Pharmacy Billing Specialist - Outpatient Specialty

Tampa General Hospital; Tampa (FL); On-site; USD 45,000 - 60,000; Full time

Job summary

A regional healthcare provider in Tampa seeks a Pharmacy Billing Specialist who will handle medication billing functions, verify insurance eligibility, and facilitate prior authorizations. The ideal candidate will have an Associate's Degree and experience in healthcare or pharmacy billing, and will work closely with patients and providers to ensure access to medications. The position offers a hybrid work model with full-time hours Monday to Friday.

Qualifications

• Two years of experience in healthcare, retail, pharmacy, or billing, or equivalent experience.

Responsibilities

• Verify insurance eligibility.
• Facilitate prior authorizations.
• Collaborate with third-party payers and clinical offices.
• Work with patients to ensure medication access.
• Assist with denial appeals and financial assistance.
• Audit hospital pharmacy billing.
• Resolve claim rejections.

Skills

Insurance eligibility verification

Prior authorizations

Collaboration with third-party payers

Patient support

Financial assistance handling

Billing audits

Education

Associate’s Degree in a relevant field

Job description

Job Description - Pharmacy Billing Specialist - Outpatient Specialty (2600019B)

The Pharmacy Billing Specialist handles all medication billing functions within Pharmacy Services. Responsibilities include verifying insurance eligibility, facilitating prior authorizations, and collaborating with third‑party payers and clinical offices. The specialist works with patients and providers to ensure access to medications and assists with denial appeals and financial assistance through funding sources. The role also involves auditing hospital pharmacy billing, resolving claim rejections, and supporting medical bill audits. All tasks align with TGH’s mission, vision, and values.

Responsibilities

• Verify insurance eligibility.
• Facilitate prior authorizations.
• Collaborate with third‑party payers and clinical offices.
• Work with patients and providers to ensure medication access.
• Assist with denial appeals and financial assistance.
• Audit hospital pharmacy billing and resolve claim rejections.
• Support medical bill audits.

Qualifications

• Associate’s Degree in a relevant field.
• Two (2) years of experience in healthcare, retail, pharmacy, or billing. Experience may be considered in lieu of a degree.

Primary Location

Tampa

Work Location

TGH Main Campus 1, Tampa General Circle, Tampa, 33601

Eligibility for Remote Work

Hybrid Remote

Job

Pharmacy

Schedule

Full‑time

Scheduled Days

Monday, Tuesday, Wednesday, Thursday, Friday

Shift

Day Job

Job Type

Hybrid Remote

Shift Hours

Day shifts 8am to 4:30pm Monday to Friday