Pharmacy Technician - Billing Specialist

3M HEALTHCARE; Statesboro (GA); On-site; USD 40,000 - 48,000; Full time

Benefits offered by this job

Health, dental & vision

401(k) with company match

Paid holidays and sick days

Generous vacation benefits

Well-being programs

Guardian Angels

Job summary

Guardian Pharmacy of South Georgia, part of the Guardian family, seeks a dedicated Pharmacy Technician in Statesboro, GA. You will process billing, insurance claims, and patient interactions while ensuring accuracy and compliance in a fast-paced environment.

Responsibilities include eligibility checks, claim follow-ups, and maintaining meticulous patient records. Strong attention to detail and teamwork are essential for success.

Qualifications

• High School Diploma or GED required.
• Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB).
• 1+ year of related experience.
• Advanced computer skills; pharmacy information system experience preferred.
• Ability to work independently and meet deadlines.
• Great attention to detail and accuracy.
• Ability to excel in a fast-paced, team-oriented environment and handle multiple tasks simultaneously under strict deadlines.
• Quality minded; motivated to identify errors and inquire about inaccuracies.

Responsibilities

• Process customer bills and insurance claims accurately and timely.
• Assist with daily and month-end billing functions, procedures and reporting.
• Provide excellent customer service to patients, caregivers, medical providers and insurance carriers.
• Research and establish patient eligibility coverage with insurance providers.
• Reverify benefit coverage criteria as needed for claim follow-up.
• Accurately enter and/or update patient and insurance information into billing system.
• Maintain and audit patient files and documentation for third-party audits and compliance.
• Follow all applicable government regulations including HIPAA.
• Work collaboratively to meet service goals of the pharmacy.

Skills

Attention to detail

Time management

Teamwork

Problem solving

Education

Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB)

Tools

Pharmacy information system

Computer skills

Job description

Location

Statesboro, Georgia, United States of America

Role Overview

Guardian Pharmacy of South Georgia, a member of the Guardian family of pharmacies, is looking for a dedicated Pharmacy Technician to join our rapidly growing team in Statesboro. This role involves processing customer bills and insurance claims accurately and on time, providing excellent customer service to patients, caregivers, and providers.

Key Responsibilities

• Process customer bills and insurance claims accurately and timely.
• Assist with daily and month-end billing functions, procedures and reporting.
• Provide excellent customer service to patients, caregivers, medical providers and insurance carriers.
• Research and establish patient eligibility coverage with insurance providers.
• Reverify benefit coverage criteria as needed for claim follow-up.
• Accurately enter and/or update patient and insurance information into billing system.
• Maintain and audit patient files and documentation for third-party audits and compliance.
• 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.
• Guide residents or responsible parties with 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.
• Maintain daily census, admit, discharge and room changes for assigned facilities.
• Process patient payments, returns and credits. Transmit individual credit card payments as needed.
• Seek payment from delinquent accounts and arrange payment plans.
• 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.
• Make corrections as needed and rebill claims.
• Develop knowledge of pharmacy facility billing requirements (Medicare, Medicaid, PDPs and third-party insurances).
• Develop proficiency in pharmacy information systems to meet operational needs and regulatory requirements.
• Use pharmacy systems to process prior authorizations, resolve rejections, produce reports needed for billing functions.
• Rotate through other departments to gain working/functional knowledge of other department workflows.
• Follow all applicable government regulations including HIPAA.
• Work collaboratively to meet service goals of the pharmacy.

Attributes Required

• Strong work ethic/integrity with intrinsic drive to excel and alignment with company values.
• Relational skills – ability to build relationships with business unit management and become a 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.

Schedule

Monday – Friday, 9:00am - 6:00pm

Working Environment

Desk work in an office environment with low to moderate noise. Requires interaction with others, conflict management, stress coping and meeting deadlines. Flexible hours may be required.

Qualifications

• High School Diploma or GED required.
• Pharmacy Technician license/certification/registration per state requirements; National Certification preferred (PTCB).
• 1+ year of related experience.
• Advanced computer skills; pharmacy information system experience preferred.
• Ability to work independently and meet deadlines.
• Great attention to detail and accuracy.
• Ability to excel in a fast-paced, team-oriented environment and handle multiple tasks simultaneously under strict deadlines.
• Quality minded; motivated to identify errors and inquire about inaccuracies.

Benefits

• Competitive pay.
• 401(k) with company match.
• Health, dental & vision. Health Savings Account and Flexible Spending Account.
• Company-paid basic life, accidental death & disability, long-term disability (optional short-term disability).
• Voluntary employee & dependent life, accident & critical illness, dependent care and flexible spending accounts.
• Well-being programs, Employee Assistance Program, Guardian Angels.
• Paid holidays and sick days.
• Generous vacation benefits based on years of service.

Work Environment and Culture

Guardian emphasizes local operation, empowerment and tailored service. Employees are encouraged to voice ideas and participate in a diverse and inclusive workforce. We focus on innovation, intellectual curiosity and diverse viewpoints to remain competitive.