Pharmacy Billing Supervisor

Guardian Pharmacy Services Management

Springfield (MO)

On-site

USD 60,000 - 80,000

Full time

3 days ago
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Job summary

Guardian of the Heartland in Springfield, MO is seeking a Supervisor, Billing to lead day-to-day billing, accounts receivable and collections for residents, responsible parties, facility staff, and internal partners.

The role oversees claims adjudication, batch processing, month-close support, and process improvements; requires experience in high-volume claims processing and pharmacy systems such as QS/1 and DocuTrack.

Qualifications

  • High school diploma or GED required; bachelor's degree preferred.
  • Five+ years of related billing, accounts receivable, collections, or claims experience; advanced degree may substitute.
  • At least three years in a high-volume claims processing environment.
  • Previous supervisory or team leadership experience strongly preferred.
  • Pharmacy Technician license or registration may be required by state/pharmacy.
  • National Pharmacy Technician Certification (PTCB) preferred where applicable.

Responsibilities

  • Supervise billing, accounts receivable, and collections to ensure accuracy and timely completion.
  • Manage team productivity and performance against established metrics.
  • Hire, train, schedule, coach, evaluate, and develop team members.
  • Ensure claims are adjudicated and billing batches posted accurately and on time.
  • Monitor prior authorization and rejection queues and resolve outstanding items.
  • Review patient, insurance, and billing information for completeness and accuracy.
  • Analyze operational reports and explain variances and required corrections.
  • Assist with month-close activities including statements and reporting.
  • Handle escalated billing and account issues to achieve satisfactory resolutions.

Skills

Leadership
Coaching
Team development
Analytical thinking
Problem solving

Education

High school diploma or GED
Bachelor’s degree preferred
Pharmacy Technician license/registration may be required
PTCB certification preferred

Tools

QS/1
DocuTrack
Banking software

Job description

Springfield, Missouri, United States of America Extraordinary Care. Extraordinary Careers.

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 .

Why Guardian of the Heartland? We're reimagining medication management and transforming care.

Who We Are and What We're About:

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.

SCHEDULE: MONDAY-FRIDAY 8A-5P.

Supervisor, Billing

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.

Essential Job Functions
  • 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-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.
Education and Experience
  • 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.
Skills and Qualifications
  • 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 atte
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