Pharmacy Technician - Billing Specialist

Guardian Pharmacy, LLC; Phoenix (AZ); On-site; USD 28,929 - 33,062; Full time

Benefits offered by this job

401(k) with up to 3.5% company match

Health plans including dental and vision

Generous vacation benefits

Job summary

JobRx, Inc. is seeking a Pharmacy Technician in Phoenix, Arizona. This role entails processing customer bills and insurance claims while ensuring excellent customer service. The ideal candidate has a Pharmacy Technician certification and at least 2 years of related experience, including billing.

The position offers competitive pay and a comprehensive benefits package, emphasizing emotional well-being and physical health.

Qualifications

• 2+ years of related experience including 6 months billing experience.
• Pharmacy Technician license/certification required.
• Ability to work independently and meet deadlines.

Responsibilities

• Process customer bills and insurance claims accurately.
• Assist with billing inquiries and resolve issues.
• Maintain patient files and documentation for compliance.

Skills

2+ years related experience

Advanced computer skills

Attention to detail

Team-oriented

Education

High School Diploma or GED

Pharmacy Technician Certification

Tools

Pharmacy information system experience

Job description

Position Details

• Schedule: Monday - Friday, 11:30 AM - 8:00 PM. Rotation of Weekend Day every 4th - 5th weekend.
• Training Schedule: Monday - Friday, 9:00 AM - 5:30 PM (Approximately 90 Days)
• Pay: $21.00 - $24.00
• Location: Saliba's Pharmacy - 925 E Covey Lane, Phoenix, AZ 85024
• Pharmacy Technician Certification Required

Responsibilities

Responsible for processing customer bills and insurance claims in an accurate and timely manner. This includes assisting with all daily and month‑end billing functions, procedures and reporting. Provides excellent customer service to patients, caregivers, medical providers and insurance carriers.

Attributes Required

• Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy.
• Relational – ability to build relationships with business unit management and become "trusted advisor."
• Strategy and Planning – ability to think ahead, plan and manage time efficiently.
• Problem Solving – ability to analyze causes and solve problems at functional level.
• Team Oriented – ability to work effectively and collaboratively with all team members.

Essential Job Functions

• Research and establish patient eligibility coverage with insurance providers including private individuals and/or government entities. Reverify benefit coverage criteria as needed for claims follow up. Accurately enters and/or updates patient/insurance information into billing system.
• Maintain and continually audit patient files and corresponding documentation necessary to defend third-party audits and ensure payer and company compliance. Accurately enter patient information into the pharmacy system.
• Provide assistance and timely response to all billing customer inquiries via phone or electronic communications. Research and resolve patient billing issues regarding insurance eligibility, coverage, and related benefits. Uses working knowledge to troubleshoot and resolve customer service issues.
• Provide guidance and support to resident or responsible party by running Medicare plan comparisons during open enrollment and special enrollment periods. Proactively review patient profiles, drug regimens and insurance coverage to evaluate options to save resident money.
• Responsible for completion of daily census, admit, discharge, and room changes for the facilities assigned.
• Process patient payments, returns, and credits. Transmit individual credit card payments as needed.
• May pursue payment from delinquent accounts and make payment arrangements.
• Research, identify and organize requested audit documentation in a timely manner.
• Perform prescription claims adjudication including communication with insurance companies regarding rejected claims, eligibility, prior authorizations or other issues as needed. Make corrections as needed and rebill claims as necessary.
• Through prior experience and cross training, demonstrate knowledge and understanding in pharmacy facility billing requirements (Medicare, Medicaid, Prescription Drug Plans (PDPs) and Third-Party Insurances) and working/functional knowledge of other pharmacy departmental functions.
• Exercise proficiency in the utilization of pharmacy information systems to meet operational needs and regulatory requirements. This includes using pharmacy systems to process prior authorizations, resolve rejections, produce various reports as necessary, and complete billing functions in a timely manner and with a high degree of accuracy.
• Consistently meet pharmacy's established accuracy and productivity levels.
• Follow all applicable government regulations including HIPAA.
• Work as a collaborative team member to meet the service goals of the pharmacy.
• Other essential functions and duties may be assigned as needed.

Education and/or Certifications

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

Skills and Qualifications

• 2+ years related experience including a minimum of 6 months billing experience in long-term care or retail setting.
• Advanced computer skills; pharmacy information system experience required.
• Ability to work independently and deliver to deadlines.
• Great attention to detail and accuracy.
• Ability to excel in a fast-paced, team-oriented environment working on multiple tasks simultaneously, while adhering to strict deadlines.
• Quality minded; motivated to seek out errors and inquire about inaccuracies.

Work Environment

• The noise level in the work environment is usually low to moderate.
• Due to the collaborative nature of the business and the need to service customers, the employee must be able to interact effectively with others in an office environment, manage conflict, and handle stressful situations and deadlines.
• Requires desk work in office environment.
• Ability to work flexible hours.

What We Offer

Emotional well-being and physical health are important, which is why our employees receive a generous benefits package and a work culture that supports our core value of "Treat others as you would like to be treated."

Compensation & Financial

• Competitive pay
• 401(k) with up to 3.5% company match

(Eligibility begins the first of the month following 30 days of employment)

Family, Health & Insurance Benefits

• Multiple health plan options including copay (FSA‑eligible) and HSA‑eligible plans
• Wellness Incentive Program
• Dental and Vision plans
• Company‑paid basic life, AD&D and long‑term disability coverage
• Optional employee, spouse, and child life/AD&D insurance
• Optional accident, critical illness, and short‑term disability coverage
• Dependent Care Flexible Spending Accounts
• Employee Assistance Program (EAP)

Time Off

• Paid holidays and sick days
• Generous vacation benefits based on years of service

(Full‑time employees only, excluding EAP which is available to all Guardian employees)