Specialty Pharmacy Billing Specialist

Walgreens; Iowa City (IA); On-site; USD 28,000 - 36,000; Full time

Job summary

Walgreens is seeking a Pharmacy Billing Specialist to manage accurate invoicing and collections for third party and patient payments for products and services rendered.

The role emphasizes timely submission of claims, verification of authorizations, and proactive communication with patients and providers. Experience in Medicare documentation and payer processes is preferred. Competitive hourly compensation and supportive team environment are offered.

Qualifications

• High School Diploma or equivalent.
• Pharmacy Technician license in states where required.
• PTCB or ExCPT certification through approved program.
• Experience communicating verbally and in writing to diverse audiences.
• Experience providing customer service to internal and external customers.

Responsibilities

• Submit timely, accurate invoices to payer for products and services provided.
• Determine quantities and prices for billed products and services.
• Verify authorization and required documentation.
• Ensure Medicare documentation is received and submitted.
• Review reports to maximize generic substitution opportunities.
• Manage and collect patient balances prior to dispensing or per policy.
• Ensure billing documentation is complete before claim submission.
• Process reimbursement checks/payments per policy.
• Review price modify logs and SDL claims.
• Review and resolve third party chargebacks.
• Assist with third party audits as needed.
• Process and file SDL claims per policy.
• Process prescription exceptions including prior authorizations and referrals.
• Communicate status to patients and providers.
• Assist patients with assistance programs enrollment and eligibility.
• Handle inbound calls not needing pharmacist attention and coordinate with payers.
• Maintain expertise in external billing practices to train staff.

Skills

Pharmacy Technician License

PTCB/ExCPT Certification

Customer Service

Data Entry

Education

High School Diploma

Tools

Excel

Job description

Walgreens is seeking a Pharmacy Billing Specialist to manage accurate invoicing and collections for third party and patient payments for products and services rendered.

The role emphasizes timely submission of claims, verification of authorizations, and proactive communication with patients and providers. Experience in Medicare documentation and payer processes is preferred. Competitive hourly compensation and supportive team environment are offered.