• Billing Specialist - Crestview, FL

    Job ID
  • Overview

    Pharmacy Billing Specialist

    Crestview, FL


    Guardian Pharmacy of Northwest Florida is part of the Guardian Pharmacy Services network and prides itself on its customer service. Each team member plays an integral part in the success of the pharmacy.


    Job Objective:

    Under the direction of the Director, Finance & Administration, assist in the billing, claims, and collections processes as assigned



    • Work Ethic/Integrity – must possess intrinsic drive to excel coupled with values in line with company philosophy
    • Strategy and Planning – ability to think ahead, plan and manage time efficiently
    • Problem Solving – ability to analyze causes and solve problems at both a strategic and functional level
    • Team Oriented – ability to work effectively and collaboratively with all team members



    • Reprocess rejected claims to 3rd party providers by identifying why the claim was rejected and making any necessary corrections
    • Make outgoing calls to insurers, responsible parties and others to follow up on rejected claims and to gather accurate insurance information
    • Answer incoming calls related to billing issues. Resolve issue or forward to appropriate department/person as needed
    • Process patient New Admit Report daily; assist with patient locator codes.
    • Apply cash, credit card, and check payments to private pay and facility accounts
    • Analyze aged trial balance reports, making calls to customers with past-due balances
    • Make professional and tactful collection calls to delinquent customers.
    • Make Welcome Calls to new admissions, obtain contact and billing information
    • Research and resolve billing issues that have resulted in late payments
    • Respond to customer inquiries regarding account status in a timely manner
    • Determine if credits need to be issued
    • Assist with accounts payable, upload invoices to Core360, set up new vendors
    • Assist in the regular monthly billing process
    • Work collaboratively and strategically with co-workers to ensure all deadlines for the department are met in an efficient and effective manner
    • Provide quality customer service to internal and external customers
    • Drive process improvements
    • Other essential functions and duties may be assigned as needed


    Education: High school diploma or G.E.D.



    • 2+ years of related experience (advanced degree may substitute for experience)
    • Advanced computer skills; pharmacy operations system experience preferred/required
    • Ability to work independently and deliver to deadlines
    • Ability to solve problems with minimal direction
    • 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 when something appears inaccurate
    • Working knowledge of 3rd party insurance carriers, Medicare, and Medicaid preferred


    Work Environment:

    Ability to work flexible hours; hours of operation are subject to change based on the needs of the pharmacy


    Full-Time employees working 30+ hours per week are eligible to enroll in our comprehensive benefits package, which includes medical, dental, vision, short and long-term disability, life and supplemental life insurance, and PTO.


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