High school diploma or GED

Job description

The Alaska Native Tribal Health Consortium (ANTHC) is seeking Pharmacy Billing Specialist I–IV to prepare and submit insurance claims for patients receiving pharmacy care at ANTHC and affiliated centers. Under supervision, you will review records and ensure accurate billing.

Responsibilities include communicating with insurers, Medicaid/Medicare, maintaining files, and aiding in monthly reports. Requires a high school diploma or GED and Pharmacy Technician license; prior billing experience