Pharmacy Billing Supervisor
Guardian Pharmacy
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Benefits offered by this job
Job summary
Guardian of the Heartland, part of the Guardian family of pharmacies, seeks a Supervisor, Billing in Springfield, MO. You will lead day-to-day billing, AR, and collections to maximize revenue and service quality for residents and facilities.
The role focuses on staff development, process improvement, and timely adjudication of claims. You will oversee a team, monitor productivity, and coordinate with other departments to resolve issues while maintaining high accuracy and customer service.
Qualifications
- High school diploma or GED required; bachelor’s degree preferred.
- Five+ years of billing, AR, collections, or claims experience; advanced degree may substitute.
- At least three years in high-volume claims processing; supervisory experience preferred.
- Pharmacy Technician license/certification may be required; National Certification (PTCB) preferred.
- Strong leadership and coaching skills; ability to train and develop staff.
Responsibilities
- Supervise billing, AR, and collections for accuracy, timeliness, and service quality.
- Manage productivity and performance against metrics; monitor error rates.
- Hire, train, schedule, coach, evaluate, and develop team members; address performance matters.
- Ensure claims adjudication and billing batches are processed and posted on time.
- Monitor prior authorization queues and resolve outstanding items promptly.
- Review patient and insurance data for completeness and accuracy.
- Analyze operational reports and explain variances; implement corrections.
- Assist month-end close with statements, reporting, and account analysis.
- Handle escalated billing issues and customer inquiries; ensure resident satisfaction.
- Lead cross-functional discussions to improve communication and workflows.
- Develop and maintain training manuals, policies, procedures for billing functions.
Skills
Education
Tools
Job description
Springfield, Missouri, United States of America
With one of the nation's largest, most innovative long-term care pharmacy services providers, there is no limit to the growth of your career.
Guardian of the Heartland, a member of the Guardian family of pharmacies, has an exciting opportunity for you to join our rapidly growing team in Springfield, Missouri.
Our core focus is delivering customized medication management solutions to support healthcare organizations serving seniors and individuals with complex care needs. With our comprehensive suite of tech-enabled pharmacy services and a dedicated team of professionals committed to enriching the lives of those we serve, we are redefining how pharmacy care is delivered.
We offer an opportunity to learn and grow your career in a fast-paced, diverse, and inclusive environment. If you are looking for a challenging, team-oriented environment in which you can put your expertise to work, then this is the place for you.
The Supervisor, Billing leads the day-to-day billing, accounts receivable, and collections functions while ensuring work is completed accurately, efficiently, and on time. This position oversees claims adjudication, batch processing and posting, account maintenance, and issue resolution to help maximize revenue and maintain a high level of service for residents, responsible parties, facility staff, and internal partners.
The Supervisor develops and supports team members, monitors productivity and quality metrics, resolves escalated billing issues, and collaborates with other departments to improve processes and address workflow challenges.
- Supervise billing, accounts receivable, and collections activities to ensure accuracy, timely completion, and a high level of customer service.
- Manage team productivity and performance against established metrics, including production volume and error rates.
- Hire, train, schedule, coach, evaluate, and develop team members; address performance or disciplinary matters as needed.
- Ensure all claims are adjudicated and billing batches are completed and posted accurately and on time.
- Monitor prior authorization and rejection queues and ensure outstanding items are researched and resolved promptly.
- Review patient, insurance, and billing information for completeness and accuracy.
- Analyze operational reports, including unbilled revenue, and provide explanations of variances and required corrections.
- Assist with month-end close activities, including statement preparation, reporting, and account analysis.
- Handle escalated billing and account issues and work toward satisfactory resolution for residents, responsible parties, and facility customers.
- Conduct customer account audits as needed.
- Serve as a subject matter expert on department systems and applications, including QS/1, DocuTrack, banking software, and other relevant programs.
- Maintain a thorough understanding of all department functions and provide hands-on support to eliminate workflow bottlenecks.
- Lead the development and ongoing maintenance of training manuals, policies, and procedures for each billing function.
- Conduct regular team meetings and coordinate cross-functional discussions to improve communication and resolve operational issues.
- Collaborate with other departments on billing, claims adjudication, and customer account matters.
- Assist with incoming calls and customer service needs when necessary.
- Become cross-trained in all department functions to provide coverage and operational support.
- Lead by example by demonstrating a positive attitude, dependability, commitment, productivity, efficiency, and adherence to company policies and procedures.
- Perform other essential duties as assigned.
- High school diploma or GED required; bachelor’s degree preferred.
- Five or more years of related billing, accounts receivable, collections, or claims experience; an advanced degree may substitute for a portion of the experience requirement.
- At least three years of experience in a high-volume claims processing environment.
- Previous supervisory or team leadership experience strongly preferred.
- Pharmacy Technician license, certification, or registration may be required based on state and pharmacy requirements.
- National Pharmacy Technician Certification through PTCB preferred and may be required for certain pharmacy locations.
- Strong leadership, coaching, and team-development skills.
- Advanced computer skills; experience with pharmacy operating systems preferred.
- Working knowledge of billing, accounts receivable, collections, and claims adjudication processes.
- Strong analytical and problem-solving abilities with the judgment to resolve issues with minimal direction.
- Excellent attention to detail and commitment to accuracy and quality.
- Ability to analyze reports, identify discrepancies, and implement appropriate corrective actions.
- Strong organizational and time-management skills with the ability to manage multiple priorities and deadlines.
- Ability to work independently while collaborating effectively across departments.
- Strong written and verbal communication and customer-service skills.
- Ability to thrive in a fast-paced, team-oriented environment.
- Work Ethic and Integrity: Demonstrates an intrinsic drive to excel and values consistent with the company’s philosophy.
- Leadership: Effectively guides individuals and teams, maintains accountability, and delivers results by established deadlines.
- Relationship Building: Develops trusted relationships with team members, pharmacy leadership, and business partners.
- Planning and Organization: Anticipates needs, establishes priorities, and manages time and resources efficiently.
- Problem Solving: Identifies root causes and resolves challenges at both the operational and functional levels.
- Team Orientation: Works collaboratively and contributes to a supportive, results-focused environment.
Guardian provides employees with a comprehensive Total Rewards package, supporting our core value of, "Treat others as you would like to be treated."
- Competitive pay
- 401(k) with company match
- Medical, Dental and Vision
- Health Savings Accounts and Flexible Spending Accounts
- Company-paid Basic Life and Accidental Death & Dismemberment
- Company-paid Long-Term Disability and optional Short-Term Disability
- Voluntary Employee and Dependent Life, Accident and Critical Illness
- Dependent Care Flexible Spending Accounts
- Employee Assistance Program (EAP)
- Guardian Angels (Employee assistance fund)
- Paid holidays and sick days
- Generous vacation benefits based on years of service
Our clients require pharmacy services that aren’t "cookie cutter." That’s why every Guardian pharmacy is locally operated and empowered with the autonomy to tailor their business to meet their clients’ needs.
Our corporate support offices, based in Atlanta, Ga., provide services such as human resources, business intelligence, legal, and marketing to promote the success of each Guardian location.
Regardless of your role at Guardian, your voice and talents matter. Because healthcare is an ever-changing industry, we encourage innovative thinking, intellectual curiosity, and diverse viewpoints to ensure we stay competitive in today’s dynamic business environment.
At Guardian, we are dedicated to fostering and advancing a diverse and inclusive workforce.
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